Motor seizure monitoring during electroconvulsive therapy
| Autor: | D.K. Subbakrishna, N. Janakiramaiah, Bangalore N. Gangadhar, Prashanth M. Mayur |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Adolescent medicine.medical_treatment Electroencephalography 03 medical and health sciences 0302 clinical medicine Electroconvulsive therapy Seizures Convulsion medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Electroconvulsive Therapy Application methods Prolonged seizures Monitoring Physiologic medicine.diagnostic_test business.industry Middle Aged 030227 psychiatry Motor seizures Psychiatry and Mental health Anesthesia Female medicine.symptom business |
| Zdroj: | The British journal of psychiatry : the journal of mental science. 174 |
| ISSN: | 0007-1250 |
| Popis: | BackgroundThe occurrence of a seizure during electroconvulsive therapy (ECT) should be confirmed. Most clinicians use motor seizure monitoring alone and recent guidelines have not considered electroencephalogram (EEG) monitoring mandatory.AimsTo examine the potential pitfalls of motor seizure monitoring.MethodConsenting consecutive patients (n=232) were prospectively studied at the first ECT session using both motor and EEG seizure monitoring. It was ensured (by titration) that all the patients had an adequate EEG seizure. Adequate and prolonged seizures were defined according to the latest recommendations of the Royal College of Psychiatrists.ResultsMotor seizure was inadequate in 15 (7%) of patients. EEG seizure was prolonged in 38 (16%) of patients. Fifteen patients (39%) did not have a prolonged motor seizure. Motor seizure correlated well (r=0.8, P < 0.001) with EEG seizure when the latter was adequate, but not when prolonged (r=0.12, P > 0.5).ConclusionsMotor seizure monitoring without EEG is undependable. The study provides a rational basis for the Royal College of Psychiatrists' definition of prolonged EEG seizure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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