PMID: 9661093Jul 14, 1998Paper

Reversible ischemic neurologic deficit after ECT

The Journal of ECT
A R Miller, K E Isenberg

Abstract

We report the case of a 58-year-old woman with depression and hypertension in whom aphasia, right-sided hemiparesis, and a possible right visual field defect were identified during recovery from right unilateral electroconvulsive therapy (ECT). The neurologic deficits resolved over a 3-day period; the patient was diagnosed with a reversible ischemic neurologic deficit (RIND). Review of the patient literature suggests that such cerebrovascular events in the setting of ECT are extremely rare and possibly decreasing in frequency. Reasons for such a decrease may include improved screening for predisposing cardiovascular conditions and the widespread use of neuromuscular blockade, ventilatory support, and cardiovascular monitoring during the procedure. Prompt recognition of cerebrovascular events is important to prevent complications such as cerebral edema, seizures, and aspiration, as well as to use new treatments for stroke.

Citations

Jun 28, 2006·The Journal of ECT·Beau B BruceDavid M Greer
Jun 15, 2007·Der Anaesthesist·D DeckertV Wenzel
Nov 16, 2013·The Psychiatric Clinics of North America·Patricio Riva-PosseWilliam M McDonald

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.