Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Electroconvulsive therapie
Autore:
Frey, R; Schreinzer, D; Heiden, A; Kasper, S;
Indirizzi:
Univ Vienna, Psychiat Klin, Klin Abt Allgemeine Psychiat, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 meine Psychiat, A-1090 Vienna, Austria
Titolo Testata:
NERVENARZT
fascicolo: 9, volume: 72, anno: 2001,
pagine: 661 - 676
SICI:
0028-2804(200109)72:9<661:ET>2.0.ZU;2-G
Fonte:
ISI
Lingua:
GER
Soggetto:
NEUROLEPTIC MALIGNANT SYNDROME; DEPRESSED-PATIENTS; SEIZURE DURATION; CONTINUATION THERAPY; NONPSYCHOTIC DEPRESSION; PSYCHOTIC DEPRESSION; ELECTRODE PLACEMENT; STIMULUS-INTENSITY; MEMORY DYSFUNCTION; FUTURE-RESEARCH;
Keywords:
electroconvulsive therapy; ECT; depression; mania; schizophrenia; memory impairment; continuation therapy;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
112
Recensione:
Indirizzi per estratti:
Indirizzo: Frey, R Univ Vienna, Psychiat Klin, Klin Abt Allgemeine Psychiat, Wahringer Gurtel18-20, A-1090 Vienna, Austria Univ Vienna Wahringer Gurtel 18-20 Vienna Austria A-1090 Austria
Citazione:
R. Frey et al., "Electroconvulsive therapie", NERVENARZT, 72(9), 2001, pp. 661-676

Abstract

Electroconvulsive therapy (ECT) has antidepressive and antipsychotic effects. Since being introduced in Italy in 1938, its mode of action has still riot been c la rifled. Treatment modalities have changed in many ways. ECT, in which a generalized epileptic seizure is provoked by electrical stimulation of the brain, is performed under short intravenous anesthesia and muscle relaxation, Considering careful previous clinical examination and anesthesiological and internal counterindications, ECT is a very safe form of treatment. Single cases of persisting memory impairment were described after the formerly common bilateral sinus wave stimulation. However, recent developments such as brief pulse stimulation, unilateral electrode placement, and individual stimulus titration (on the basis of EEG monitoring) make memory impairment as a consequence of ECT a rare event which mostly remits completely in 4-8 weeks. Today, ECT is performed mainly in patients suffering fromsevere, therapy-resistant affective or schizophrenic disorders. Perniciouscatatonia and the neuroleptic malignant syndrome are emergency indications. Adequate ECT treatment requires a series of 6-12 individual sessions (every second or third day). In therapy-resistant depression, for which the greatest number of data are available, the response rate lies between 50 and 60%. This has been confirmed by a descriptive analysis of all ECT treatmentsat the Department of Psychiatry, University of Vienna, between 1994 and 2000. There is a need for controlled studies on continuation therapy subsequent to successful ECT.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 09:28:43