Non-convulsive Status Epilepticus After ECT: Poorly Presented Case Report

Out on PubMed, from Turkish authors, is this case report:

Non-convulsive Status Epilepticus as a Complication of Electroconvulsive Therapy: A Case Report and Review of the Literature.

Saltoğlu T, Şenol B, Koc G.Cureus. 2023 Mar 1;15(3):e35639. doi: 10.7759/cureus.35639. eCollection 2023 Mar.PMID: 37009391

The abstract is copied below:

Electroconvulsive therapy (ECT) is a highly effective treatment option among the biological treatments introduced in psychiatry. It has been used successfully to treat neurological conditions such as epilepsy, Parkinson's disease, and major psychiatric disorders. Non-convulsive status epilepticus can be seen as a complication after ECT, although it rarely occurs. Due to its rarity, this complication is not yet well understood, is challenging to diagnose, and information about treatment options is limited. Here, we present a 29-year-old patient with no previous neurological disease and a history of schizophrenia and refractory psychosis on clozapine; nonconvulsive status epilepticus was detected in the EEG after ECT.

Keywords: clozapine; electroconvulsive therapy; epilepsy; non-convulsive status epilepticus; schizophrenia.

The report is here.

And from the text:



Sorry folks, but this one is totally incoherent. Some of that may be language-related, but most probably not. It is unclear if the patient actually had NCSE; in retrospect, the treating team should just have stopped after the 6th ECT.

Perhaps the literature review is a redeeming feature here.

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