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Electro convulsion therapy

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https://www.readbyqxmd.com/read/27822276/demographic-and-diagnostic-features-of-3147-inpatients-with-mood-disorders-in-iran
#1
Atefeh Ghanbari Jolfaei, Pari Ghadamgahi, Masoud Ahmadzad-Asl, Amir Shabani
OBJECTIVES: To assess and compare demographic and diagnostic characteristics of inpatients with mood disorders in Iran. MATERIALS AND METHODS: We collected the demographic, clinical, and treatment characteristics of patients, who were hospitalized during five years from April 2006 to March 2010, in Iran hospital of psychiatry, a residency training center to evaluate the general clinical picture of the disorder. RESULTS: Overall, 95.3% of subjects had a diagnosis of bipolar I disorder (BID), 2...
September 2016: Iranian Journal of Psychiatry and Behavioral Sciences
https://www.readbyqxmd.com/read/27042563/use-of-ect-in-nepal-a-one-year-study-from-the-country-s-largest-psychiatric-facility
#2
Sandip Subedi, Tapas Kumar Aich, Niru Sharma
INTRODUCTION: Electro-Convulsive Therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. Since the development of ECT, it's use has been consistent. Inspite of the common use, data pertaining to the use of ECT in Nepal is lacking. AIM: This study was undertaken with the aim of exploring the clinico-demographic profile of patients treated with ECT in the largest psychiatry facility in the country. MATERIALS AND METHODS: It is a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Nepal during a period of one year (August 2012 to July 2013)...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27029661/the-effect-of-adjuvant-remifentanil-with-propofol-or-thiopentone-on-seizure-quality-during-electroconvulsive-therapy
#3
R MacPherson, M Marroquin-Harris, V Gálvez, P Tor, C Loo
In order to optimise outcome to Electro Convulsive therapy (ECT), there has been a trend to utilise remifentanil as an adjunct to standard intravenous induction agents. This has allowed a reduction in the dose of anaesthetic agent, and usually an improved response to stimulation. However there have been no previous studies to ascertain whether this improvement is simply as a result of the reduced dose of anaesthetic agent or whether remifentanil itself might possess epileptogenic properties. This retrospective case-controlled study examined ECT outcomes, determined by EEG quality analysis, in patients who received ECT with or without remifentanil, where there was no dose reduction in the anaesthetic agent...
March 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26721476/treatment-escalation-in-patients-not-responding-to-pharmacotherapy-psychotherapy-and-electro-convulsive-therapy-experiences-from-a-novel-regimen-using-intravenous-s-ketamine-as-add-on-therapy-in-treatment-resistant-depression
#4
Bernd Kallmünzer, Bastian Volbers, Anne Karthaus, Ozan Yüksel Tektas, Johannes Kornhuber, Helge H Müller
A lack of response despite maximum therapy is common in patients fulfilling criteria of treatment-resistant depression. Therefore, innovative strategies for treatment escalation are warranted. Here, we report the clinical experiences associated with a novel therapeutic regimen combining electroconvulsive therapy and repeated intravenous S-ketamine treatment in three patients. The combined therapy was feasible and had no serious side effects. All patients responded to the new treatment option. The augmentative effect of sub-anesthetic S-ketamine on ECT is discussed...
May 2016: Journal of Neural Transmission
https://www.readbyqxmd.com/read/26539786/which-anesthetic-agents-for-ambulatory-electro-convulsive-therapy
#5
REVIEW
Ross D MacPherson
PURPOSE OF REVIEW: There have been a considerable number of research articles published in the last 10 years outlining possible advances in the provision of electro-convulsive therapy (ECT) anaesthesia. This has resulted in a range of new drugs having been proposed as useful in the ECT setting. In particular, the use of adjuvant drugs that might improve outcomes to treatment has been investigated. RECENT FINDINGS: There is a high level of interest in ketamine and remifentanil as agents that may alter response in ECT anaesthesia, by reducing cognitive effects, and minimizing the dose of induction agent...
December 2015: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/26529101/brain-derived-neurotrophic-factor-and-antidepressive-effect-of-electroconvulsive-therapy-systematic-review-and-meta-analyses-of-the-preclinical-and-clinical-literature
#6
REVIEW
M Polyakova, M L Schroeter, B M Elzinga, S Holiga, P Schoenknecht, E R de Kloet, M L Molendijk
Emerging data suggest that Electro-Convulsive Treatment (ECT) may reduce depressive symptoms by increasing the expression of Brain-Derived Neurotrophic Factor (BDNF). Yet, conflicting findings have been reported. For this reason we performed a systematic review and meta-analysis of the preclinical and clinical literature on the association between ECT treatment (ECS in animals) and changes in BDNF concentrations and their effect on behavior. In addition, regional brain expression of BDNF in mouse and human brains were compared using Allen Brain Atlas...
