Hansen-Grant S, Tandon R, Maixner D, DeQuardo J R, Mahapatra S
Department of Psychiatry, University of Michigan Medical Center, Ann Arbor, USA.
Convuls Ther. 1995 Jun;11(2):134-8.
Subclinical status epilepticus is a rare complication of electroconvulsive therapy (ECT). We describe the case of a 70-year-old man with psychotic depression who developed prolonged subclinical status epilepticus following an initial ECT treatment; he subsequently received a course of ECT without complications. It is important to consider status epilepticus in the differential diagnosis of patients who do not regain consciousness following ECT, even in the absence of overt motor seizure activity. The development of this complication does not preclude the future use of ECT; in fact, ECT has been repeated successfully in individuals who developed this complication, including this case. Identification of potential risk factors, appropriate preventive measures, and early intervention are important in the management of this complication. The literature is reviewed and appropriate preventive and treatment measures are discussed.
亚临床癫痫持续状态是电休克治疗（ECT）的一种罕见并发症。我们描述了一名70岁患有精神病性抑郁症的男性病例，他在首次ECT治疗后出现了长时间的亚临床癫痫持续状态；随后他接受了一个疗程的ECT治疗且未出现并发症。在对ECT后未恢复意识的患者进行鉴别诊断时，即使没有明显的运动性癫痫发作活动，也必须考虑癫痫持续状态。这种并发症的发生并不排除未来使用ECT；事实上，包括本病例在内，出现这种并发症的个体已成功地重复进行了ECT治疗。识别潜在危险因素、采取适当的预防措施以及早期干预对于该并发症的管理很重要。本文对相关文献进行了综述并讨论了适当的预防和治疗措施。
