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Titolo:
EXCEPTIONALLY HIGH SEIZURE THRESHOLD - ECT DEVICE LIMITATIONS
Autore:
LISANBY SH; DEVANAND DP; NOBLER MS; PRUDIC J; MULLEN L; SACKEIM HA;
Indirizzi:
NEW YORK STATE PSYCHIAT INST & HOSP,DEPT BIOL PSYCHIAT,UNIT 72,722 W 168TH ST NEW YORK NY 10032 COLUMBIA UNIV,COLL PHYS & SURG,DEPT PSYCHIAT NEW YORK NY 00000
Titolo Testata:
Convulsive therapy
fascicolo: 3, volume: 12, anno: 1996,
pagine: 156 - 164
SICI:
0749-8055(1996)12:3<156:EHST-E>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELECTROCONVULSIVE-THERAPY; ELECTRODE PLACEMENT; STIMULUS-INTENSITY; DURATION; ANTICONVULSANT; EFFICACY; IMPACT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
S.H. Lisanby et al., "EXCEPTIONALLY HIGH SEIZURE THRESHOLD - ECT DEVICE LIMITATIONS", Convulsive therapy, 12(3), 1996, pp. 156-164

Abstract

Three patients had exceptionally high seizure threshold, as determined by an empirical titration procedure. Initial seizure threshold was 896 mC in two of the patients. The third patient had an initial threshold of 336 mC that increased to 840 mC at the end of the course of electroconvulsive therapy (ECT), and remained elevated during a second course of ECT. All three patients were elderly men with complicated medical histories and ongoing low-dose benzodiazepine use. Each patient hadan excellent response to ECT delivered with a custom modified device,capable of delivering more than twice the charge of ECT devices presently commercially available in the United States. Implications for theadministration of ECT in patients with exceptionally high seizure threshold and the limitations of current device output are discussed.

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Documento generato il 13/08/20 alle ore 14:08:37