scholarly journals Development of temporal lobe epilepsy during maintenance electroconvulsive therapy: A case of human kindling?

2019 ◽  
Vol 4 (1) ◽  
pp. 200-205
Author(s):  
Caroline Schotte ◽  
Evy Cleeren ◽  
Karolien Goffin ◽  
Borbala Hunyadi ◽  
Satya Buggenhout ◽  
...  
Author(s):  
J Kassiri ◽  
R Ogilvie ◽  
C Elliott ◽  
DB Sinclair

Background: Electroconvulsive therapy (ECT) involves the induction of a generalized seizure with an electrical current and has been used worldwide when treating medically refractory psychiatric illness. Here we describe a patient with no prior history or risk factors for epilepsy who developed temporal lobe epilepsy after chronic treatment of ECT. Methods: A 16-year-old right-handed boy with severe refractory depression received ECT treatment every 10 days for 8 months. Six months into his ECT treatment, the patient developed seizures and was admitted to a pediatric epilepsy monitoring unit. Results: Initial clinical events included lightheadedness, diaphoresis, and nausea with associated kaleidoscopic vision changes. Seizures progressed to confusion, fear and paranoia by the time the patient was admitted for monitoring. Long-term video EEG captured many focal seizures with impaired awareness, all originating from both temporal lobes. MRI was normal. ECT was terminated and the patient started on carbamazepine. He has been seizure free for the past 2 years on medication Conclusions: While rare, we present a case of a patient with no prior risk factors for epilepsy who developed temporal lobe epilepsy after chronic ECT treatment. Although ECT is an indispensable treatment for many medically refractory psychiatric illnesses, we suggest caution in young patient undergoing ECT.


Epilepsia ◽  
2016 ◽  
Vol 57 (11) ◽  
pp. e216-e220 ◽  
Author(s):  
Alexander Bryson ◽  
Helen Gardner ◽  
Ian Wilson ◽  
Tim Rolfe ◽  
John Archer

2010 ◽  
Vol 19 (3) ◽  
pp. 528-532 ◽  
Author(s):  
Daniel Maixner ◽  
Oren Sagher ◽  
Joshua Bess ◽  
Jonathan Edwards

2012 ◽  
Vol 2012 (jun21 1) ◽  
pp. bcr0320126056-bcr0320126056
Author(s):  
N. M. Anderson ◽  
A. Gadit

2019 ◽  
Vol 33 (7) ◽  
pp. 986-995 ◽  
Author(s):  
Elizabeth Stewart ◽  
Cathy Catroppa ◽  
Linda Gonzalez ◽  
Deepak Gill ◽  
Richard Webster ◽  
...  

2012 ◽  
Vol 43 (01) ◽  
Author(s):  
VE Bernedo Paredes ◽  
H Schwartz ◽  
M Gartenschläger ◽  
M Gartenschläger ◽  
HG Buchholz ◽  
...  

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
C Waisburg ◽  
E Sherman ◽  
L Byron ◽  
A Chapman ◽  
G Ainsworth ◽  
...  

2006 ◽  
Vol 37 (03) ◽  
Author(s):  
IEB Tuxhorn ◽  
H Freitag ◽  
C Krahn-Peper ◽  
F Behne ◽  
H Pannek ◽  
...  

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