Case Report

The Role of Acetylcholinesterase Inhibitors in the Treatment of Prolonged Postelectroconvulsive Therapy Delirium

Table 1

Summary of ECT treatments and response.

ECT treatment #AnestheticLateralityStimulus intensityChargeTonic-clonic seizure durationEEG seizure durationAcute confusion state (yes/no)

1Methohexital/succinylcholineRight unilateralLow 0.520%22 sec49 secNo
2Methohexital/succinylcholineRight unilateralLow 0.520%11 sec38 secYes: transient treatment emergent confusion, quickly resolved
3Methohexital/succinylcholineRight unilateralLow 0.520%19 sec42 secNo
4Methohexital/succinylcholineRight unilateralLow 0.520%14 sec46 secYes: disorientation emerging from anesthesia
5Methohexital/succinylcholineRight unilateralLow 0.520%15 sec40 secYes: increased disorientation emerging from anesthesia
6Methohexital/succinylcholineRight unilateralLow 0.520%14 sec43 secYes: prolonged disorientation began