Journal of Ect最新文献_第4页

Electroconvulsive Therapy in Cochlear Implant Users. 人工耳蜗使用者的电痉挛治疗。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001138

Thomas James Crotty, Anwar Alshehri, Adrien Gendre, Fergal Glynn, Peter Walshe

{"title":"Electroconvulsive Therapy in Cochlear Implant Users.","authors":"Thomas James Crotty, Anwar Alshehri, Adrien Gendre, Fergal Glynn, Peter Walshe","doi":"10.1097/YCT.0000000000001138","DOIUrl":"10.1097/YCT.0000000000001138","url":null,"abstract":"Introduction: Cochlear implant manufacturers currently contraindicate the use of electroconvulsive therapy (ECT) in CI users, citing theoretical evidence of potential harm to the patient or the implant despite a lack of clinical data. We report two uncomplicated cases of ECT in CI users, including the first reported case of bilateral ECT in a patient with bilateral CIs.Case series: The first case involves a 66-year-old visually impaired male with bilateral CIs. He suffered from major depressive disorder complicated by refusal of oral intake despite maximal pharmacological therapy. He underwent 9 consecutive cycles of bilateral ECT, after which his psychiatric condition improved. Cochlear implant function remained unchanged following the procedure. The second case involved a 65-year-old female with a left-sided CI and a history of recurrent depressive disorder. Her condition deteriorated with the onset of auditory hallucinations and increased suicidality. She underwent 8 consecutive cycles of unilateral ECT with right-sided electrode placement. Her psychiatric condition improved, and there was no change in CI impedance following the procedure.Conclusions: We report 2 successful cases of ECT in CI users, including the first reported case of bilateral ECT in a patient with bilateral cochlear implants. Further investigation into the safety of ECT in CI users is warranted to ensure that this crucial treatment modality remains available to this vulnerable patient cohort.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"167-169"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Road to Recovery: Outcomes of a Patient Undergoing ECT After Right Temporal Lobectomy-A Case Report. 恢复之路：右颞叶切除术后ECT患者的结果- 1例报告。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 DOI: 10.1097/YCT.0000000000001306

Ana C Ruiz, Abdul Haseeb, Marcela C Carbajal Tamez, William Baumgartner, Edison Leung, Giselli Scaini, João L de Quevedo

{"title":"Road to Recovery: Outcomes of a Patient Undergoing ECT After Right Temporal Lobectomy-A Case Report.","authors":"Ana C Ruiz, Abdul Haseeb, Marcela C Carbajal Tamez, William Baumgartner, Edison Leung, Giselli Scaini, João L de Quevedo","doi":"10.1097/YCT.0000000000001306","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001306","url":null,"abstract":"Electroconvulsive therapy (ECT) remains a core intervention for severe, treatment-resistant depression (TRD), especially in patients with suicidality or psychosis. However, the safety and efficacy of ECT in individuals with prior epilepsy surgery, such as temporal lobectomy, are not well-established. This report presents the clinical course of a male patient in his late 30s with recurrent depression since the age of 16, chronic suicidality with prior suicide attempts, who completed a course of bifrontal ECT consisting of a 21-session index phase followed by an 11-session continuation phase. Medical history includes epilepsy, resulting in a right temporal lobectomy 14 years ago. The patient underwent 32 bifrontal ECT sessions over a period of 5 months and achieved complete symptomatic remission (PHQ-9 score: 21 to 0), functional recovery, and a subjectively reported improvement in memory and cognition, with no adverse effects. This case contributes to the limited literature supporting the use of ECT in postlobectomy populations and highlights its potential in complex neuropsychiatric presentations.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety and Blinding of Transcranial Direct Current Stimulation in Schizophrenia Patients. 经颅直流电刺激治疗精神分裂症患者的安全性和致盲性。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001148

Adam Wysokiński, Michał Pazdrak Md, Aleksandra Mazerant-Zielińska, Adrianna Szczakowska

