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Electroconvulsive Therapy in Nigeria.

A. O. Odejide1, J. U. Ohaeri, B. A. Ikuesan

  • 1Department of Psychiatry, University College Hospital, Ibadan, Nigeria.

Convulsive Therapy
|January 1, 1987
PubMed
Summary

Electroconvulsive therapy (ECT) in Nigeria primarily uses unmodified bilateral ECT for functional psychoses. This method, used since 1952, shows few complications and no reported tardive seizures, suggesting its continued assessment is valuable.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Medicine

Background:

  • Electroconvulsive therapy (ECT) is a significant treatment modality in psychiatry.
  • Its application and specific methods can vary considerably across different global regions.
  • Understanding regional practices is crucial for comparative analysis and treatment optimization.

Purpose of the Study:

  • To provide a comprehensive overview of electroconvulsive therapy (ECT) usage in Nigeria.
  • To describe the predominant methods and indications for ECT in the Nigerian context.
  • To assess the safety profile and potential complications of ECT as practiced in Nigeria.

Main Methods:

  • Review of existing literature and clinical practices regarding ECT in Nigeria.
  • Focus on the administration techniques, particularly electrode placement (bilateral) and modification status (unmodified).
  • Analysis of ECT's role as an adjunct to pharmacotherapy for various psychiatric conditions.

Main Results:

  • Unmodified ECT with bilateral electrode placement is the standard method in Nigeria.
  • ECT is widely applied to all functional psychoses, serving as an adjunct to chemotherapy for inpatients and outpatients.
  • Complications are infrequent, and notably, no cases of tardive (spontaneous) seizures have been reported despite long-term use since 1952.

Conclusions:

  • Unmodified bilateral ECT is a well-established and relatively safe treatment for functional psychoses in Nigeria.
  • The absence of reported tardive seizures warrants further investigation and supports its continued use.
  • There is a need for ongoing evaluation and the development of specific guidelines for ECT administration in Nigeria.

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