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Disconnection of electroencephalographic, motoric, and cardiac evidence of ECT seizure. 电痉挛发作的脑电图、运动和心脏证据断开。
Convulsive therapy Pub Date : 1996-03-01
C M Swartz
{"title":"Disconnection of electroencephalographic, motoric, and cardiac evidence of ECT seizure.","authors":"C M Swartz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three electroconvulsive therapy (ECT) stimuli of increasing dosage were applied sequentially under one anesthesia to each of two patients. With each, the first produced intense electroencephalogram (EEG) seizure activity with a sharp endpoint but no motoric activity and little heart rate elevation. The second produced 15-21 s of tonic-clonic activity with negligible seizure activity on the EEG monitor and little heart rate increase. The third produced typical motoric, EEG, and heart rate signs of seizure. These observations indicate that the signs of high EEG amplitude, sharp EEG endpoint, distinct postictal suppression, and tonic-clonic activity can appear in seizures of questionable quality and weak generalization through the brain. Consequently, none of these characteristics by themselves indicate good quality or seizure generalization, and ECT monitoring is incomplete without considering all of them along with peak heart rate.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748640","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}
引用次数: 0
Ambulatory electroconvulsive therapy: report of a task force of the association for convulsive therapy. Association for Convulsive Therapy . 动态电惊厥治疗:惊厥治疗协会一个工作组的报告。痉挛治疗协会。
Convulsive therapy Pub Date : 1996-03-01
M Fink, R Abrams, S Bailine, R Jaffe
{"title":"Ambulatory electroconvulsive therapy: report of a task force of the association for convulsive therapy. Association for Convulsive Therapy .","authors":"M Fink,&nbsp;R Abrams,&nbsp;S Bailine,&nbsp;R Jaffe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"42-55"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748645","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}
引用次数: 0
A second quiet revolution: ambulatory ECT. 第二个悄无声息的革命:动态电痉挛疗法。
Convulsive therapy Pub Date : 1996-03-01
M Fink, C H Kellner
{"title":"A second quiet revolution: ambulatory ECT.","authors":"M Fink,&nbsp;C H Kellner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19749387","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}
引用次数: 0
ECT in a geriatric depressed woman with bilateral frontal lobotomy. 电痉挛治疗老年抑郁症妇女双侧额叶切除术。
Convulsive therapy Pub Date : 1996-03-01
M D Llorente, P J Holland
{"title":"ECT in a geriatric depressed woman with bilateral frontal lobotomy.","authors":"M D Llorente,&nbsp;P J Holland","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"36-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748643","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}
引用次数: 0
The relative ability of three ictal EEG frequency bands to differentiate ECT seizures on the basis of electrode placement, stimulus intensity, and therapeutic response. 在电极放置、刺激强度和治疗反应的基础上，三个头期脑电图频带鉴别ECT发作的相对能力。
Convulsive therapy Pub Date : 1996-03-01
A D Krystal, R D Weiner, D Gassert, W V McCall, C E Coffey, T Sibert, T Holsinger
{"title":"The relative ability of three ictal EEG frequency bands to differentiate ECT seizures on the basis of electrode placement, stimulus intensity, and therapeutic response.","authors":"A D Krystal,&nbsp;R D Weiner,&nbsp;D Gassert,&nbsp;W V McCall,&nbsp;C E Coffey,&nbsp;T Sibert,&nbsp;T Holsinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ictal EEG indices show promise for separating individual ECT seizures on the basis of treatment electrode placement (ELPL), relative stimulus intensity (Dose), and expected therapeutic response. One factor impeding the effective clinical implementation of ictal EEG indices for these purposes is uncertainty as to the relative utility of lower and higher frequency EEG activity. Recent articles are contradictory in this regard, but no data exist addressing this issue. As a result, we reanalyzed data from 44 subjects in two studies and compared the relative ability of ictal EEG data in three frequency bands to differentiate seizures as a function of ELPL, Dose, and therapeutic response. We found that the frequency band that best differentiated these groups depended on the EEG measure used, the temporal portion of the seizure, and whether ELPL, Dose, or therapeutic response was being compared.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19749388","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}
引用次数: 0
A statistical model predicting the seizure threshold for right unilateral ECT in 106 patients. 预测106例右侧单侧电痉挛发作阈值的统计模型。
Convulsive therapy Pub Date : 1996-03-01
C C Colenda, W V McCall
