Kaufman Kenneth R, Olsavsky Aviva
Departments of Psychiatry,Neurology and Anaesthesiology,UMDNJ-Robert Wood Johnson Medical School,125 Paterson Street Suite #2200,New Brunswick,NJ 08901,USA.
Department of Neurology,Neurological Institute,Columbia University,710 W 168th Street,New York,NY 10032,USA.
Ir J Psychol Med. 2009 Jun;26(2):87-89. doi: 10.1017/S0790966700000306.
Status epilepticus (SE), both convulsive and nonconvulsive, is a rare adverse effect of electroconvulsive therapy (ECT). This case report describes SE post-ECT associated with central nervous system (CNS) metastatic melanoma and reviews pertinent literature. The authors recommend that when CNS pathology is suspected, pre-ECT neurology consultation, neuroimaging, and EEG all may be indicated. This is especially important for patients with histories of primary cancers, such as melanoma, that metastasise to the brain.
癫痫持续状态（SE），包括惊厥性和非惊厥性，是电休克治疗（ECT）罕见的不良反应。本病例报告描述了ECT后与中枢神经系统（CNS）转移性黑色素瘤相关的SE，并回顾了相关文献。作者建议，当怀疑有中枢神经系统病变时，可能需要在ECT前进行神经科会诊、神经影像学检查和脑电图检查。这对于有原发性癌症病史（如黑色素瘤）且发生脑转移的患者尤为重要。
