Psychosis and temporal lobe epilepsy-role of electroconvulsive therapy

Anderson, Naomi Mifflen; Gadit, Amin A. Muhammad

doi:10.1136/bcr.03.2012.6056

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Some authors even suggested ECT as a treatment for status epilepticus (Lisanby et al , 2001; Cline and Roos, 2007). ECT was reported to be an efficient treatment of psychosis in patients with comorbid epilepsy (Micallef‐Trigona and Spiteri, 2012; Anderson and Gadit, 2012). Furthermore, ECT appears to be effective in treating both the psychiatric symptoms and the epileptic seizures in some patients (Regenold et al , 1998; Kucia et al , 2007), as well as depression or catatonia in patients post‐epilepsy neurosurgery (Kaufman et al , 1996; Maixner et al , 2010).…”

Section: Discussionmentioning

confidence: 99%

Electroconvulsive therapy for psychosis in a patient with epilepsy related to hypothalamic hamartoma

Ruppert

Lalanne

Foucher

et al. 2013

Epileptic Disorders

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Psychosis is more common in people with temporal lobe epilepsy than it is in the general population. Treatment can be difficult in these patients because of the complex interactions between antipsychotic and antiepileptic drugs. Some antipsychotic drugs also decrease the seizure threshold. We report the case of a 49-year-old man with a hypothalamic hamartoma, with a history of both gelastic and temporal lobe seizures. The patient was rendered seizure-free after three neurosurgical procedures but developed a drug-resistant paranoid psychosis. He was treated with electroconvulsive therapy (ECT). After two weeks with six stimulations that resulted in seizures, the psychiatric phenomena disappeared completely. There was no relapse of either the psychiatric symptoms or the seizures during the 42 months of follow-up. This case report suggests that ECT might be safe for psychosis in patients with a history of seizures that have previously been successfully treated with neurosurgery, although caution should be exercised in drawing general conclusions from a single case report.

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Section: Discussionmentioning

confidence: 99%

Electroconvulsive therapy for psychosis in a patient with epilepsy related to hypothalamic hamartoma

Ruppert

Lalanne

Foucher

et al. 2013

Epileptic Disorders

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“…The major indications for ECT are major depression, catatonia, schizophrenia and acute mania and bipolar disorder [2.3.4]. It is also been used in the treatment of some medical conditions such as refractory Parkinson's disease, particularly with "on-off" syndrome (e.g., severe, unpredictable motor fluctuations), neuroleptic malignant syndrome, temporal lobe epilepsy and intractable seizure disorders [3,5,6]. According to Sackeim et al, ECT is also considered a first-line treatment when medical or psychiatric factors require a rapid and robust clinical response, when ECT poses less risk to a patient than medication (e.g., during pregnancy or in elderly patients), when there is a clear history of medication resistance or a history of favourable response to ECT, or when the patient prefers ECT to medication [7].…”

Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at Federal Neuropsychiatric Hospital Yaba in Lagos, Nigeria

Usman

Olubunmi

Lukman

2019

INDJ

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Aims: To obtain sociodemographic and clinical profile of patients receiving Electroconvulsive therapy in a Nigerian psychiatric hospital. Study Design: A retrospective study. Place and duration: The study was carried out at the Federal Neuropsychiatric Hospital Yaba, Lagos, Nigeria over a period of 3 months. Methodology: An extensive review of the hospital records of patients receiving the modified form of electroconvulsive therapy for the first time over a period of eight years was done. The demographic information, clinical diagnosis and indication for electroconvulsive therapy were retrieved and analysis was done using SPSS 19. Results: There were a total of 222 cases, ranging from 45 in 2000 to 21 in 2007. Mean age was 31.7 ± 9.65. Male: female ratio was 1:2. Almost 60% of them were single and unemployed. Clinical diagnosis using ICD 10 ranged from schizophrenia (44.8%), severe depression (27.8%), bipolar disorder (15.5%) to puerperal psychosis (8.2%). Indications for electroconvulsive therapy included psychosis (41.6%), severe depressive episode (25.8%), catatonia (23.7%) and manic episode (7.4%). Conclusion: This study has shown that the use of ECT has declined in the facility over the study periods. Also, females were twice as likely to receive electroconvulsive therapy compared to males and schizophrenia still remains the most common diagnosis among the patients.

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Psychosis and temporal lobe epilepsy-role of electroconvulsive therapy

Cited by 2 publications

References 4 publications

Electroconvulsive therapy for psychosis in a patient with epilepsy related to hypothalamic hamartoma

Electroconvulsive therapy for psychosis in a patient with epilepsy related to hypothalamic hamartoma

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at Federal Neuropsychiatric Hospital Yaba in Lagos, Nigeria

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