Abstract
Status epilepticus has been reported during ECT treatment. Reliance on observable motor seizure as sole therapeutic indicator of ECT may allow the unexpected occurrence of status epilepticus in rare cases that can be life threatening.We report a psychiatric patient who was given ECT for major depression without EEG monitoring who developed status epilepticus.After four successful therapeutic ECT induced motor seizures, status epilepticus developed after recovery from general anaesthesia for the last ECT. EEG monitoring if available could have detected prolonged seizure and emergence of status epilepticus. Hence we propose EEG monitoring is always mandatory for ECT delivery in all settings.
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