{"title":"Safety and Blinding of Transcranial Direct Current Stimulation in Schizophrenia Patients.","authors":"Adam Wysokiński, Michał Pazdrak Md, Aleksandra Mazerant-Zielińska, Adrianna Szczakowska","doi":"10.1097/YCT.0000000000001148","DOIUrl":"10.1097/YCT.0000000000001148","url":null,"abstract":"Introduction: Transcranial direct current stimulation (tDCS) is a method of noninvasive brain stimulation. tDCS clinical efficacy is debatable, but it was proved to be effective at the neurophysiological level. tDCS has a very good safety profile in human subjects. Because the method has been more frequently studied in patients with schizophrenia, we wanted to analyze the safety and tolerability of tDCS treatment in this population. We also evaluated blinding quality of tDCS stimulations.Material and methods: All stimulations were performed using the DC-Stimulator PLUS (neuroCare, Germany) with the sham module installed. For all the stimulations, 2.0-mA current and 5 × 7-cm anode and cathode rubber electrodes in saline-soaked sponges were used.Results: We collected and evaluated safety data in a large dataset of 1139 tDCS stimulations in patients with schizophrenia. No serious adverse events were recorded. None of the subjects discontinued tDCS treatment due to side effects. All the reported events resolved spontaneously within 30 minutes after the tDCS session. In approximately 17% of all the stimulations, no side effects were reported by the patients. The 2 most frequent types of side effects were itching/tingling (reported by 68.4% of the subjects) and burning/warmth sensations (57.4%, when combined).Discussion: This study confirms that tDCS is safe and well tolerated by patients with schizophrenia. The most frequent side effects are itching/tingling and burning/warmth sensations, all of low severity. We found that blinding of tDCS stimulations is imperfect. We recommend that blinding assessment become a routine part of sham-controlled tDCS studies.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e39-e45"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Retrospective Study of Intraoperative Awareness in Patients Undergoing Electroconvulsive Therapy at Dartmouth Hitchcock Medical Center Over a 3-Year Period. 达特茅斯希区柯克医疗中心3年来接受电休克治疗患者术中意识的回顾性研究

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001143

Marnie Bowen Welch, Daniela Armella Tangarife, Julia C Knight

{"title":"A Retrospective Study of Intraoperative Awareness in Patients Undergoing Electroconvulsive Therapy at Dartmouth Hitchcock Medical Center Over a 3-Year Period.","authors":"Marnie Bowen Welch, Daniela Armella Tangarife, Julia C Knight","doi":"10.1097/YCT.0000000000001143","DOIUrl":"10.1097/YCT.0000000000001143","url":null,"abstract":"Objective: At our academic institution, in a collaborative effort between the departments of anesthesiology, psychiatry, and nursing, we aimed to collect data about the incidence, nature, and predictive factors of intraoperative awareness in patients undergoing electroconvulsive therapy (ECT). Eligible patients were given modified Brice interviews, and the compliance rate of the interviews was analyzed and the effect of the educational initiatives put in place reviewed.Methods: Brice interviews were given to patients after ECT over a 3-year period, which included the education of staff. Data points were collected over this 3-year period via the electronic medical record for patients receiving ECT and those who were eligible to complete a Brice interview after procedure. Statistical analysis was conducted to meet our objectives.Results: The incidence of intraoperative awareness in our patients undergoing ECT was 4.7% (44 out of 936 interviews) and baseline characteristics were recorded. No predictors of intraoperative awareness were discovered. The nature of each positive interview was reviewed and put into categories, and anesthesia modification was reviewed for the positive interviews. Mental health after procedure was shown to be, by our measures, the same between patients with positive Brice interviews and patients with negative Brice interviews. The overall compliance rates of the modified Brice interview were analyzed, and to measure the impact of such initiatives, the compliance rates were compared before and after particular educational initiatives.Conclusions: Our study underscores the importance of tracking intraoperative awareness in patients receiving ECT, using Brice interviews in this population, and executing quality initiatives in the departments involved.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"153-157"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sequential Navigated Multilocus Repetitive Transcranial Magnetic Stimulation for Concurrent Somatic and Psychiatric Conditions. 顺序导航多位点重复经颅磁刺激并发躯体和精神疾病。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001141

