Temporal lobe epilepsy following maintenance electroconvulsive therapyElectrical kindling in the human brain?
AuthorBryson, A; Gardner, H; Wilson, I; Rolfe, T; Archer, J
AffiliationFlorey Department of Neuroscience and Mental Health
Clinical School (Austin Health)
Medicine (Austin & Northern Health)
Document TypeJournal Article
CitationsBryson, A., Gardner, H., Wilson, I., Rolfe, T. & Archer, J. (2016). Temporal lobe epilepsy following maintenance electroconvulsive therapyElectrical kindling in the human brain?. EPILEPSIA, 57 (11), pp.E216-E220. https://doi.org/10.1111/epi.13565.
Access StatusOpen Access
Maintenance electroconvulsive therapy (ECT) is sometimes prescribed for refractory psychiatric conditions. We describe five patients who received maintenance ECT and developed florid temporal epileptiform abnormalities on electroencephalography (EEG) despite no history of epilepsy and normal neuroimaging. All patients had received regular ECT for at least 8 months. Three patients had clinical events consistent with epileptic seizures, and video-EEG monitoring captured electrographic seizures in two patients. After cessation of ECT the EEGs normalized in all patients, and no further clinical seizures occurred. Maintenance ECT may predispose to epilepsy with a seizure focus in the temporal lobe.
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