Katagai Hiroshi, Yasui-Furukori Norio, Kikuchi Atsuhiro, Kaneko Sunao
Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
J ECT. 2009 Mar;25(1):61-3. doi: 10.1097/0b013e3181723725.
A 48-year-old man who had a history of schizophrenia for 30 years was treated with electroconvulsive therapies. Because of poor seizure even at maximum electrical dosage, aminophylline was administered just before initiating electroconvulsive therapy. Although aminophylline augmentation lengthened the seizure duration, tachycardia and hypertension were observed. Therefore, we switched to bemegride, an antagonist to barbiturate, and seizure length was improved without any side effects. The present case suggested that bemegride is one of the alternative measures in patients with poor seizure quality.
一名有30年精神分裂症病史的48岁男性接受了电休克治疗。由于即使在最大电剂量下癫痫发作效果仍不佳，在开始电休克治疗前给予了氨茶碱。尽管氨茶碱增强治疗延长了癫痫发作持续时间，但观察到心动过速和高血压。因此，我们改用了巴比妥类拮抗剂贝美格，癫痫发作时长得到改善且无任何副作用。本病例提示贝美格是癫痫发作质量不佳患者的替代措施之一。
