C30 Brain Stimulation Methods

C30.1 Electroconvulsive therapy

Electrophysiology in electroconvulsive therapy

Mechanism of action

Indications

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    1. ?? ???, melancholia?? ?? ???
    2. ????, ????, ??? ?? ? better than ????
  • BPD? ?? ????, ????
  • ???/???/??? ????, ???

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Clinical guidelines

Pretreatment evaluation

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BZD? ?????? ?? ??? ?? ?? ???? ?? ??.

Premedications, anesthetics, and muscle relexants

Electrical stimulus

Induced seizures

ECT induces a 30- to 60- second GTC seizure under general anesthesia.

Number and spacing of treatments

Typically administered 3 times a week for a course of 6-12 treatments.

Maintenance treatment

Failure of electroconvulsive therapy trial

Adverse effects

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Investigations in electrical brain stimulation treatment

C30.2 Other brain stimulation methods

C30.3 Neurosurgical treatments and deep brain stimulation

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