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首页> 外文期刊>The journal of ECT >Continuation of ECT after recovery from transient, ECT-induced, postictal cortical blindness
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Continuation of ECT after recovery from transient, ECT-induced, postictal cortical blindness

机译：从短暂的，ECT诱发的，术后皮质盲致盲恢复后，继续进行ECT

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BACKGROUND: Transient, postictal cortical blindness is a rare adverse effect of electroconvulsive therapy (ECT). There is no information on the safety of continuation of ECT in patients who recover from ECT-induced cortical blindness. METHODS: An 18-year-old woman with paranoid schizophrenia experienced cortical blindness immediately after her first bifrontotemporal ECT treatment. There was complete, spontaneous recovery of vision after 6 hours. Neurological examination, computed tomography of the brain, and electroencephalographic study revealed no abnormality. A combination of circumstances suggested that continuation of ECT was desirable. After clearances from neurological and ophthalmological teams, she received 6 more ECT treatments, starting 9 days after the first. RESULTS: After resumption of ECT, there was marked improvement in psychopathology across the ECT course. There was no recurrence of visual symptoms. CONCLUSIONS: Patients who experience transient, ECT-induced, postictal cortical blindness may not necessarily experience the same adverse effect on rechallenge with ECT.
机译：背景：短暂性，阵发性皮质盲是电抽搐治疗（ECT）的罕见不良反应。对于从ECT诱发的皮层失明中恢复的患者，尚无关于继续ECT的安全性的信息。方法：一名患有偏执型精神分裂症的18岁女性在首次进行双额颞ECT治疗后立即发生了皮层失明。 6小时后视力完全，自发恢复。神经系统检查，计算机断层扫描和脑电图检查未发现异常。综合考虑情况，继续进行ECT是可取的。从神经和眼科团队获得许可后，她从第一次接受治疗开始的9天开始接受了6种ECT治疗。结果：恢复ECT后，整个ECT过程的精神病理学均有明显改善。没有视觉症状的复发。结论：经历短暂性，ECT诱发的，后房性皮质盲的患者不一定会对ECT的再挑战产生相同的不良反应。

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