W V McCall, R D Weiner, B J Carroll, F E Shelp, J C Ritchie, S Austin, J Norris
{"title":"Serum prolactin, electrode placement, and the convulsive threshold during ECT.","authors":"W V McCall, R D Weiner, B J Carroll, F E Shelp, J C Ritchie, S Austin, J Norris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examines the relationship of serum prolactin changes (delta PRL) to variations in electrode placement after controlling for differences in the convulsive threshold. Previous studies showing greater release of PRL with bilateral (BL) compared with right unilateral (RUL) electrode placement were conducted without knowledge of the convulsive threshold. Twenty-two patients each received threshold RUL, threshold BL, 2.25 times threshold RUL, and 2.25 times threshold BL ECT. Serum PRL was collected 5 min before and 15 min after each electroconvulsive therapy (ECT). The convulsive threshold was greater for BL than RUL electrode placement. delta PRL was greater with BL than RUL ECT at comparable relative stimulus intensities. delta PRL was not correlated with seizure duration or absolute stimulus dose.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"81-5"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroleptic-resistant schizophrenia treated with clozapine and ECT.","authors":"R Benatov, P Sirota, S Megged","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite advancement in psychopharmacology, treatment-resistant schizophrenia still poses a challenge to modern psychiatry. We present four patients with schizophrenia treated with clozapine and ECT. One patient who developed neuroleptic malignant syndrome (NMS) on conventional neuroleptics experienced no complications with this combination.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"117-21"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dangerous hyperglycemia associated with electroconvulsive therapy.","authors":"S Reddy, M S Nobler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The literature on the effect of electroconvulsive therapy (ECT) on diabetes mellitus remains controversial, with evidence of both amelioration and worsening of hyperglycemia. Both clinical reports and animal models suggest that a critical factor in glucose homeostasis may be whether or not the diabetes is insulin dependent. We present a case in which ECT was associated with extreme hyperglycemia in a patient without known preexisting diabetes. The patient subsequently required treatment with an oral hypoglycemic agent, and eventually needed insulin. The possibility of an unmasking or exacerbation of diabetic pathology during a course of ECT must be considered. Various mechanisms by which ECT may influence hyperglycemia are discussed.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Placement of an implantable venous access device for use in maintenance ECT.","authors":"T B Mackenzie, J Thurston, L Rogers, D W Hunter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Achieving intravenous (i.v.) access prior to electroconvulsive therapy (ECT) can be painful and time consuming. It may contribute to premature discontinuation of therapy. The authors report a novel method of ensuring i.v. access in a patient receiving maintenance ECT who developed an aversion to needle sticks. A Port-A-Cath P.A.S. vascular access catheter, placed in her left forearm, has been used for > 30 treatments without complication.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"122-4"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The CT scan (or MRI) before ECT: a wonderful test has been overused.","authors":"C H Kellner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"79-80"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical students' attitudes toward electroconvulsive therapy: an Indian perspective.","authors":"C Andrade, N S Rao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A questionnaire addressing issues related to electroconvulsive therapy (ECT) was administered to 165 undergraduate medical students in an urban hospital in India. Of various sources, the mass media contributed most to the students' knowledge about and attitudes toward the treatment. Senior and junior students differed little in their knowledge and attitudes. Many students believed that ECT is cruel and barbaric and that it occasions pain to the patient; however, few considered that it compromises thinking and reasoning, that it causes brain damage, that it is misused, that it is used to punish violent or uncooperative patients, that it is outmoded, or that it should be banned. Many students thought that the use of ECT should be governed by law. Myths and concerns about ECT were identified in a subset of students who expressed reluctance to receive ECT if indicated for themselves. There is a need to improve undergraduate medical education on ECT.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of ECT after brain injury.","authors":"S Crow, W Meller, G Christenson, T Mackenzie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electroconvulsive therapy (ECT) was administered to a man with a history of a gunshot wound to the head with persisting skull defect and intracranial metallic foreign bodies. It appears that ECT is a safe and effective treatment for depression in this setting. Electrode placement is selected to avoid the skull defect and anticonvulsant therapy may be continued if the patient was previously receiving it.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"113-6"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Steroid-induced depressive psychosis responsive to electroconvulsive therapy.","authors":"B Sutor, L A Wells, T A Rummans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report the case of a 15-year-old girl with acute lymphoblastic leukemia who developed a severe steroid-induced depression, which was rapidly responsive to ECT. This report adds to the growing body of literature supporting ECT as a safe and effective treatment of affective and psychotic disorders in children.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"104-7"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maintenance ECT in a patient with catatonic schizophrenia and tardive dyskinesia.","authors":"A Uçok, G Uçok","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe a 44-year-old-man with a 14-year history of catatonic schizophrenia and a 2-year history of tardive dyskinesia. Because of the worsening course of his illness in recent months, characterized by resistance to antipsychotic drugs and 4 hospitalizations in 7 months with early relapses after inpatient electroconvulsive therapy (ECT), outpatient maintenance ECT was administered. Without receiving any psychotropic medication, the patient's functional capacity was enhanced and he required no hospitalization during a 9-month period of maintenance ECT.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 2","pages":"108-12"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19717252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}