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Failure to Convulse with Electroconvulsive Therapy

A Case Report

Published online by Cambridge University Press:  02 January 2018

Abstract

A case is reported of a severely depressed patient in whom treatment with electroconvulsive therapy was abandoned because of repeated failure to induce a convulsion. Reasons for the failure to convulse and alternative treatment approaches are discussed.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Addersley, D. J. & Hamilton, M. (1953) Use of succinylcholine in ECT. British Medical Journal, i, 195197.Google Scholar
Brandon, S., Cowley, P., Macdonald, C., Neville, P., Palmer, R. & Wellstood-Easton, S. (1984) Electroconvulsive therapy: results in depressive illness from the Leicestershire trial. British Medical Journal, 288, 2225.Google Scholar
Christensen, P. & Koldbaek, I. (1982) EEG monitored ECT. British Journal of Psychiatry, 141, 1923.CrossRefGoogle ScholarPubMed
De Montigny, C., Cournoyer, G., Mansette, R., Langlois, R. & Caille, G. (1983) Lithium carbonate addition in tricyclic antidepressant-resistant unipolar depression. Archives of General Psychiatry, 40, 13271334.Google Scholar
D'Elia, G. (1970) Unilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, Suppl. 215, 595.Google ScholarPubMed
D'Elia, G. & Raotma, H. (1975) Is unilateral ECT less effective than bilateral ECT? British Journal of Psychiatry, 126, 8389.Google Scholar
Fink, M. (1979) Convulsive Therapy: Theory and Practice. New York: Raven Press.Google Scholar
Fink, M. & Johnson, L. (1982) Monitoring the duration of electroconvulsive therapy seizures. Archives of General Psychiatry, 39, 11891191.Google Scholar
Fraser, M. (1982) ECT: A Clinical Guide. Chichester: Wiley.Google Scholar
Gordon, D. (1981) The electrical and radiological aspects of ECT. In Electroconvulsive Therapy: An Appraisal (ed. R. Palmer). Oxford: Oxford University Press.Google Scholar
Gordon, D. (1982) Electroconvulsive therapy with minimum hazard. British Journal of Psychiatry, 141, 1218.CrossRefGoogle ScholarPubMed
Gregory, S., Shawcross, C. R., & Gill, D. (1985) The Nottingham ECT study: a double blind comparison of bilateral, unilateral and simulated ECT in depressive illness. British Journal of Psychiatry, 146, 520524.Google Scholar
Johnstone, E., Deakin, J., Lawler, P., Frith, C. D., Stevens, M., McPherson, K. & Crow, T. (1980) The Northwick Park electroconvulsive therapy trial. The Lancet, ii, 13171320.CrossRefGoogle Scholar
Lancaster, N. P., Steinert, R. R. & Frost, I. (1958) Unilateral electroconvulsive therapy. Journal of Mental Science, 104, 221227.Google Scholar
Latey, R. & Fahy, T. J. (1985) Electroconvulsive therapy in the Republic of Ireland 1982: a summary of findings. British Journal of Psychiatry, 147, 438439.Google Scholar
Ottoson, J. (1962) Electroconvulsive therapy - electrostimulatory or convulsive therapy? Journal of Neuropsychiatry, 3, 216220.Google Scholar
Pai, M., White, A. C. & Deane, A. G. (1986) Lithium augmentation in the treatment of delusional depression. British Journal of Psychiatry, 148, 736739.Google Scholar
Pettinati, H. M. & Nilsen, S. (1985) Missed and brief seizures during ECT: differential response between unilateral and bilateral electrode placement. Biological Psychiatry, 20, 506514.Google Scholar
Pippard, J. & Ellam, L. (1981) Electroconvulsive Treatment in Great Britain: A Report to the Royal College of Psychiatrists. London: Gaskell.CrossRefGoogle Scholar
Shapira, B., Zohar, J., Newman, M., Drexler, H. & Belmaker, R. (1985) Potentiation of seizure length and clinical response to electroconvulsive therapy by caffeine pretreatment: a case report. Convulsive therapy, 1, 5860.Google Scholar
Stromgren, L., Dahl, J., Fjeldborj, N. & Thomsen, A. (1980) Factors influencing seizure duration and number of seizures applied in unilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, 62, 158165.CrossRefGoogle ScholarPubMed
Tyrer, P. J. (1982) Drugs in Psychiatric Practice. London: Butterworths.Google Scholar
Weaver, L. A., Ravans, C., Rush, S. & Pagnanen, R. (1974) Stimulus parameters in electroconvulsive shock. Journal of Psychiatric Research, 10, 271281.Google Scholar
Weiner, R. D. (1980) ECT and seizure threshold: effects of stimulus wave form and electrode placement. Biological Psychiatry, 15, 225241.Google ScholarPubMed
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