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Migraine after electroconvulsive therapy

H Folkerts1

  • 1Department of Psychiatry, University of Münster, Germany.

Convulsive Therapy
|September 1, 1995
PubMed
Summary
This summary is machine-generated.

Electroconvulsive therapy (ECT) can trigger common migraine attacks in patients with major depressive disorder. Switching anesthetics from methohexital to propofol stopped these recurrent migraines, suggesting propofol may inhibit seizure generalization.

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Electroconvulsive therapy (ECT) is a treatment for major depressive disorder.
  • Migraine is a common neurological disorder.
  • The relationship between ECT and migraine is not well-established.

Observation:

  • A 52-year-old woman with major depressive disorder experienced recurrent common migraine attacks following ECT.
  • Her migraine symptoms were similar to her infrequent spontaneous attacks.
  • The patient had methohexital intolerance, leading to a switch to propofol for anesthesia.

Findings:

  • Migraine attacks ceased after the anesthetic was changed to propofol.
  • Propofol may inhibit seizure generalization, potentially preventing ECT-induced migraines.
  • ECT may trigger migraine attacks in susceptible individuals, similar to spontaneous seizures.

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Implications:

  • Clinicians should consider the potential for ECT to trigger migraines in patients with a history of migraine.
  • Anesthetic choice, such as propofol, might mitigate ECT-associated migraine risk.
  • Further research is needed to understand the mechanisms linking ECT, seizure generalization, and migraine.