Resolution of catatonia by successful seizure induction via electroconvulsive therapy with electrodes applied bilaterally to the parietotemporal region
| Autor: | Masahiro Katsura, Kousei Takamatsu, Takehisa Takano, Hiroo Matsuoka, Tsuyoshi Shindo, Kazumasa Suzuki, Yukio Ebina, Shuichi Awata |
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| Rok vydání: | 2007 |
| Předmět: |
Psychosis
Catatonia medicine.medical_treatment Central nervous system Neuroscience (miscellaneous) behavioral disciplines and activities Temporal lobe Electroconvulsive therapy Parietal Lobe mental disorders medicine Humans Electroconvulsive Therapy Electrodes Aged Seizure threshold Therapeutic effect medicine.disease Temporal Lobe Psychiatry and Mental health medicine.anatomical_structure Magnetic seizure therapy Anesthesia Schizophrenia Female Psychology |
| Zdroj: | The journal of ECT. 23(2) |
| ISSN: | 1095-0680 |
| Popis: | Electroconvulsive therapy (ECT) has been shown to be effective in cases of medically intractable mood disorder and schizophrenia. However, some patients receiving ECT have only a short electroencephalographic seizure or no seizure at the maximum stimulus intensity and thus fail to obtain a therapeutic effect. A new treatment option is needed to induce therapeutic seizures in such patients. We report a case of catatonic schizophrenia that was resolved by successful seizure induction by means of ECT with electrodes applied bilaterally to the parietotemporal region after bifrontotemporal ECT failed to induce adequate seizure. We note that parietotemporal ECT can induce therapeutic seizures in patients with a high seizure threshold because more current penetrates the brain due to a decrease in shunted current. |
| Databáze: | OpenAIRE |
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