Report on 3 Years’ Experience in Electroconvulsive Therapy in Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases

2013 ◽  
Vol 29 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Ozge Canbek ◽  
Okan Oktay Menges ◽  
Murat Ilhan Atagun ◽  
Mehmet Tark Kutlar ◽  
Erhan Kurt
Keyword(s):  
Electroconvulsive Therapy ◽  
Neurological Diseases ◽  
And Training

scholarly journals Neurological diagnoses in the emergency room: differences between younger and older patients

2011 ◽  
Vol 69 (2a) ◽  
pp. 212-216 ◽  
Author(s):  
Marcos C. Lange ◽  
Vera L. Braatz ◽  
Carolina Tomiyoshi ◽  
Felipe M. Nóvak ◽  
Artur F. Fernandes ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Emergency Room ◽  
Older Patients ◽  
Tertiary Care Hospital ◽  
Neurological Diseases ◽  
Tertiary Care ◽  
Primary Headache ◽  
Care Hospital ◽  
National Guidelines ◽  
And Training

Neurological diseases are prevalent in the emergency room (ER). The aim of this study was to compare the neurological diagnoses between younger and older patients evaluated in the ER of a tertiary care hospital. METHOD: Patients admitted to the ER who required neurological evaluation in the first 24 hours were separated into two groups based on age, <;50 years old and >50 years old. RESULTS: Cerebrovascular disease (59.6% vs. 21.8%, p<0.01) was most frequent in the >50 years old group. Seizures (8.1% vs. 18.6%, p<0.01) and primary headache (3.7% vs. 11.4%, p<0.01) were most frequent in the <;50 years old group. CONCLUSION: The current study demonstrated that these three neurological diagnoses represented the majority of the neurological evaluations in the ER. National guidelines for ER teams that treat these prevalent disorders must be included in clinical practice and training.

Modified Electroconvulsive Therapy in Pseudocholinesterase Deficiency: A Case Report

2017 ◽  
Vol 41 (S1) ◽  
pp. s770-s771
Author(s):  
E. Yildizhan ◽  
N.B. Tomruk ◽  
M. Dereli ◽  
A. Özdemir ◽  
H. Yıldırım ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Neurological Diseases ◽  
Respiratory Muscles ◽  
Response To Treatment ◽  
Anesthetic Agents ◽  
Syndrome Scale ◽  
History Of ◽  
Competing Interest ◽  
Modified Electroconvulsive Therapy ◽  
Negative Syndrome

Introduction.Pseudocholinesterase (PCHE) deficiency is an inherited condition, in which recovery from anesthetic agents like succinylcholine and mivacurium is slow and complicated with prolonged paralysis of respiratory muscles in susceptible patients. Succinylcholine is used very frequently as a muscle relaxant during the procedure.Objectives.In Bakirkoy research and training hospital for psychiatric and neurological diseases, 24.310 patients were hospitalized for acute conditions and 3490 of these patients were treated with electroconvulsive therapy (ECT) in 3 years. We present a very rare case that we encountered in our practice; a severe PCHE deficiency case that could have complicated the modified ECT procedure unless necessary precautions were taken.Aims.Detection of PCHE levels of all patients eligible for ECT is part of our pre-ECT assessments procedure, and the case presented here shows the benefits of this method.Methods.The patient is a 29-year-old woman, with a 15 year history of schizophrenia. She was hospitalized for homicidal risk and refusal of treatment. Inadequate clinical response with pharmacological interventions and continuous aggressive excitations directed us to consider ECT.Results.After the detection of PCHE deficiency (PCHE level: 126 U/L), we performed the modified ECT with propophol and rocuronium instead of succinylcholine as usual. Sugammadex 100 mg was used for fastening the recovery. Response to treatment, which is recorded with positive and negative syndrome scale, was good and we completed 9 ECT sessions without complication.Conclusions.Screening for PCHE levels in the pre-ECT assessments is efficacious in order to decrease the complications of the ECT procedure.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Neurological disease caused by Oropouche virus in northern Brazil: should it be included in the scope of clinical neurological diseases?

2021 ◽  
Author(s):  
Jannifer O. Chiang ◽  
Rafael S. Azevedo ◽  
Maria C. A. Justino ◽  
Haroldo J. Matos ◽  
Hideraldo L. S. Cabeça ◽  
...  
Keyword(s):  
Virus Infection ◽  
Neurological Disease ◽  
Neurological Diseases ◽  
Medical Personnel ◽  
Northern Brazil ◽  
Neurological Infections ◽  
And Training

AbstractWe describe two neurological cases of Oropouche virus infection in northern Brazil, where the virus is endemic but neglected as a pathogen. This study reiterates the necessity of developing protocols for diagnosing infections and training medical personnel to recognize the pathogenicity of Oropouche virus in neurological infections.

