ECT in the treatment of status epilepticus.

Journal Article (Journal Article)

INTRODUCTION: Owing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders. METHOD: We review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used. RESULTS: Owing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor. DISCUSSION: The role of ECT in the treatment algorithm for SE is discussed.

Full Text

Duke Authors

Cited Authors

  • Lisanby, SH; Bazil, CW; Resor, SR; Nobler, MS; Finck, DA; Sackeim, HA

Published Date

  • September 2001

Published In

Volume / Issue

  • 17 / 3

Start / End Page

  • 210 - 215

PubMed ID

  • 11528315

International Standard Serial Number (ISSN)

  • 1095-0680

Digital Object Identifier (DOI)

  • 10.1097/00124509-200109000-00013


  • eng

Conference Location

  • United States