The relative ability of three letal eeg frequency bands to differentiate ect seizures on the basis of electrode placement, stimulus intensity, and therapeutic response

Andrew D. Krystal, Richard D. Weiner, Daniel Gassert, W. Vaughn McCall, C. Edward Coffey, Thomas Sibert, Tracey Holsinger

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Abstract

Ictal EEG indices show promise for separating individual ECT seizures on the basis of treatment electrode placement (ELPL), relative stimulus intensity (Dose), and expected therapeutic response. One factor impeding the effective clinical implementation of ictal EEG indices for these purposes is uncertainty as to the relative utility of lower and higher frequency EEG activity. Recent articles are contradictory in this regard, but no data exist addressing this issue. As a result, we reanalyzed data from 44 subjects in two studies and compared the relative ability of ictal EEG data in three frequency bands to differentiate seizures as a function of ELPL, Dose, and therapeutic response. We found that the frequency band that best differentiated these groups depended on the EEG measure used, the temporal portion of the seizure, and whether ELPL, Dose, or therapeutic response was being compared.

Original languageEnglish (US)
Pages (from-to)13-24
Number of pages12
JournalConvulsive Therapy
Volume12
Issue number1
Publication statusPublished - Dec 1 1996
Externally publishedYes

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ASJC Scopus subject areas

  • Psychiatry and Mental health

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