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Title: Temporal lobe epilepsy following maintenance electroconvulsive therapy-electrical kindling in the human brain?
Austin Authors: Bryson, Alexander ;Gardner, Helen;Wilson, Ian;Rolfe, Tim ;Archer, John S 
Affiliation: Department of Neurology, Austin Health, Heidelberg, Victoria, Australia
Department of Neurology, Cairns Hospital, Cairns, Queensland, Australia
Department of Psychiatry, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, Austin Health, The University of Melbourne, Melbourne, Victoria, Australia
Issue Date: Nov-2016
Date: 2016-09-26
Publication information: Epilepsia 2016; 57(11): e216-e220
Abstract: 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.
DOI: 10.1111/epi.13565
Journal: Epilepsia
PubMed URL:
Type: Journal Article
Subjects: Electroconvulsive therapy
Appears in Collections:Journal articles

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