Abstract
A 42-year-old female patient suffered refractory insomnia. A variety of drugs including anti-anxiety, antidepressants, antipsychotics and repetitive transcranial magnetic stimulation (rTMS) have been applied in the treatment with no significant effect, whereas modified electroconvulsive therapy (MECT) can significantly improve the patient’s sleep.
Highlights
A 42-year-old female patient suffered refractory insomnia
It has been reported that modified electroconvulsive therapy (MECT) has a certain effect in the treatment of severe paradoxical insomnia [5]
The 2nd MECT treatment was performed in the 25th day, the treatment power was set at 30 J and power-on time was 5.6 seconds considering the twice convulsion in the first treatment
Summary
Chief Complaint: “More than eight years of poor sleep, worsen in recent three months”. Case history: a 42-year-old female patient came to see doctor at the outpatient department in our hospital in December 2014 Patient claimed her poor sleep appeared in 2008, presented as difficulty in falling asleep, shortened sleep time and light sleep, due to tensive relationship between patient and her husband. She normally slept for 3 - 4 hours at night, sometimes sleeplessness overnight. EEG: brain electrical activity mapping (BEAM) examination and evoked potentials showed no abnormality in mismatch negativity waveform latency, suggesting that in the absence of active attention condition, the brain automatic classification (automatic processing) function to novel stimulation is normal. The main component of basic rhythm was the low amplitude α frequency waveform (9 - 10 times/sec) combined with β frequency waveform (14 - 28 times/sec) and the scattered θ waveform (4 - 7 times/sec) with a poor amplitude modulation and no bilateral significant difference
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