Restoration of postictal cortical activity after electroconvulsive therapy relates to recovery of orientation in person, place, and time.
Sven StuiverJulia C M PottkämperJoey P A J VerdijkFreek Ten DoesschateMichel J A M van PuttenJeannette HofmeijerJeroen Van WaardePublished in: European psychiatry : the journal of the Association of European Psychiatrists (2024)
We show a relationship between postictal EEG restoration and clinical reorientation after ECT-induced seizures. EEG was more sensitive than reorientation time in all domains to detect postictal recovery beyond 1-hour post-seizure. Our findings indicate that clinical reorientation probably depends on gradual cortical synaptic recovery, with longer seizure duration leading to longer postsynaptic suppression after ECT seizures.