27. ECT

Question 1

wr to place electrode for ECT to reduce cognitive side effects?
use brief or long pulses?

Answer 1

Right unilateral

brief

Question 2

wt can light therapy tx?

is it effective?

Answer 2

seasonal MDD

equal efficacy to pharmacotherapy

Question 3

wt does rTMS stand for?

Answer 3

repetitive Transcranial Magnetic Stimulation

Question 4

Neuromadulation therapy that combines ECT and TMS?

Answer 4

Magnetic Seizure Therapy

Question 5

2 primary indications for ECT?

Answer 5

MDD

Bipolar

Question 6

effect of high frequency Transcranial magnetic stimulation?

low frequency?

Answer 6

high f = increase brain activity

low f = decrease brain activity

Question 7

absolute contraindications to ECT?

Answer 7

none

Question 8

hw does coil size affect rTMS?

hw to produce deep and focused TMS?

Answer 8

large coil = deep stimulation but not focused

small coil = focused stimulation but not deep

impossible to have deep focused

Question 9

wt is deep brain stimulation being investigated to tx?

region of brain targeted by deep brain stimulation?

Answer 9

Deep Brain Stimulation

subcallosal cingulate gyrus

Question 10

neuromodulation therapy causing memory impairment?
when does it usually resolve?
does retrograde or anterograde loss last longer?

Answer 10

ECT
Resolves by 6 months
Retrograde loss lasts longer

Question 11

adverse effect of ECT?

Answer 11

Memory impairment