Marchetti Renato Luiz, Fiore Lia Arno, Peluso Marco Aurélio Monteiro, Rigonatti Sérgio Paulo
Institute and Department of Psychiatry, University of São Paulo, São Paulo, Brazil.
J ECT. 2003 Sep;19(3):173-6. doi: 10.1097/00124509-200309000-00011.
The authors report on the use of electroconvulsive therapy (ECT) in the treatment of three patients with mental disorders associated with epilepsy. They discuss several aspects related to safety, efficacy, and indications of ECT in these patients. The observed results, as well as published data, provide evidence that ECT is a safe and effective therapeutic option for some patients with mental disorders associated with epilepsy. The indications are the same as in patients without epilepsy. There might be another possible indication for patients with alternative mental disorders (forced normalization), although improvement after spontaneous seizures may not always predict response to ECT.
作者报告了电休克疗法（ECT）在治疗三名患有与癫痫相关精神障碍患者中的应用。他们讨论了与这些患者中ECT的安全性、有效性和适应症相关的几个方面。观察结果以及已发表的数据表明，ECT对于一些患有与癫痫相关精神障碍的患者是一种安全有效的治疗选择。其适应症与无癫痫患者相同。对于患有其他精神障碍的患者（强制正常化）可能存在另一种可能的适应症，尽管自发性癫痫发作后的改善并不总是能预测对ECT的反应。
