Literature DB >> 3566457

Seizure threshold in electroconvulsive therapy. Effects of sex, age, electrode placement, and number of treatments.

H Sackeim, P Decina, I Prohovnik, S Malitz.   

Abstract

In a random-assignment trial to unilateral right and bilateral electrode placements, electroconvulsive therapy (ECT) stimulus intensity was titrated to just above seizure threshold for each of 52 depressed patients. Seizure threshold was quantified in units of charge. There was a 12-fold range in the minimum electrical intensity necessary to produce seizure. Sex, age, electrode placement, and the cumulative number of treatments were each associated with seizure threshold. Bilateral ECT had both a higher initial seizure threshold and a greater cumulative increase in seizure threshold compared with unilateral ECT. Clinical and research implications are discussed with respect to dosing strategies in ECT.

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Year:  1987        PMID: 3566457     DOI: 10.1001/archpsyc.1987.01800160067009

Source DB:  PubMed          Journal:  Arch Gen Psychiatry        ISSN: 0003-990X


  39 in total

Review 1.  Somatic treatments for mood disorders.

Authors:  Moacyr A Rosa; Sarah H Lisanby
Journal:  Neuropsychopharmacology       Date:  2011-10-05       Impact factor: 7.853

2.  Seizure threshold increases can be predicted by EEG quality in right unilateral ultrabrief ECT.

Authors:  Verònica Gálvez; Dusan Hadzi-Pavlovic; Susan Waite; Colleen K Loo
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  2017-04-11       Impact factor: 5.270

Review 3.  Meta-analysis of initial seizure thresholds in electroconvulsive therapy.

Authors:  Jeroen A van Waarde; Bastiaan Verwey; Rose C van der Mast
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  2009-04-21       Impact factor: 5.270

4.  The ictal electroencephalogram as a marker for the efficacy of electroconvulsive therapy.

Authors:  H Folkerts
Journal:  Eur Arch Psychiatry Clin Neurosci       Date:  1996       Impact factor: 5.270

5.  Effects of chronic electroconvulsive shock on interstitial concentrations of dopamine in the nucleus accumbens.

Authors:  G G Nomikos; A P Zis; G Damsma; H C Fibiger
Journal:  Psychopharmacology (Berl)       Date:  1991       Impact factor: 4.530

6.  Unilateral ultra-brief pulse electroconvulsive therapy for depression in Parkinson's disease.

Authors:  N R Williams; B S Bentzley; G L Sahlem; J Pannu; J E Korte; G Revuelta; E B Short; M S George
Journal:  Acta Neurol Scand       Date:  2016-05-31       Impact factor: 3.209

7.  Seizure suppression by gain-of-function escargot mutations.

Authors:  Daria S Hekmat-Scafe; Kim N Dang; Mark A Tanouye
Journal:  Genetics       Date:  2005-01-16       Impact factor: 4.562

8.  A two-site, open-label, non-randomized trial comparing Focal Electrically-Administered Seizure Therapy (FEAST) and right unilateral ultrabrief pulse electroconvulsive therapy (RUL-UBP ECT).

Authors:  Gregory L Sahlem; William V McCall; E Baron Short; Peter B Rosenquist; James B Fox; Nagy A Youssef; Andrew J Manett; Suzanne E Kerns; Morgan M Dancy; Laryssa McCloud; Mark S George; Harold A Sackeim
Journal:  Brain Stimul       Date:  2020-07-29       Impact factor: 8.955

9.  Caffeine augmentation of electroconvulsive seizures.

Authors:  A Francis; L Fochtmann
Journal:  Psychopharmacology (Berl)       Date:  1994-07       Impact factor: 4.530

10.  The efficacy of acute electroconvulsive therapy in atypical depression.

Authors:  Mustafa M Husain; Shawn M McClintock; A John Rush; Rebecca G Knapp; Max Fink; Teresa A Rummans; Keith Rasmussen; Cynthia Claassen; Georgios Petrides; Melanie M Biggs; Martina Mueller; Shirlene Sampson; Samuel H Bailine; Sarah H Lisanby; Charles H Kellner
Journal:  J Clin Psychiatry       Date:  2008-03       Impact factor: 4.384

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