Right unilateral ultrabrief pulse electroconvulsive therapy as an augmentation strategy

DOI

Bibliographic Information

Other Title
  • 発作誘発困難例における右片側性超短パルス波ECT

Description

<p>To ensure good clinical efficacy following electroconvulsive therapy (ECT), adequate therapeutic seizures must be induced using a stimulus intensity that appropriately exceeds seizure threshold. However, it is not uncommon to fail to elicit adequate therapeutic seizures even at the maximum stimulus charge. Right unilateral ultrabrief pulse (RUL-UBP) ECT is an emerging treatment option demonstrating evidence of reduced cognitive side effects. Previous studies have demonstrated that seizure threshold is lower in patients treated with RUL-UBP ECT than in those treated with conventional ECT. For this reason, RUL-UBP ECT may be beneficial for patients in whom seizure induction is difficult with conventional ECT. This case report illustrates a patient suffering from catatonic schizophrenia in whom bilateral brief pulse ECT failed to induce seizures at the maximum charge. However, RUL-UBP ECT successfully elicited therapeutic seizures and enabled the patient to achieve complete remission. Switching to RUL-UBP ECT could be a new alternative for seizure induction in clinical practice.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390581091433237120
  • DOI
    10.11258/jjghp.31.9
  • ISSN
    21864810
    09155872
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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