Pregabalina como probable causa de trombocitopenia: presentación de dos casos clínicos y revisión de la literatura / No disponible

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Epileptic status as a complication of electroconvulsive therapy: a case report.

INTRODUCTION: Electroconvulsive therapy (ECT) is a safe and effective treatment for multiple indications in psychiatric disorders. However, rare complications, such as cardiovascular compromise, post-stroke agitation and epileptic status, can occur. CASE REPORT: The case of an 83-year old female who had clinical symptoms consistent with psychotic depression, intense anguish, pronounced psychomotor retardation and who refused intake with secondary dehydration is presented. Treatment was started with ECT with great improvement of the symptoms, but in the third session of ECT, with the same intensity as the previous ones, electrical epileptic status with no clinical manifestations appeared. It lasted approximately 700 seconds. ECT was suspended and the patient was monitored electroencephalographically. Recovery since then has been progressive but much slower. CONCLUSION: It is essential to recognize and treat prolonged seizures during ECT to prevent progression to epileptic status. We recommend conducting a retrospective study aimed at identifying risk factors for the occurrence of nonconvulsive status epilepticus in potential patients and to protocolize preventive measures in order to avoid this complication.

Status epiléptico como complicación de la terapia electroconvulsiva: a propósito de un caso / Epileptic status as a complication of electroconvulsive therapy: a case report

Introducción. La Terapia Electroconvulsiva (TEC) es un tratamiento seguro y eficaz en las indicaciones observadas en múltiples trastornos psiquiátricos. No obstante, pueden aparecer raras complicaciones como compromiso cardiovascular, agitación psicomotriz post-ictal y status epiléptico. Caso clínico. Mujer de 83 años que presenta un cuadro compatible con una depresión psicótica, con intensa angustia, marcada inhibición psicomotriz y negativa a la ingesta global que le conduce a un cuadro de deshidratación Se inicia tratamiento con TEC que resulta extraordinariamente eficaz, pero en la tercera sesión, utilizando la misma intensidad y tratamiento que en las previas, aparece un estatus epiléptico eléctrico no correspondiente con clínica de 700segundos de duración. Se suspende TEC y se realiza seguimiento electroencefalográfico. La recuperación desde entonces es progresiva aunque mucho más lenta. Conclusión. Es fundamental el reconocimiento y tratamiento de convulsiones prolongadas durante la TEC para prevenir la progresión a status epiléptico. Recomendamos la realización de un estudio retrospectivo con el objetivo de identificar factores de riesgo para la aparición de status epiléptico no convulsivo y protocolizar medidas preventivas para evitar dicha complicación (AU)

Introduction. Electroconvulsive therapy (ECT) is a safe and effective treatment for multiple indications in psychiatric disorders. However, rare complications, such as cardiovascular compromise, post-stroke agitation and epileptic status, can occur. Case report. The case of an 83-year old female who had clinical symptoms consistent with psychotic depression, intense anguish, pronounced psychomotor retardation and who refused intake with secondary dehydration is presented. Treatment was started with ECT with great improvement of the symptoms, but in the third session of ECT, with the same intensity as the previous ones, electrical epileptic status with no clinical manifestations appeared. It lasted approximately700 seconds. ECT was suspended and the patient was monitored electroencephalographically. Recovery since then has been progressive but much slower. Conclusion. It is essential to recognize and treat prolonged seizures during ECT to prevent progression to epileptic status. We recommend conducting a retrospective study aimed at identifying risk factors for the occurrence of non convulsive status epilepticus in potential patients and to protocolize preventive measures in order to avoid this complication (AU)

Levetiracetam y Psicosis / No disponible

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