Seizures terminable and interminable with ECT

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Abstract
The incidence, detection, management and significance of prolonged seizures with ECT (electroconvulsive therapy) in psychiatric patients were discussed. The incidence of this phenomenon may be underreported and its occurrence may be linked to hyperoxygenation, the use of multiple-monitored ECT, and preexisting states of cerebral hyperexcitability. Since prolonged seizures may result in adverse metabolic changes, prompt detection and intervention are essential.