2015: PloS One
https://www.readbyqxmd.com/read/26361565/psychosis-and-catatonia-in-fragile-x-case-report-and-literature-review
#7
Tri Indah Winarni, Andrea Schneider, Neera Ghaziuddin, Andreea Seritan, Randi J Hagerman
Fragile X mental retardation 1 (FMR1) premutation associated phenotypes have been explored extensively since the molecular mechanism emerged involving elevated FMR1 messenger ribonucleic acid (mRNA) levels. Lowered fragile X mental retardation protein (FMRP) can also occur which may have an additive effect to the high levels of mRNA leading to neurodevelopmental problems and psychopathology. This paper was aimed to review psychosis and catatonia in premutation carriers, express the role of elevated FMR1 mRNA and lowered FMRP in the phenotype of carriers and present a case of psychosis and catatonia in a carrier...
August 2015: Intractable & Rare Diseases Research
https://www.readbyqxmd.com/read/24922473/prophylactic-continuous-administration-of-landiolol-a-novel-%C3%AE-1-blocker-blunts-hyperdynamic-responses-during-electroconvulsive-therapy-without-altering-seizure-activity
#8
Zen'ichiro Wajima, Toshiya Shiga, Kazuyuki Imanaga, Tetsuo Inoue
Abstract Objective. In previous reports, it has been shown that many drugs may act against hyperdynamic responses during electro-convulsive therapy (ECT). The aim of this study was to conduct a randomized, placebo-controlled crossover study to investigate the hemodynamic responses and seizure duration during ECT by continuous administration of two doses of landiolol, a novel short-acting β1-adrenergic blocker, including standard and high-dose. Methods. Thirty-two patients undergoing ECT participated in this study...
June 2010: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/24366833/-electro-convulsive-treatment-of-elderly-patients-with-both-behavioral-problems-and-dementia
#9
B L I A M Kramer, T Albronda, D L Clarenbach-Wierda
Behavioral problems in elderly patients with dementia cannot always be managed with pharmacological or non-pharmacological treatment. We report on three therapy-resistant patients suffering from both behavioral problems and dementia whose condition finally improved after being given electroconvulsive therapy (ECT). Literature data relating to the safety and efficacy of ECT administered to patients with both behavioral problems and dementia are discussed.
2013: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/24049234/electro-convulsive-therapy-in-psychiatric-manifestations-in-wilson-s-disease
#10
Parth Vaishnav, H A Gandhi
Wilson's disease occurs due to an inborn error of metabolism. Psychiatric symptoms are often the first manifestation of the disease and can obscure the diagnosis. There are five neuropsychiatric symptoms clusters established for Wilson's disease patients: Behavior and/or personality disorders, mood disorders, cognitive deficits, psychotic manifestations, and others. The frequency with which psychiatric manifestations appears in Wilson's disease remains vague. However, whenever they occur, they need to be correctly identified and treated...
April 2013: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/23833352/status-epilepticus-following-electroconvulsive-therapy
#11
T M Omprakash, Arindam Chinmoy Chakrabarty, P Surender
Electro convulsive therapy (ECT) induced status epilepticus is known to occur in patients undergoing ECT. Its recognition and management under general anesthesia are of paramount importance; otherwise it may endanger the life of the individual.
January 2013: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/23766582/clozapine-responsive-catatonia-a-series-of-five-cases
#12
Somsubhra Chattopadhyay, Indranil Saha, Amitava Dan, Kaberi Bhattacharyya
The main objective of presenting the case series is that despite dramatic symptomatic response by intra venous lorazepam or electro convulsive therapy irrespective of primary diagnosis in catatonia cases some cases remain difficult to treat by conventional treatment. Here, we present five catatonia cases who did not respond to conventional treatment even when treated for primary psychiatric diagnosis along with treatment for catatonia. They ultimately responded partially or completely to clozapine only, which explains the multi-factorial causation of catatonia syndrome as postulated by different scientific research...
January 2012: Industrial Psychiatry Journal
https://www.readbyqxmd.com/read/23366447/effects-of-electroconvulsive-therapy-stimulus-pulsewidth-and-amplitude-computed-with-an-anatomically-realistic-head-model
#13
Siwei Bai, Colleen Loo, Socrates Dokos
The efficacy and cognitive outcomes of electro-convulsive therapy (ECT) on psychiatric disorders have been shown to depend on variations in treatment technique. In order to investigate this, a high resolution finite element human head model was generated from MRI scans and implemented with tissue heterogeneity and an excitable ionic neural formulations in the brain. The model was used to compare the effects of altered ECT stimulus amplitude and pulse width on the spatial extent of directly activated brain regions...
