Non-Convulsive Status Epilepticus as A Complication of Electroconvulsive Therapy: A Case Report

Introduction Status Epilepticus is defined as a condition that can have long-term outcomes involving neuronal death and injury due to the failure of mechanisms responsible for seizure termination or from initiation lead abnormally prolonged seizures. Electroconvulsive therapy (ECT) highly effective treatment option psychiatric disorders. Although it rarely occurs in treatment, non-convulsive status epilepticus be seen complication after ECT. Due its rarity, this not yet well understood, challenging diagnose, information about options limited. Objectives By sharing case report, we aim emphasize importance being careful terms risk patients receiving electroconvulsive therapy. Methods Here present 29-year-old patient with no previous neurological disease who had history schizophrenia. was planned because resistant antipsychotic treatment. EEG urinary incontinence during ninth session Generalized slow wave activity intermittent rhythmic delta were observed EEG, therefore found suspicious NCSE, perform an again by administering diazepam confirm diagnosis. After diazepam, whose tracing clearly improved admitted neurology intensive care unit. He followed up 48 hours continuous 4 mg/hour/day midazolam bedside Concomitant lamotrigine started at 100 mg/day. Significant improvement sinusoidal alpha, beta waves eye open 48th hour, transferred back psychiatry service. Lamotrigine increased 200 mg/day clozapine adjusted 350 In requested before discharge. Results The diagnosis NCSE post-ECT laborious; symptoms may characteristic clear, usually distinguish confusion, delirium, illness, hence follow-up psychiatrist should careful. cases, taken, especially These risky conditions include history, lithium use. Conclusions ECT demanding condition. Particular attention paid factors will lower threshold. cases clozapine, blood levels quantified medication interactions smoking considered. When are examined, common aspect most them treatments good results. Disclosure Interest None Declared