Skip Navigation LinksHome > March 2014 - Volume 30 - Issue 1 > A Case of Atypical Tardive Seizure Activity During an Initia...
Journal of ECT:
doi: 10.1097/YCT.0b013e31829c10d6
Case Reports

A Case of Atypical Tardive Seizure Activity During an Initial ECT Titration Series

Thisayakorn, Paul MD*; Karim, Yasser MD; Yamada, Thoru MD; McCormick, Laurie M. MD*

Collapse Box

Abstract

Abstract: Electroconvulsive therapy (ECT) has been used in this country for more than 70 years, is still the most effective treatment in all of psychiatry, and is considered a very safe procedure to have under general anesthesia. Although most patients tolerate this procedure very well without complications, prolonged and/or tardive seizures or even status epilepticus can develop, which is a rare but serious complication of ECT. Tardive seizures are typically associated with electroencephalographic evidence of ictal activity and motor manifestations of the tonic-clonic activity. Whereas there are instances of nonconvulsive status epilepticus after ECT, this is the first report of a patient developing autonomic and motor manifestations of a tardive seizure without electroencephalographic evidence of seizure activity during the initial titration series to establish seizure threshold for a course of ECT.

© 2014 by Lippincott Williams & Wilkins

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.