Satu K Jääskeläinen, Mi Tram, Tero Taiminen

{"title":"Sequential Navigated Multilocus Repetitive Transcranial Magnetic Stimulation for Concurrent Somatic and Psychiatric Conditions.","authors":"Satu K Jääskeläinen, Mi Tram, Tero Taiminen","doi":"10.1097/YCT.0000000000001141","DOIUrl":"10.1097/YCT.0000000000001141","url":null,"abstract":"Objective: Repetitive transcranial magnetic stimulation (rTMS) is efficient in frequently coexisting neurological and psychiatric disorders. This retrospective study investigated potentially additive efficacy and feasibility of multilocus rTMS in patients treated for more than 1 concurrent disorder.Methods: Thirty-three consecutive patients underwent therapeutic rTMS with several cortical targets for more than 1 disorder. Two patients were excluded (insufficient data). The patients (19 women and 12 men, median age 49 years, range 17-75 years) had combinations of chronic pain (n = 15), depression (n = 30), tinnitus (n = 7), anxiety (n = 6), obsessive-compulsive disorder (n = 3), and eating disorder (n = 3). The combination of pain and depression was most frequent. E-field navigated TMS device (Nexstim Ltd, Helsinki, Finland) was used for a 10-day rTMS-trial (9 in 2 cases). Protocol and cortical target combinations varied according to indications. In addition to clinical evaluation, at least 30% decrease in severity on disorder-specific scales was response limit. All assessments were done at baseline and after 10-day treatment.Results: Response rate to multilocus rTMS in at least 1 condition was 84%. A response to treatment was observed for both indications in 19 patients, for a single indication in 7 patients, and for none in 5 patients. As available (n = 20), Global Impression of Change was positive in 85% of patients, and 15% reported no change.Conclusions: Multilocus rTMS is an efficient tool for comorbid neurological and psychiatric disorders, with no serious adverse effects. Responder rate was rather high in patients with comorbidities, suggesting that rTMS efficacy may be associated with inherent patient-related factors.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"158-166"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Adjunctive Deep Transcranial Magnetic Stimulation in Obsessive-Compulsive Disorder: A Randomized Sham-Controlled Study. 辅助深经颅磁刺激治疗强迫症的疗效：一项随机假对照研究。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001145

Sachin Reddy, Nishant Goyal, Umesh Shreekantiah

{"title":"Efficacy of Adjunctive Deep Transcranial Magnetic Stimulation in Obsessive-Compulsive Disorder: A Randomized Sham-Controlled Study.","authors":"Sachin Reddy, Nishant Goyal, Umesh Shreekantiah","doi":"10.1097/YCT.0000000000001145","DOIUrl":"10.1097/YCT.0000000000001145","url":null,"abstract":"Objectives: Obsessive-compulsive disorder is one of the most common neuropsychiatric disorders with a higher lifetime prevalence than schizophrenia, often showing inadequate response to pharmacological and psychotherapeutic treatments. This study aimed to examine the efficacy of adjunctive deep transcranial magnetic stimulation (dTMS) in a randomized, sham-controlled set-up, addressing inadequate response to standard treatments.Methods: Forty-nine obsessive-compulsive disorder patients were randomly allocated to receive either high-frequency dTMS (20 Hz) or sham stimulation and received 10 sessions of treatment using the H7 coil to target the dorsal anterior cingulate cortex and the medial prefrontal cortex over a period of 2 weeks. Change in Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) scores was the primary outcome measure. Secondary efficacy measures were changes in Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale scores and response rates as measured by Y-BOCS.Results: The active dTMS group demonstrated a significant reduction in Y-BOCS scores compared with sham (-10.4 vs -2.6 points; P < 0.001), with an effect size of 1.39. Full response rates were 75% in the active group versus 5% in the sham group ( P < 0.001). Anxiety and depressive symptoms also improved significantly in the active group (Hamilton Anxiety Rating Scale: -9.1 vs -2.4 points, P < 0.001; Hamilton Depression Rating Scale: -5.9 vs -1.8 points, P < 0.001).Conclusion: Our study demonstrated that dTMS targeting the dorsal anterior cingulate cortex and medial prefrontal cortex significantly improved obsessive-compulsive, anxiety, and depressive symptoms, with faster response rates and fewer sessions compared with previous trials, suggesting that dTMS may serve as an effective early intervention for a wider range of obsessive-compulsive disorder patients.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"175-181"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Electroconvulsive Therapy for a 57-Year-Old Woman With Major Depressive Disorder and Dissociative Disorder: A Case Report and Literature Review. 电痉挛成功治疗57岁女性重度抑郁症和分离性障碍1例报告并文献复习。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001146

