Elongation of pulse width as an augmentation strategy in electroconvulsive therapy

Hirotsugu Kawashima,1 Taro Suwa,2 Toshiya Murai,2 Ryuichi Yoshioka1 1Department of Psychiatry, Toyooka Hospital, Hyogo, Japan; 2Department of Psychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan Abstract: Inducing adequate therapeutic seizures during electroconvulsive t...

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Autores principales:	Kawashima H, Suwa T, Murai T, Yoshioka R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/9db185c1e98d49e1957427995e4eef8f
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id	oai:doaj.org-article:9db185c1e98d49e1957427995e4eef8f
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spelling	oai:doaj.org-article:9db185c1e98d49e1957427995e4eef8f2021-12-02T07:43:12ZElongation of pulse width as an augmentation strategy in electroconvulsive therapy1178-2021https://doaj.org/article/9db185c1e98d49e1957427995e4eef8f2014-10-01T00:00:00Zhttp://www.dovepress.com/elongation-of-pulse-width-as-an-augmentation-strategy-in-electroconvul-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Hirotsugu Kawashima,1 Taro Suwa,2 Toshiya Murai,2 Ryuichi Yoshioka1 1Department of Psychiatry, Toyooka Hospital, Hyogo, Japan; 2Department of Psychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan Abstract: Inducing adequate therapeutic seizures during electroconvulsive therapy is sometimes difficult, even at the maximum stimulus charge, due to a high seizure threshold. Here, we describe two patients with very poor seizure responses at the maximum charge using conventional stimulus parameters in whom responses were successfully augmented by widening the pulse width at the same or even lower stimulus charge. This strategy could be an additional option for seizure augmentation in clinical practice. The potential clinical utility of stimulus parameter modifications should be further investigated. Keywords: electroconvulsive therapy, pulse frequency, pulse width, stimulus parameter, seizure thresholdKawashima HSuwa TMurai TYoshioka RDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 2009-2014 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kawashima H Suwa T Murai T Yoshioka R Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
description	Hirotsugu Kawashima,1 Taro Suwa,2 Toshiya Murai,2 Ryuichi Yoshioka1 1Department of Psychiatry, Toyooka Hospital, Hyogo, Japan; 2Department of Psychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan Abstract: Inducing adequate therapeutic seizures during electroconvulsive therapy is sometimes difficult, even at the maximum stimulus charge, due to a high seizure threshold. Here, we describe two patients with very poor seizure responses at the maximum charge using conventional stimulus parameters in whom responses were successfully augmented by widening the pulse width at the same or even lower stimulus charge. This strategy could be an additional option for seizure augmentation in clinical practice. The potential clinical utility of stimulus parameter modifications should be further investigated. Keywords: electroconvulsive therapy, pulse frequency, pulse width, stimulus parameter, seizure threshold
format	article
author	Kawashima H Suwa T Murai T Yoshioka R
author_facet	Kawashima H Suwa T Murai T Yoshioka R
author_sort	Kawashima H
title	Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
title_short	Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
title_full	Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
title_fullStr	Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
title_full_unstemmed	Elongation of pulse width as an augmentation strategy in electroconvulsive therapy
title_sort	elongation of pulse width as an augmentation strategy in electroconvulsive therapy
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/9db185c1e98d49e1957427995e4eef8f
work_keys_str_mv	AT kawashimah elongationofpulsewidthasanaugmentationstrategyinelectroconvulsivetherapy AT suwat elongationofpulsewidthasanaugmentationstrategyinelectroconvulsivetherapy AT murait elongationofpulsewidthasanaugmentationstrategyinelectroconvulsivetherapy AT yoshiokar elongationofpulsewidthasanaugmentationstrategyinelectroconvulsivetherapy
_version_	1718399239107641344

Elongation of pulse width as an augmentation strategy in electroconvulsive therapy

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