Auditing electroconvulsive therapy

1998 ◽  
Vol 172 (5) ◽  
pp. 401-405 ◽  
Author(s):  
Richard Duffet ◽  
Paul Lelliott
Keyword(s):  
Electroconvulsive Therapy ◽  
Royal College ◽  
Large Scale ◽  
Postal Questionnaire ◽  
Junior Doctors ◽  
East Anglia ◽  
Modest Improvement ◽  
The Past ◽  
North East ◽  
And Training

BackgroundThis is the third large-scale audit in the past 20 years and compares the practice of electroconvulsive therapy (ECT) in England and Wales with the standards derived from the Royal College of Psychiatrists' 2nd ECT handbook.MethodFacilities, equipment, practice, personnel and training were systematically evaluated during visits to all ECT clinics in the former North East Thames and East Anglia regions and Wales. All other English ECT clinics were surveyed with a postal questionnaire. Information was obtained for 184 (84%) of the 220 ECT clinics identified.ResultsAlthough some aspects of ECT administration had improved since the last audit in 1991, overall only one-third of clinics were rated as meeting College standards. Only 16% of responsible consultants attended their ECT clinic weekly and only 6% had sessional time for ECT duties. Fifty-nine per cent of all clinics had machines of the type recommended by the College and 7% were still using machines considered outdated in 1989. Only about one-third of clinics had clear policies to help guide junior doctors to administer ECT effectively.ConclusionsTwenty years of activity by the Royal College of Psychiatrists and three large-scale audits have been associated with only modest improvement in local practice.

Electroconvulsive therapy treated patients’ and their relatives’ attitudes toward electroconvulsive therapy

2011 ◽  
Vol 26 (S2) ◽  
pp. 1153-1153
Author(s):  
O. Saran ◽  
S. Celik ◽  
S. Guloksuz ◽  
D. Cakmak
Keyword(s):  
Side Effects ◽  
Electroconvulsive Therapy ◽  
Subjective Feeling ◽  
Effective Treatment Option ◽  
Psychiatric Illnesses ◽  
Memory Problems ◽  
Inadequate Knowledge ◽  
Inpatient Units ◽  
State Examination ◽  
And Training

IntroductionElectroconvulsive therapy (ECT), which is a safe and effective treatment option for many of the psychiatric illnesses, is still negatively perceived by lay public. It could be hypothesized this negative view can affect the patients and their relatives. This study aimed to evaluate the attitudes of patients’ and their relatives’ toward ECT.MethodsSixty-four ECT treated patients were recruited from inpatient units of Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery. Patients were evaluated with Clinical Global Impression Scale, Mini Mental State Examination and Columbia ECT Subjective Side Effects Schedule. Both patients and their relatives were interviewed by using a questionnaire for assessing attitudes toward ECT.ResultsThe mean number of ECT sessions was 8.50 ± 1.85. The most common side effects according to the patients were subjective feeling of slowed down and memory problems. The majority of both patients and their relatives stated that they had not received adequate information about ECT. Moreover, their knowledge about technique and mechanism of ECT was very limited. However, their overall perception of ECT was very positive. The relatives of the patients were more satisfied with the benefits of ECT than the patients.DiscussionAlthough perception of ECT among patients and their relatives was very positive, it should be noted that this was mostly subjective in regard to inadequate knowledge about ECT. Thus, clinicians should pay utmost attention to inform both patients and their relatives about ECT.

scholarly journals Audit of a recently introduced stimulus dosing policy in an electroconvulsive therapy clinic

1999 ◽  
Vol 23 (9) ◽  
pp. 541-543 ◽  
Author(s):  
G. Shaikh ◽  
R. Ireland ◽  
M. McBreen ◽  
R. Ramana
Keyword(s):  
Clinical Practice ◽  
Electroconvulsive Therapy ◽  
Initial Dose ◽  
Dose Adjustment ◽  
Seizure Threshold ◽  
Dose Titration ◽  
Clinical Implications ◽  
Threshold Estimation ◽  
And Training ◽  
Therapy Clinic

Aims and methodTo audit the clinical practice of seizure threshold estimation and subsequent stimulus dose adjustment in the electroconvulsive therapy (ECT) clinic. Case notes of patients who had ECT over a six-month period were audited. Results were discussed at an audit meeting and guidelines and training modified appropriately prior to the second cycle of the audit.ResultsInitial dose titration was poor in the first period, but improved in the second. The majority of patients were insufficiently stimulated after missed seizures in both periods and stimulus doses were not being reduced following prolonged seizures.Clinical implicationsThe audit identified the need for continuing supervision of trainees in addition to clear training and guidelines.

scholarly journals Brain-Computer Interface for Clinical Purposes: Cognitive Assessment and Rehabilitation

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Laura Carelli ◽  
Federica Solca ◽  
Andrea Faini ◽  
Paolo Meriggi ◽  
Davide Sangalli ◽  
...  
Keyword(s):  
Neural Plasticity ◽  
Cognitive Assessment ◽  
Developmental Disorders ◽  
Neurological Diseases ◽  
Brain Computer Interface ◽  
Autism Spectrum ◽  
Computer Interface ◽  
Elderly Subjects ◽  
Severe Motor ◽  
And Training

Alongside the best-known applications of brain-computer interface (BCI) technology for restoring communication abilities and controlling external devices, we present the state of the art of BCI use for cognitive assessment and training purposes. We first describe some preliminary attempts to develop verbal-motor free BCI-based tests for evaluating specific or multiple cognitive domains in patients with Amyotrophic Lateral Sclerosis, disorders of consciousness, and other neurological diseases. Then we present the more heterogeneous and advanced field of BCI-based cognitive training, which has its roots in the context of neurofeedback therapy and addresses patients with neurological developmental disorders (autism spectrum disorder and attention-deficit/hyperactivity disorder), stroke patients, and elderly subjects. We discuss some advantages of BCI for both assessment and training purposes, the former concerning the possibility of longitudinally and reliably evaluating cognitive functions in patients with severe motor disabilities, the latter regarding the possibility of enhancing patients’ motivation and engagement for improving neural plasticity. Finally, we discuss some present and future challenges in the BCI use for the described purposes.

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