ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Beta blockers are commonly used to attenuate the transient increase in heart rate (HR) and blood pressure (BP) that accompany electrocon-vulsive therapy (ECT). Recent reports have suggested that several beta blockers have anticonvulsant properties and hence could be countertherapeutic with ECT. In a randomized, double-blind controlled study of the dose response effects of intravenous labetalol on ECT hemodynamics and seizure duration, labetalol exhibited dose-dependent reduction in HR and rate pressure product (RPP) at the 5 and 10 mg doses compared to placebo. However, no significant differences between labetalol 5 mg, 10 mg, or placebo were found on BP or seizure duration.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The local cerebral metabolic rate for glucose (LCMRGlc) was evaluated in four patients before undergoing a course of electroconvulsive therapy (ECT) and after its completion. There was no reduction in LCMRGlc when studied 1 day after the last course of ECT. There was, however, the suggestion that metablic rates may increase in the middle frontal gyrus after significant time has elapsed since the last course of ECT.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

A single electroconvulsive shock in TO mice produced a drop in body temperature of 1.5–2°C, which was maintained for up to 60 min. This hypothermic response was not attenuated by the opioid antagonist i.p. naltrexone (0.3, 1 mg/kg); the α2-adrenoreceptor antagonist i.p. RX811059 (0.05, 0.5 mg/kg), or the benzodiazepine receptor antagonist i.p. Ro 15–1788 (10, 20 mg/ kg). The doses of antagonist used in this study had no effects on body temperature by themselves but significantly attenuated the hypothermia induced by their respective agonists, confirming their receptor-blocking activity. These findings suggest that electroconvulsive shock-induced hypothermia is not mediated by the release of either noradrenaline or by an endogenous ligand acting at opioid or benzodiazepine receptors.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

ECT is associated with hypertension and tachycardia for a brief period of time. In some patients, as those with severe cardiovascular disease, reduced intracranial compliance, and vascular pathology that may precipitate hemorrhage, it is reasonable to modify the cardiovascular response. Various techniques are reviewed and a method of control in use in our practice is recommended for its efficacy and safety.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Opinions differ regarding the risks and benefits of the concurrent use of antipsychotic medication and ECT. A case example is presented of the safe and effective concurrent use of ECT and the newly available neuroleptic clozapine in a young patient with schizoaffective disorder, bipolar type. The patient's pulse did climb as high as 170–180 beats/min during a few of the seizures. More experience is needed with the combined use of clozapine and ECT.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Three depressed individuals who developed a transient dyskinesia after right unilateral, nondominant electroconvulsive therapy (ECT) are described. The patients responded well to ECT in terms of their affective disorders, and were discharged free of permanent ECT-induced movement disorder symptoms. Risk factors and possible neurochemical changes underlying this phenomenon are discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

A woman with Friedreich's ataxia, a hereditary neurodegenerative disorder affecting primarily the spinal cord and cerebellum, had intractable depression in the context of bipolar disorder. Electroconvulsive therapy resulted in substantial improvement of depressive symptoms while not adversely affecting the patient's neurologic status.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Electroconvulsive therapy (ECT) was successfully used to treat depressive illness in a patient with Paget's disease of the skull and hydrocephalus with a functioning shunt.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

We present a case of the safe administration of electroconvulsive therapy (ECT) to a depressed patient with severe, unstable cervical spine disease. Using adequate muscle relaxation, a course of ECT treatments was given with excellent results. Although fears about the use of ECT in the presence of spine disease persist, attention to modern ECT technique allows a safe treatment course.

ISSN:0749-8055    

出版商:OVID    

年代:1991

数据来源: OVID