Brain magnetic resonance imaging findings in ECT-induced delirium.
Brain magnetic resonance imaging findings in ECT-induced delirium.
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ECT 诱发的谵妄的脑磁共振成像结果。
DOI：
10.1176/jnp.2.1.53
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Doraiswamy,PM
中科院分区：
文献类型：
--
作者：
Figiel,GS;Coffey,CE;Djang,WT;HoffmanJr,G;Doraiswamy,PM
87例老年抑郁症患者中有10例（11%）通过电休克治疗（ECT）诱导了长期（发作间期）但可逆的谵妄。脑磁共振成像（MRI）显示了几个结构异常，特别是基底神经节和中度至重度皮质下白质病变，在患者谁发展谵妄。这些发现与涉及基底神经节和皮质下白色物质在其他原因所致谵妄发生中的几条数据线一致，并表明这些区域的病变可能使患者在ECT过程中易发生发作间期谵妄。
A prolonged (interictal) but reversible delirium was induced by electroconvulsive therapy (ECT) in 10 of 87 (11%) elderly depressed patients. Brain magnetic resonance imaging (MRI) revealed several structural abnormalities, particularly basal ganglia and moderate to severe subcortical white-matter lesions, in the patients who developed delirium. These findings are consistent with several lines of data that have implicated the basal ganglia and subcortical white matter in the development of delirium from other causes and suggest that lesions in these areas may predispose one to developing an interictal delirium during a course of ECT.