2012: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/23162198/chronic-subdural-hematoma-following-electro-convulsive-therapy
#14
Debasish Saha, Bikash Bisui, Rajarshi Guha Thakurta, Sumanta Ghoshmaulik, Om Prakash Singh
Subdural hematoma is a rare but serious complication following electroconvulsive therapy (ECT), a frequently used treatment modality in the management of various psychiatric morbidities including bipolar affective disorder (BAD). There are very few reports of intracranial bleeding following ECT in the literature. A 38-year-old female, known case of BAD for last fifteen years receiving ECT, presented with the symptoms of dysphasia, headache, left sided paresis, and sudden deterioration of sensorium. Computed tomography (CT) scan of the brain was suggestive of left-sided fronto parietal chronic subdural hematoma with midline shift that was drained successfully...
April 2012: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/22604202/efficacy-of-ect-in-severe-obsessive-compulsive-disorder-with-parkinson-s-disease
#15
Amin Muhammad Gadit, Thomas Smigas
A man in his 60's was admitted following a serious suicide attempt secondary to severe obsession with bowel movements and severe depression. He had multiple previous admissions with similar presentations and responded partially to psychotropic medications. It was transpired that obsessive compulsive disorder preceded depression and being overwhelmed with this obsession related to bowel movement, he decided to end his life. Electro-convulsive therapy was commenced with good results. His obsessive-compulsive disorder came under control to a greater extent and there was an improvement in his mood...
2012: BMJ Case Reports
https://www.readbyqxmd.com/read/22568063/-dementia-with-lewy-bodies-and-depressive-state
#16
Katsuyoshi Mizukami
Depressive states are often observed in patients with dementia with Lewy bodies (DLB) during the clinical course and the prodromal stage. In the depressive state in patients with DLB, manifestations such as hallucinations, delusions, anxiety, hypochondria, agitation, and apathy are often found. As the differentiation of DLB and senile depression is often difficult, it is always necessary to consider the possibility of DLB for elderly patients with depression. In the pharmacotherapy for the depressive state of DLB, we should avoid using tricyclic antidepressants because of anticholinergic adverse effects...
2012: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
https://www.readbyqxmd.com/read/22467559/walking-on-thin-ice-the-use-of-triple-antidepressant-combinations-in-refractory-melancholic-depression
#17
Sam Restifo
OBJECTIVE: To report on the outcome of cases of refractory depression treated with a combination of three antidepressant agents. METHOD: Retrospective case series. RESULTS: Three of the four patients made a good recovery. One patient developed transient increased agitation and exacerbation of pre-existing confusion. CONCLUSION: The use of a triple antidepressant combination may be a treatment option, albeit unorthodox and inelegant, in very specific circumstances such as for patients with refractory melancholic depression who have only partially responded to vigorous pharmacological treatment with combined antidepressants and are unwilling to use, or are unsuitable for, established treatments, such as lithium augmentation or electro-convulsive therapy (ECT)...
April 2012: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/22345830/electro-convulsive-therapy-a-few-lingering-thoughts-doubts
#18
M S Reddy
No abstract text is available yet for this article.
July 2011: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/22193040/a-perspective-on-the-electrical-stunning-of-animals-are-there-lessons-to-be-learned-from-human-electro-convulsive-therapy-ect
#19
Ari Z Zivotofsky, Rael D Strous
Animals have been slaughtered by humans since time immemorial. Over the last few generations attention has been focused on minimizing the animal's pain and suffering during slaughter. Based on the assumption that loss of consciousness due to electrical stunning combined with exsanguination is a humane technique of slaughter, this procedure has become one of the most widely employed methods in commercial meat production, being used in almost all species. In recent years, some shortcomings with this method of minimizing the animal's suffering have been noted...
April 2012: Meat Science
https://www.readbyqxmd.com/read/22058502/value-of-propanidid-in-electro-convulsive-therapy-comparison-with-thiopentone
#20
M R Kulkarni, V P Mulay
Propanidid due to its fast induction, early recovery and absence of cumulative action avoiding post recovery hangover is a useful agent and a better substitute for the established inducing agent, thiopentone It has all the advantages of thiopentone but lacks tbe disadvantages of the same. Its extremely short duration of action suits the short procedure of electroconvulsive therapy which gets over within one or two minutes. Use of propanidid will allow more number of E. C. Ts to be given in out patient department and will help in reducing the load on the hospital staff without compromising the safety of the patients...
October 1980: Indian Journal of Psychiatry
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