Am J Psychiatry 1980; 137:1416-1418
Copyright © 1980 by American Psychiatric Association
Seizures terminable and interminable with ECT
RD Weiner, MR Volow, DT Gianturco and JO Cavenar Jr
The authors discuss the incidence, detection, management, and significance
of prolonged seizures with ECT and present a case example. They suggest
that the incidence of this phenomenon may be underreported and that its
occurrence may be linked to hyperoxygenation, the use of multiple-monitored
ECT, and preexisting states of cerebral hyperexcitability. Since prolonged
seizures may result in adverse metabolic changes, prompt detection and
intervention are essential.