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[Electroconvulsive therapy in neurologic diseases]

H Folkerts1

  • 1Klinik für Psychiatrie, Westfälischen Wilhelms-Universität Münster.

Der Nervenarzt
|April 1, 1995
PubMed
Summary
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The ictal electroencephalogram as a marker for the efficacy of electroconvulsive therapy.

European archives of psychiatry and clinical neuroscience·1996

Electroconvulsive therapy (ECT) is a safe anesthesia treatment for psychiatric conditions. Emerging evidence suggests potential neurological uses, though caution is advised against over-expanding indications.

Area of Science:

  • Neurology
  • Psychiatry
  • Medical Treatment

Context:

  • Electroconvulsive therapy (ECT) has advanced significantly, enhancing its safety and efficacy under anesthesia.
  • Current psychiatric indications for ECT are well-established.
  • The potential application of ECT in neurological disorders is a topic of discussion, particularly in international contexts.

Purpose:

  • To evaluate the existing evidence and clinical experience regarding the use of ECT in neurological disorders.
  • To explore the potential for ECT as a primary treatment in specific neurological conditions.
  • To assess the appropriateness of ECT for psychopathological disturbances in brain diseases unresponsive to conventional therapies.

Summary:

  • Recent advancements have made electroconvulsive therapy (ECT) a highly safe anesthetic procedure.

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  • While psychiatric indications are clear, ECT's role in neurological disorders, such as Parkinson's disease with akinetic crisis, is under consideration.
  • ECT is a viable option for severe, treatment-resistant psychopathology in brain diseases, warranting careful case-by-case evaluation.

    • Impact:

    • Highlights the potential for ECT in specific neurological contexts, challenging traditional views.
    • Emphasizes the need for a balanced approach, utilizing ECT where beneficial while preventing unwarranted expansion of its use.
    • Encourages further research and discussion within the medical community regarding ECT's broader therapeutic applications.