Comparison of Bifrontal and Bitemporal ECT for Major Depression

Bailine, Samuel H.; Rifkin, Arthur; Kayne, Ernst; Selzer, Jeffrey; Vital-Herne, J; Blieka, Marjorie; Pollack, Simcha

doi:10.1176/ajp.157.1.121

Cited by 166 publications

(59 citation statements)

References 9 publications

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“…Die bisherige Annahme, dass die retrograden Gedächtnisdefizite im Rahmen der EKT ausschließlich dem medialen temporalen Lappen zuordenbar sind, wäre also falsch. Die Auseinandersetzung mit dieser Frage ist von klinischer Relevanz; die Stimulation mittels bifrontaler Elektrodenplatzierung basiert im wesentlichen auf der Überlegung, den Temporallappen auszusparen um die kognitiven Nebenwirkungen bei Erhalt der Effizienz zu minimieren [36]. Wenn nun aber tatsäch-lich die frontalen Veränderungen mitverantwortlich für die Entstehung der retrograden Amnesie sind, wird dieser Stimulationsort keine Vorteile mit sich bringen.…”

Section: Neurophysiologie Der Kognitiven Störungenunclassified

Kognitive Störungen und Elektrokrampftherapie

Prapotnik¹,

Pycha

Nemes³

et al. 2006

Wien Med Wochenschr

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Electroconvulsive therapy (ECT) is a rapidly acting and highly effective treatment for severe and life threatening conditions seen in affective and schizophrenic diseases. Notwithstanding its therapeutic benefits, ECT remains controversial because of seizure induction, cognitive side effects, memory dysfunction and effects on cerebral physiology. These factors have raised the concern that ECT produces structural and functional brain damages. This issue continues to have a major impact on the acceptance of ECT as a therapeutic modality, both within the medical community and in public opinion. A close look at incidence, type, severity, neurofunctional and -anatomical correlates, aetiology and therapeutic approaches of the adverse cognitive effects attributed to ECT may contribute to rational and objective handling of this topic. The final chapter deals with the issue of whether ECT causes brain damage.

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Section: Neurophysiologie Der Kognitiven Störungenunclassified

Kognitive Störungen und Elektrokrampftherapie

Prapotnik¹,

Pycha

Nemes³

et al. 2006

Wien Med Wochenschr

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“…Today, ECT is applied with intravenous anesthetics and muscle relaxants 11,12 . Continuation ECT is applied after acute ECT at least for six months in order to prevent relapse; Maintenance ECT is applied after a successful ECT course within the first six months at regular intervals ranging from a week to a month in order to prevent recurrence; the ones applied after 6 months are recommended to be called as "Preventive ECT" 13,14 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy of the continuation electroconvulsive therapy in treatment-resistant schizophrenia

Gül¹,

Eryılmaz²,

Sayar³

et al. 2014

Rev. psiquiatr. clín.

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Background: Electroconvulsive therapy (ECT) has been reported being a safe and effective treatment in schizophrenia. However, there are a limited number of studies assessing continuation ECT utilization in patients with schizophrenia giving partial response to pharmacological treatment. Objective: The aim of this study is to evaluate the effectiveness of continuation ECT in preventing relapse in patients with treatment-resistant schizophrenia. Methods: In this retrospective analysis, schizophrenia patients (n = 73) were defined in three groups such as patients who received only AP treatment (only AP), patients who received acute ECT only during hospitalization (aECT+AP), patients who received acute ECT and continuation ECT (a-cECT+AP). Three groups were compared according to positive and negative syndrome scale (PANSS) and Brief Psychiatric Rating Scale (BPRS) scores. Results: As per comparison of only AP group, aECT+AP group and a+cECT+AP groups in terms of after discharge PANSS and after discharge BPRS scores for 1 st month, 3 rd month and 6 th month; 3 rd and 6 th month's PANSS scores of a+cECT+AP group were statistically significantly lower than other two groups. Discussion: Although this study suffers the limitations of retrospective medical chart analysis, results suggest that, in patients with a diagnosis of schizophrenia who have responded to an acute course of ECT, continuation ECT in combination with antipsychotics is more effective than antipsychotics alone in preventing relapse.

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“…A tentativa de focalizar a ECT para melhorar sua eficácia e reduzir os efeitos colaterais foi originariamente proposta há mais de 55 anos (Heath e Norman, 1946). Tentativas modernas de focalizar espacialmente a ECT têm utilizado localizações variáveis dos eletrodos: ECT unilateral (Swartz, 1994) e bifrontal (Bailine et al, 2000). Contudo, a estimulação segue sendo muito pouco focal.…”

Section: Introductionunclassified

Magnetoconvulsoterapia: indução de convulsões com estimulação magnética transcraniana

Rosa¹,

Odebrecht²,

Rigonatti³

et al. 2004

Rev. psiquiatr. clín.

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ResumoA indução proposital de convulsões através da estimulação magnética transcraniana, chamada de magnetoconvulsoterapia, é uma nova técnica que tem sido utilizada para o tratamento de transtornos neuropsiquiátricos, principalmente depressão. É um tratamento que utiliza um aparelho estimulador que cria um campo magnético variável no tempo, aplicado sobre o crânio, através de uma bobina de estimulação. Neste artigo, é feita uma detalhada revisão dos 11 casos nos quais a convulsão foi induzida com finalidade terapêutica. Apesar de ainda incipiente, é uma técnica que poderá substituir a indução elétrica de convulsões (eletroconvulsoterapia), caso se mostre com equivalente eficácia e perfil mais seguro quanto aos efeitos colaterais e complicações, por ser o estímulo mais localizado.Palavras-chave: Convulsões, estimulação magnética, tratamento, depressão.

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Comparison of Bifrontal and Bitemporal ECT for Major Depression

Abstract: Bifrontal electrode placement was as efficacious as bitemporal placement and resulted in less cognitive impairment. A study of the two placements with more cognitive measures is indicated.

Cited by 166 publications

References 9 publications

Kognitive Störungen und Elektrokrampftherapie

Kognitive Störungen und Elektrokrampftherapie

Evaluation of the efficacy of the continuation electroconvulsive therapy in treatment-resistant schizophrenia

Magnetoconvulsoterapia: indução de convulsões com estimulação magnética transcraniana

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