Hajimu Honda, Toshinori Nakamura, Naoaki Kubota, Saeko Yokotsuka-Ishida, Daimei Sasayama, Shinsuke Washizuka

引用次数: 0

Electroconvulsive Therapy for Behavioral, Mood, and Catatonic Symptoms in Patients With Frontotemporal Dementia: A Literature Review. 电痉挛疗法治疗额颞叶痴呆患者的行为、情绪和紧张症状：文献综述

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-01-20 DOI: 10.1097/YCT.0000000000001162

Camilla Elefante, Chiara Fustini, Vittoria Lepri, Marta Del Chicca, Andrea Coccoglioniti, Maria Grazia Grosso, Giulia D'Alessandro, Simone Tidona, Pierpaolo Medda, Lorenzo Lattanzi, Filippo Baldacci, Roberto Ceravolo, Giulio Perugi

{"title":"Electroconvulsive Therapy for Behavioral, Mood, and Catatonic Symptoms in Patients With Frontotemporal Dementia: A Literature Review.","authors":"Camilla Elefante, Chiara Fustini, Vittoria Lepri, Marta Del Chicca, Andrea Coccoglioniti, Maria Grazia Grosso, Giulia D'Alessandro, Simone Tidona, Pierpaolo Medda, Lorenzo Lattanzi, Filippo Baldacci, Roberto Ceravolo, Giulio Perugi","doi":"10.1097/YCT.0000000000001162","DOIUrl":"10.1097/YCT.0000000000001162","url":null,"abstract":"Abstract: Frontotemporal dementia (FTD) encompasses a group of clinically, neuropathologically, and genetically heterogeneous disorders characterized by atrophy in the frontal and anterior temporal lobes. Psychiatric and behavioral symptoms are common throughout the course of FTD, and pharmacological treatments show limited efficacy. In this review, we analyzed literature on the use of electroconvulsive therapy (ECT) in patients with FTD to assess its effectiveness and predictors of response in this population. A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines, with searches in the MEDLINE, Scopus, and Web of Science databases. Eligibility criteria included original studies and case reports on FTD patients treated with ECT. Of 88 screened abstracts, 25 studies were included, documenting 37 patients with FTD or Pick disease who were treated with ECT. ECT was primarily administered for catatonia (37.84%) and depressive episodes (35.14%). Most patients had not responded to at least 1 prior medication, primarily antipsychotics. Following the initial ECT course, 40.54% of patients experienced symptom remission, 21.62% showed partial or transient improvement, and 32.43% saw little to no benefit. Continuation and maintenance ECT appeared to be valid treatment options following a response to acute ECT. Notably, patients with the C9orf72 mutation showed a poor response to ECT. For many FTD patients with behavioral, mood, and catatonic symptoms, ECT appears to be more effective than pharmacological treatments; however, its impact on cognition and long-term outcomes requires further investigation. Systematic clinical studies on larger samples are necessary to confirm the efficacy and tolerability of ECT for psychiatric disorders in FTD.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"189-200"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Video-Assisted Teaching Program on Knowledge, Attitude, and Stigma Toward Modified Electroconvulsive Therapy Among the Primary Caregivers of Patients With Psychotic Disorder: A Randomized Controlled Trial. 一项随机对照试验：视频辅助教学项目对精神病患者主要照护者对改良电休克治疗的知识、态度和耻辱感的有效性

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001147

Meenu Meenu, Nanda Kumar Paniyadi, Biswa Ranjan Mishra, Rakesh Vadakkethil Radhakrishnan, Jaison Jacob

