Publications [#274723] of Sarah H. Lisanby

Journal Articles

1. Lisanby, SH; Bazil, CW; Resor, SR; Nobler, MS; Finck, DA; Sackeim, HA (2001). ECT in the treatment of status epilepticus.. The Journal of Ect, 17(3), 210-215. [11528315], [doi]
   (last updated on 2024/01/01)

   Abstract:
   INTRODUCTION: Owing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders. METHOD: We review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used. RESULTS: Owing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor. DISCUSSION: The role of ECT in the treatment algorithm for SE is discussed.