Title: Propofol in the management of postictal delirium with clozapine-electroconvulsive therapy combination
Authors: Sienaert, Pascal ×
Bouckaert, Filip
Fernandez, Isabel
Hagon, André
Hagon, Bénédicte
Peuskens, Joseph #
Issue Date: Dec-2004
Series Title: Journal of ECT vol:20 issue:4 pages:254-7
Abstract: Postictal delirium is an acute confusional state occurring during the immediate postictal phase in patients receiving electroconvulsive therapy that is characterized by motor agitation, disorientation, clouded consciousness, repetitive stereotyped movements, and poor response to commands. A schizophrenic patient with severe and recurrent postictal delirium is described. The possible role of the clozapine-electroconvulsive therapy combination in the occurrence of postictal delirium is discussed. Several management strategies were tried, with various degrees of success. Propofol proved to be effective in preventing agitation when used as induction agent or when administered at seizure end. However, propofol could not prevent a delirious state when only administered after the first signs of motor restlessness had emerged.
ISSN: 1095-0680
Publication status: published
KU Leuven publication type: IT
Appears in Collections:University Centre Sint Jozef (-)
Research Group Psychiatry
× corresponding author
# (joint) last author

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