{"title":"Effectiveness of Video-Assisted Teaching Program on Knowledge, Attitude, and Stigma Toward Modified Electroconvulsive Therapy Among the Primary Caregivers of Patients With Psychotic Disorder: A Randomized Controlled Trial.","authors":"Meenu Meenu, Nanda Kumar Paniyadi, Biswa Ranjan Mishra, Rakesh Vadakkethil Radhakrishnan, Jaison Jacob","doi":"10.1097/YCT.0000000000001147","DOIUrl":"10.1097/YCT.0000000000001147","url":null,"abstract":"Objectives: This study aimed to assess the effectiveness of a video-assisted educational program on knowledge, attitude, and stigma toward modified electroconvulsive therapy (ECT) among the primary caregivers of patients with psychotic disorders.Methods: This experimental study was conducted at the Department of Psychiatry of a tertiary care hospital in India among 94 adult primary caregivers of patients with psychotic disorder. Participants in the experimental group (n = 47) received a 15-minute video-assisted educational program on ECT in addition to the standard care, and those in the control group (n = 47) received only the standard care. The online platform was used to collect data on caregivers' sociodemographic details, knowledge, attitudes, and stigma toward ECT. The data from either group were collected at baseline and 2 weeks after intervention.Results: Both groups were comparable with regard to key sociodemographic variables and baseline level of knowledge, attitude, and stigma toward ECT. In the postintervention, there was a significant difference in the median (interquartile range) score of knowledge, attitude, and stigma toward ECT in the experimental group compared with the control group. There was a significant correlation between the pretest level of knowledge and attitude ( r = 0.387). The relationship with the patient was found to be associated with the knowledge level of the subjects ( P < 0.001), and caregivers' monthly income was associated ( P < 0.05) with stigma toward ECT.Conclusion: The study provides evidence that the video-assisted educational program was effective in increasing knowledge, creating a more positive attitude, and reducing stigma toward ECT.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"182-188"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Electroconvulsive Therapy on Intracranial Pressure: An Evaluation Using Optic Nerve Sheath Diameter Measurements. 电休克治疗对颅内压的影响：用视神经鞘直径测量评价。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001140

Ping Fu, Resheek Nerella, Peter B Rosenquist, Morgan Wan, Vikas Kumar

{"title":"Effect of Electroconvulsive Therapy on Intracranial Pressure: An Evaluation Using Optic Nerve Sheath Diameter Measurements.","authors":"Ping Fu, Resheek Nerella, Peter B Rosenquist, Morgan Wan, Vikas Kumar","doi":"10.1097/YCT.0000000000001140","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001140","url":null,"abstract":"Objectives: Electroconvulsive therapy (ECT) stands as a widely acknowledged and effective treatment modality for a range of psychiatric disorders but requires careful patient selection and monitoring to ensure safety in the presence of risk factors given the pronounced physiologic response to the treatment and its attendant generalized anesthesia. Although there is substantial evidence indicating that ECT may trigger an increase in intracranial pressure (ICP) under specific patient circumstances, no studies demonstrate the degree of ICP changes associated with routine clinical ECT. Ultrasonographic measurement of the optic nerve sheath diameter (ONSD) provides an indirect measure of intracranial pressure.Methods: We conducted serial ONSD assessments in 24 patients at four pivotal junctures during ECT treatment: pre-ECT administration, postanesthesia induction, immediate postictal seizure, and postanesthesia recovery. The ONSD measurements were analyzed with a two-way analysis of variance (ANOVA).Results: We found no statistically significant discrepancies in ONSD measurements compared to baseline readings at any of the post-ECT time points. In addition, there was no difference in ONSD changes between patients who did or did not receive esmolol during treatment or underwent ECT with either unilateral or bilateral electrode placement.Conclusions: These findings strongly suggest that ECT does not induce substantial alterations in intracranial pressure, as determined through ONSD ultrasonography. Nevertheless, it is imperative to underscore the necessity for further research encompassing larger patient cohorts and those who may have baseline elevations of ICP.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":"42 3","pages":"149-152"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0