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Post–Electroconvulsive Therapy Status Epilepticus and Tardive Seizure in a Patient With Rapid Cycling Bipolar Disorder, Epilepsy, and Intellectual Disability

Chathanchirayil, Saji Joseph MD, DNB, FRANZCP; Bhat, Ravi DPM, MD, FRANZCP

doi: 10.1097/YCT.0b013e318248e1fb
Case Reports

We describe a case of status epilepticus and tardive seizure after electroconvulsive therapy in a patient with rapid cycling bipolar disorder, epilepsy, and intellectual disability. This case study illustrates the need of careful inquiry of history of seizure while planning electroconvulsive therapy and the concomitant use of antiepileptic drugs if warranted especially in vulnerable population such as patients with intellectual disability.

From the Rural Health Academic Centre, University of Melbourne, and Goulburn Valley Area Mental Health Services, Shepparton, Victoria, Australia.

Received for publication November 16, 2011; accepted December 29, 2011.

Reprints: Saji Joseph Chathanchirayil, MD, DNB, FRANZCP, Goulburn Valley Area Mental Health Services, Monash St, Shepparton, Victoria 3630, Australia (e-mail:;

The authors declare no conflict of interest.

© 2012 by Lippincott Williams & Wilkins