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The British Journal of Psychiatry (1971) 119: 79-83. doi: 10.1192/bjp.119.548.79
© 1971 The Royal College of Psychiatrists
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Unilateral ECT as a Test for Cerebral Dominance, with a Strategy for Treating Left-handers

R. T. C. PRATT D.M., F.R.C.P., D.P.M.1, ELIZABETH K. WARRINGTON B.Sc., Ph.D.2, and A. M. HALLIDAY B.Sc., M.B., Ch.B.3

1 Physician in Psychological Medicine, The National Hospitals for Nervous Diseases, Queen Square, W.C.1 and Maida Vale, W.9
2 Principal Psychologist, The National Hospital for Nervous Diseases, Queen Square, W.C.1
3 Member of the External Staff, Medical Research Council; Consultant in Clinical Neurophysiology, National Hospital for Nervous Diseases, Queen Square, W.C.1

A strategy is needed for the choice of right- or left-sided ECT for left-handers (and possibly for right-handers). Naming of objects from verbal description in eleven of twelve right-handers 7 minutes after ECT was more impaired after two left-sided than after two right-sided treatments.

This test when given to twelve left-handers indicated that language was predominantly represented in the left hemisphere in eight patients, in the right hemisphere in two, whilst in the remaining two the results were equivocal. Testing at 20 minutes in the two latter patients suggested that language was predominantly represented in their right hemisphere.

Submitted on October 19, 1970







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Copyright © 1971 The Royal College of Psychiatrists.