Altering Pulse Frequency to Enhance Stimulus Efficiency During Electroconvulsive Therapy

Abstract

Stimulus parameters like pulse amplitude, shape, width, and train frequency exert unique neurobiological effects. Herewith, we report the case of a patient in whom seizure induction was not possible with conventional stimulus parameters using bitemporal electroconvulsive therapy. She had successful induction of seizures with reduced charge rate. This strategy may be considered as an additional measure of improving the chances of seizure induction during electroconvulsive therapy, and it may be seen as a practical consideration.