Methohexital-induced seizures during electroconvulsive therapy

J ECT. 2013 Mar;29(1):e4-5. doi: 10.1097/YCT.0b013e3182610596.

Abstract

Methohexital is a common anesthetic agent used for electroconvulsive therapy. In the adult literature, there are a few case reports of tonic-clonic seizures occurring immediately after the administration of methohexital. However, to date, there are no reports of this occurrence in children or adolescents. This case documents a generalized tonic-clonic seizure in a 15-year-old girl after receiving 60 mg of methohexital and numerous prior episodes of bitemporal electroconvulsive therapy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anesthesia
  • Anesthetics, Intravenous / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Depressive Disorder, Major / complications
  • Depressive Disorder, Major / therapy
  • Dibenzocycloheptenes
  • Electroconvulsive Therapy*
  • Electroencephalography
  • Epilepsy, Tonic-Clonic / chemically induced
  • Epilepsy, Tonic-Clonic / physiopathology
  • Female
  • Heterocyclic Compounds, 4 or More Rings / therapeutic use
  • Humans
  • Methohexital / adverse effects*
  • Schizophrenia / therapy
  • Seizures / chemically induced*
  • Seizures / physiopathology
  • Social Behavior

Substances

  • Anesthetics, Intravenous
  • Antipsychotic Agents
  • Dibenzocycloheptenes
  • Heterocyclic Compounds, 4 or More Rings
  • Methohexital
  • asenapine