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一例电抽搐治疗后出现不典型失神发作的难治性抑郁症患者。

A case of atypical absence seizures after electroconvulsive treatment in a patient with treatment-resistant depression.

机构信息

UMDNJ Cooper University Medical Center Camden, NJ, USA.

出版信息

Clin EEG Neurosci. 2013 Jan;44(1):62-9. doi: 10.1177/1550059412452674. Epub 2012 Dec 17.

DOI:10.1177/1550059412452674
PMID:23248334
Abstract

Electroconvulsive therapy (ECT) has been used to treat severe treatment-resistant major depressive disorder. Multiple psychotropic medications are usually prescribed in high doses prior to or concomitantly with ECT. Little is known about the interaction of ECT with psychotropic medications. ECT is known to induce seizures, but its tendency to induce absence seizures is not. We present a case of a 44-year-old female, on multiple psychotropic medications, who had frequent atypical absence seizures for many days after ECT. Electroencephalography (EEG) confirmed atypical absence seizures by the presence of typical 2.5 to 3 Hz generalized sharp and slow waves with disorganized background activity.

摘要

电抽搐治疗(ECT)已被用于治疗严重的治疗抵抗性重度抑郁症。在进行 ECT 之前或同时,通常会开多种精神药物并使用高剂量。关于 ECT 与精神药物的相互作用知之甚少。ECT 已知会引起癫痫发作,但不会引起失神发作。我们报告了一例 44 岁女性,服用多种精神药物,在 ECT 后数天内频繁出现非典型失神发作。脑电图(EEG)通过存在典型的 2.5 至 3 Hz 全脑尖锐和缓慢波以及背景活动杂乱证实了非典型失神发作。

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