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休克疗法、脑损伤与记忆丧失:神经学视角

Shock treatment, brain damage, and memory loss: a neurological perspective.

作者信息

Friedberg J

出版信息

Am J Psychiatry. 1977 Sep;134(9):1010-4. doi: 10.1176/ajp.134.9.1010.

DOI:10.1176/ajp.134.9.1010
PMID:900284
Abstract

The author reviews reports of neuropathology resulting from electroconvulsive therapy in experimental animals and humans. Although findings of petechial hemorrhage, gliosis, and neuronal loss were well established in the decade following the introduction of ECT, they have been generally ignored since then. ECT produces characteristic EEG changes and severe retrograde amnesia, as well as other more subtle effects on memory and learning. The author concludes that ECT results in brain disease and questions whether doctors should offer brain damage to their patients.

摘要

作者回顾了关于实验动物和人类电休克治疗所致神经病理学的报告。尽管在电休克治疗引入后的十年里,瘀点性出血、胶质细胞增生和神经元丢失等发现已得到充分证实,但从那以后它们通常被忽视了。电休克治疗会产生特征性的脑电图变化和严重的逆行性遗忘,以及对记忆和学习的其他更细微的影响。作者得出结论,电休克治疗会导致脑部疾病,并质疑医生是否应该给患者造成脑损伤。

相似文献

1
Shock treatment, brain damage, and memory loss: a neurological perspective.休克疗法、脑损伤与记忆丧失:神经学视角
Am J Psychiatry. 1977 Sep;134(9):1010-4. doi: 10.1176/ajp.134.9.1010.
2
ECT and memory loss.
Am J Psychiatry. 1977 Sep;134(9):997-1001. doi: 10.1176/ajp.134.9.997.
3
[Adverse cognitive effects and ECT].[不良认知效应与电休克治疗]
Wien Med Wochenschr. 2006 Apr;156(7-8):200-8. doi: 10.1007/s10354-005-0237-6.
4
Interictal slow-wave focus in left medial temporal lobe during bilateral electroconvulsive therapy.双侧电休克治疗期间左侧颞叶内侧的发作间期慢波灶
Neuropsychobiology. 2005;52(4):183-9. doi: 10.1159/000088861. Epub 2005 Oct 10.
5
[Doctor, will I get my memory back? Electroconvulsive therapy and cognitive side-effects in daily practice].[医生,我的记忆会恢复吗?日常实践中的电休克疗法及认知副作用]
Tijdschr Psychiatr. 2017;59(10):632-637.
6
Memory functions as affected by electroconvulsive therapy.电休克治疗对记忆功能的影响。
Ann N Y Acad Sci. 1986;462:307-14. doi: 10.1111/j.1749-6632.1986.tb51265.x.
7
ECT damage is easy to find if you look for it.如果你去寻找,电休克疗法造成的损伤很容易被发现。
Nature. 2000 Jan 20;403(6767):242. doi: 10.1038/35002188.
8
Retrograde amnesia after electroconvulsive therapy: a temporary effect?电抽搐治疗后逆行性遗忘:暂时的效应?
J Affect Disord. 2011 Jul;132(1-2):216-22. doi: 10.1016/j.jad.2011.02.026. Epub 2011 Mar 29.
9
Electroshock: a crime against the spirit.电击疗法:一种对精神的犯罪行为。
Ethical Hum Sci Serv. 2002 Spring;4(1):63-71.
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Predictors of retrograde amnesia following ECT.电休克治疗后逆行性遗忘的预测因素。
Am J Psychiatry. 1995 Jul;152(7):995-1001. doi: 10.1176/ajp.152.7.995.

引用本文的文献

1
Is Conduct of Research in Electroconvulsive Therapy Ethical?电休克治疗中的研究行为是否符合伦理?
J Psychol Neuropsychiatr Disord Brain Stimul. 2016;1(1). doi: 10.19104/jpbd.2016.105. Epub 2016 May 13.
2
The electroconvulsive therapy controversy: evidence and ethics.电休克治疗争议:证据与伦理
Neuropsychol Rev. 2003 Dec;13(4):199-219. doi: 10.1023/b:nerv.0000009484.76564.58.
3
Delayed amnesia and disorientation after electroconvulsive treatment.电休克治疗后的延迟性失忆和定向障碍。
J Psychiatry Neurosci. 1992 Nov;17(5):191-3.