{"title":"A statistical model predicting the seizure threshold for right unilateral ECT in 106 patients.","authors":"C C Colenda,&nbsp;W V McCall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Titration of the electroconvulsive therapy (ECT) stimulus to the patient's convulsive threshold is the only way to directly assess the patient's seizure threshold. This technique is presently practiced by 39% of ECT providers, according to a recent survey. Because multiple variables influence the seizure threshold in patients, multivariate statistical methods may provide a useful strategy to determine which variables exert the most influence on convulsive threshold. A multivariate ordinal logistic model of seizure threshold was developed on an experimental group of 66 consecutive patients undergoing titrated right unilateral (RUL) ECT for major depression. The accuracy of the model was cross-validated on a second group of 40 patients undergoing similar RUL ECT procedures. The final multivariate ordinal logistic regression model for the seizure threshold level (STL) was significant (Likelihood ratio chi 2 = 54.115; p < 0.0001:R2 = 0.313). Increasing age, African-American race, and longer inion-nasion distances (p < 0.06) predicted higher STL. Female gender was associated with a lower STL. The ability of the final model to accurately predict STL for the validation group was fair (pairwise correlation was 0.576; p < 0.001). The model did well for predicting lower STL, but fared poorly for higher STL. In conclusion, modeling STL may help establish the relative contribution of variables thought to be important to seizure threshold. However, STL models remain impractical for clinical applications in estimating seizure threshold at this time, and empirical stimulus titration should be used.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"3-12"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748641","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}
引用次数: 0
Delusion of pregnancy in psychotic depression and ECT response. 精神病性抑郁症的妊娠妄想与电痉挛反应。
Convulsive therapy Pub Date : 1996-03-01
M Bernardo, L Pintor, F Arrufat, J Salva, E Buisan
{"title":"Delusion of pregnancy in psychotic depression and ECT response.","authors":"M Bernardo,&nbsp;L Pintor,&nbsp;F Arrufat,&nbsp;J Salva,&nbsp;E Buisan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748644","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}
引用次数: 0
ECT for lorazepam-refractory catatonia. 电痉挛治疗劳拉西泮难治性紧张症。
Convulsive therapy Pub Date : 1996-03-01
P P Yeung, R M Milstein, D C Daniels, M B Bowers
{"title":"ECT for lorazepam-refractory catatonia.","authors":"P P Yeung,&nbsp;R M Milstein,&nbsp;D C Daniels,&nbsp;M B Bowers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Catatonic syndromes are seen in diverse psychiatric and systemic illnesses, and may have varied presentations. Although reports suggest that benzodiazepines are helpful, debate persists regarding definitive treatment for catatonia. We present a case in which electroconvulsive therapy effectively resolved symptoms in an adolescent patient with catatonia who had only a transient response to lorazepam.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"12 1","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19748642","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}
引用次数: 0
Electroconvulsive therapy in tardive dystonia. 迟发性肌张力障碍的电痉挛治疗。
Convulsive therapy Pub Date : 1995-12-01
T T Postolache, J H Londono, R G Halem, M D Newmark
{"title":"Electroconvulsive therapy in tardive dystonia.","authors":"T T Postolache,&nbsp;J H Londono,&nbsp;R G Halem,&nbsp;M D Newmark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a well-defined, although incomplete and transient, improvement in severe tardive dystonia with electroconvulsive therapy (ECT), supporting three similar previous case reports. ECT may be considered for patients with severe disabling tardive dystonia who have failed to respond to pharmacotherapy.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 4","pages":"275-9"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19883717","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}
引用次数: 0
Herbal pharmacotherapy for the attenuation of electroconvulsive shock-induced anterograde and retrograde amnestic deficits. 草药疗法对电休克引起的顺行性和逆行性遗忘缺陷的衰减。
Convulsive therapy Pub Date : 1995-12-01
S Faruqi, C Andrade, S Ramteke, J Joseph, B V Venkataraman, M A Naga Rani
{"title":"Herbal pharmacotherapy for the attenuation of electroconvulsive shock-induced anterograde and retrograde amnestic deficits.","authors":"S Faruqi,&nbsp;C Andrade,&nbsp;S Ramteke,&nbsp;J Joseph,&nbsp;B V Venkataraman,&nbsp;M A Naga Rani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>BR-16A is an herbal (non-allopathic) medication used in India to enhance cognition. Sixty adult male Sprague Dawley rats received either BR-16A (200 mg/kg/day) or vehicle alone for 16 days. During the first 7 days, the rats were trained in a spatial memory task using the Hebb Williams complex maze. Once a day for the next 2 days, rats in BR-16A and control groups received either true or sham electroconvulsive shock (ECS). During the last 7 days of the study, the rats were reexposed to the maze to assess recall of pre-ECS training and to evaluate further improvement in learning scores. BR-16A-treated rats performed better than controls both before and after ECS. It is concluded that BR-16A facilitates learning and that this effect extends to a protection against ECS-induced anterograde and retrograde amnesia. BR-16A may hence hold promise in the restriction of ECT-induced cognitive compromise. An unexpected observation in this study was that BR-16A attenuated seizure duration; implications and mechanisms are discussed.</p>","PeriodicalId":79333,"journal":{"name":"Convulsive therapy","volume":"11 4","pages":"241-7"},"PeriodicalIF":0.0,"publicationDate":"1995-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19884447","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}
引用次数: 0
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