Povlsen Uffe Juul, Wildschiødtz Gordon, Høgenhaven Hans, Bolwig Tom Gert
Department of Psychiatry, 6234, The Neuroscience Center, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.
J ECT. 2003 Sep;19(3):164-9. doi: 10.1097/00124509-200309000-00009.
We describe three cases of nonconvulsive status epilepticus induced by electroconvulsive therapy (ECT). Nonconvulsive status epilepticus is an important differential diagnosis in patients who develop prolonged confusion after ECT. The present cases exemplify the difficulty in defining the diagnosis on the basis of the clinical manifestations. The application of electroencephalography is recommended in monitoring patients with prolonged confusion following ECT. Concurrent drug therapy and ECT is discussed.
我们描述了3例由电休克治疗(ECT)诱发的非惊厥性癫痫持续状态。非惊厥性癫痫持续状态是ECT后出现长时间意识模糊患者的重要鉴别诊断。本病例说明了根据临床表现进行诊断的困难。建议对ECT后长时间意识模糊的患者应用脑电图进行监测。同时还讨论了药物治疗与ECT联合应用的情况。