Abstract:
:Electroconvulsive therapy (ECT) is an appropriate clinical model to investigate blood flow during seizures. In this study cerebral blood flow velocity (CBFV) was measured during 40 ECTs in 10 patients by means of transcranial Doppler sonography. EEG was recorded continuously. Under general anesthesia, the pre-convulsive blood flow velocity (Vmean) decreased significantly. After ECT, we measured a dramatic increase in Vmean which was significantly greater in the left MCA than in the right MCA. After termination of seizures, flow velocities returned to baseline levels. The striking increase in cerebral blood flow velocity reflects excessive cerebral metabolism during convulsive neuronal activation. The left hemisphere seems to be more sensitive to electrical stimuli as was indicated by its predominant augmentation of CBFVs.
journal_name
Neuroreportjournal_title
Neuroreportauthors
Vollmer-Haase J,Folkerts HW,Haase CG,Deppe M,Ringelstein EBdoi
10.1097/00001756-199802160-00009subject
Has Abstractpub_date
1998-02-16 00:00:00pages
407-10issue
3eissn
0959-4965issn
1473-558Xjournal_volume
9pub_type
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