Electroconvulsive therapy (ECT) for intractable depression following epilepsy neurosurgery

Kaufman, Kenneth R.; Saucedo, C.; Schaeffer, James D.; Lévesque, Michel; Scannell, Tony; Glouberman, M.

doi:10.1016/s1059-1311(96)80026-4

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…One of the options in the therapeutic armamentarium for depression after temporal lobectomy is electroconvulsive therapy. Although such option is not widely used as an effective and safe treatment, it may constitute an important treatment for depression after surgery, especially in the intractable cases (Krahn, Rummans, Peterson, Cascino, & Mackay, 1979;Sharbrough, 1993;Kaufman, Saucedo, Schaeffer, Levesque, Scannell, & Glouberman, 1996). Stressful life events may place individuals at increased risk for suicidal behavior (Mo'scicki, 1997).…”

Section: Discussionmentioning

confidence: 99%

Suicide after Surgical Treatment in Patients with Epilepsy: A Meta-Analytic Investigation

et al. 2006

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Suicide is a major issue in surgically treated epileptic patients. A meta-analysis was performed comparing suicides in a sample of such patients and in the general population. The Index Medicus and the World Health Statistics Annual were searched to ascertain the suicide rates in the age groups indicated in the studies of epileptic patients for specific years and country. 11 studies were selected, comprising 2,425 patients, 24 of whom committed suicide. Data obtained for each study were processed together to calculate the mean number of suicides per 100,000 individuals with surgically treated epilepsy for each year. This meta-analysis shows that suicide in patients with epilepsy after surgical treatment is more frequent than in the general population. Results are discussed with particular attention to possible causative factors.

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Section: Discussionmentioning

confidence: 99%

Suicide after Surgical Treatment in Patients with Epilepsy: A Meta-Analytic Investigation

et al. 2006

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“…It is usually reserved for the refractory patient but must be considered in an emergency when the safety of the patient is at risk. ECT increases the seizure threshold and can be administered safely in people with epilepsy (26,123) as documented in case reports (124,125). The procedure itself, when used in patients with epilepsy, has been outlined elsewhere (26,84).…”

Section: Treatment Of Mood Disordersmentioning

confidence: 94%

The Recognition and Management of Mood Disorders as a Comorbidity of Epilepsy

Barry

2003

Epilepsia

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Summary: Mood disorders, especially as a comorbid finding in people with medical disorders in general, and in those with epilepsy in particular, have become increasingly recognized as a serious health concern. Unfortunately, affective disorders are underrecognized, and appropriate treatment is infrequent. The consequences of poor detection of mood disorders in people with epilepsy are discussed, along with a review of risk factors and the appearance of the disorder in this population. Prevalence rates of both depressive and bipolar spectrum disorders in people with epilepsy appear to be higher than in the general population. Recent data from community samples show elevated rates of both disorders in people with epilepsy, significantly above those in people with and without other chronic diseases. Assessment issues, including the positive and negative side effects of antiepileptic drugs, are reviewed. Treatment options are discussed, along with caveats concerning the use of antidepressants in people with epilepsy, with a focus on safety, utility, and drug interactions. Electroconvulsive therapy can also be used safely in people with epilepsy, and vagus nerve stimulation may have some utility in the treatment of depressive disorders as well. However, despite improved detection methods and effective treatments, implementation of this knowledge in neurology outpatient clinics is still problematic.

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“…Krahn et al 6 used 6 bilateral ECT treatments on a 25-year-old woman improving postoperative depression after left anterior temporal lobectomy. Kaufman et al 7 used 15 ECT treatments (no. 2–4 right unilateral, no.…”

Section: Discussionmentioning

confidence: 99%

Left Anterior-Right Temporal Electroconvulsive Therapy for Catatonia After Epilepsy Surgery

Loo

Evans²,

Abbott³

et al. 2017

J ECT

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Electroconvulsive therapy (ECT) for intractable depression following epilepsy neurosurgery

Cited by 13 publications

References 15 publications

Suicide after Surgical Treatment in Patients with Epilepsy: A Meta-Analytic Investigation

Suicide after Surgical Treatment in Patients with Epilepsy: A Meta-Analytic Investigation

The Recognition and Management of Mood Disorders as a Comorbidity of Epilepsy

Left Anterior-Right Temporal Electroconvulsive Therapy for Catatonia After Epilepsy Surgery

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