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Effectiveness of Left Anterior Right Temporal Electrode Placement in Electroconvulsive Therapy: 3 Case Reports

Weiss, Alan Micheal MBBS, FRANZCP; Hansen, Shane Michael BN, CNS; Safranko, Ivan FRANZCP; Hughes, Pequita BN

doi: 10.1097/YCT.0000000000000136
Case Reports

Abstract: Unilateral and bitemporal electrode placement has been the dominant mode of delivery in electroconvulsive therapy. We report 3 patients receiving maintenance electroconvulsive therapy where the use of dominant electrode placements was ineffective. Changing to left anterior right temporal electrode placement resulted in marked clinical improvement. This supports the limited literature on this electrode placement.

From the Hunter New England Mental Health, NSW, Australia and Calvary Mater Hospital, Waratah, Newcastle, NSW, Australia.

Received for publication February 4, 2014; accepted March 17, 2014.

Reprints: Alan Micheal Weiss, BMBS, FRANZCP, Calvary Mater Hospital, Waratah, Newcastle, NSW, Australia (e-mail:

The authors have no conflicts of interest or financial disclosures to report.

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