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Exceptionally high seizure threshold: ECT device limitations.

Publication ,  Journal Article
Lisanby, SH; Devanand, DP; Nobler, MS; Prudic, J; Mullen, L; Sackeim, HA
Published in: Convuls Ther
September 1996

Three patients had exceptionally high seizure threshold, as determined by an empirical titration procedure. Initial seizure threshold was 896 mC in two of the patients. The third patient had an initial threshold of 336 mC that increased to 840 mC at the end of the course of electroconvulsive therapy (ECT), and remained elevated during a second course of ECT. All three patients were elderly men with complicated medical histories and ongoing low-dose benzodiazepine use. Each patient had an excellent response to ECT delivered with a custom modified device, capable of delivering more than twice the charge of ECT devices presently commercially available in the United States. Implications for the administration of ECT in patients with exceptionally high seizure threshold and the limitations of current device output are discussed.

Duke Scholars

Published In

Convuls Ther

ISSN

0749-8055

Publication Date

September 1996

Volume

12

Issue

3

Start / End Page

156 / 164

Location

United States

Related Subject Headings

  • Seizures
  • Recurrence
  • Premedication
  • Panic Disorder
  • Middle Aged
  • Male
  • Lorazepam
  • Humans
  • Electroencephalography
  • Electroconvulsive Therapy
 

Citation

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Lisanby, S. H., Devanand, D. P., Nobler, M. S., Prudic, J., Mullen, L., & Sackeim, H. A. (1996). Exceptionally high seizure threshold: ECT device limitations. Convuls Ther, 12(3), 156–164.
Lisanby, S. H., D. P. Devanand, M. S. Nobler, J. Prudic, L. Mullen, and H. A. Sackeim. “Exceptionally high seizure threshold: ECT device limitations.Convuls Ther 12, no. 3 (September 1996): 156–64.
Lisanby SH, Devanand DP, Nobler MS, Prudic J, Mullen L, Sackeim HA. Exceptionally high seizure threshold: ECT device limitations. Convuls Ther. 1996 Sep;12(3):156–64.
Lisanby, S. H., et al. “Exceptionally high seizure threshold: ECT device limitations.Convuls Ther, vol. 12, no. 3, Sept. 1996, pp. 156–64.
Lisanby SH, Devanand DP, Nobler MS, Prudic J, Mullen L, Sackeim HA. Exceptionally high seizure threshold: ECT device limitations. Convuls Ther. 1996 Sep;12(3):156–164.

Published In

Convuls Ther

ISSN

0749-8055

Publication Date

September 1996

Volume

12

Issue

3

Start / End Page

156 / 164

Location

United States

Related Subject Headings

  • Seizures
  • Recurrence
  • Premedication
  • Panic Disorder
  • Middle Aged
  • Male
  • Lorazepam
  • Humans
  • Electroencephalography
  • Electroconvulsive Therapy