ArticlePCN reports : psychiatry and clinical neurosciences2024
A case with temporal spikes on electroencephalography induced by over 80 sessions of electroconvulsive therapy.
Article in PCN reports : psychiatry and clinical neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Cumulative electroconvulsive therapy sessions and focal epilepsy: A nationwide cohort study in Japan.Epilepsia open · 2026Article
- A case with temporal spikes on electroencephalography induced by over 80 sessions of electroconvulsive therapy.PCN reports : psychiatry and clinical neurosciences · 2024Article
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Authors and funding
7 authors.
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Abstract
Background: Electroconvulsive therapy (ECT) is widely recognized as one of the most effective treatments for various psychiatric disorders and is generally considered safe. However, a few reports have mentioned that multiple ECT sessions could induce electroencephalography (EEG) abnormalities and epileptic seizures, a serious side effect of ECT. We experienced a case with EEG abnormalities after multiple ECT sessions and aimed to share our insights on conducting ECT safely. Case Presentation: We present the case of a 73-year-old female diagnosed with major depressive disorder. She underwent regular ECT sessions to alleviate her psychiatric symptoms. However, after more than 80 sessions, previously undetected EEG abnormalities were observed. Since the patient did not have clinical seizures, we were able to continue ECT at longer intervals without the use of antiepileptic drugs. Conclusion: Our case suggests the importance of routine EEG testing in patients undergoing prolonged ECT. While careful monitoring is necessary, continuing ECT without antiepileptic medication in patients with EEG abnormalities could be permissible.
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