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NEUROLOGY 1983;33:921
© 1983 American Academy of Neurology

Seizures after convulsive therapy

A retrospective case survey

Orrin Devinsky, MD and Michael S. Duchowny, MD

Department of Medicine (Dr. Devinsky), Beth Israel Hospital, Harvard Medical School, Boston, MA, and the Seizure Unit and Division of Neurology (Dr. Duchowny), Miami Children's Hospital, and the Departments of Neurology and Pediatrics (Dr. Duchowny), University of Miami School of Medicine, Miami, FL.

We reviewed all documented cases of spontaneous seizures that followed convulsive therapy. Nineteen studies provided information in 81 cases. The average annual incidence of spontaneous seizures was 114 per 100,000,5 times more frequent than an age-adjusted nonpsychiatric cohort. Host susceptibility rather than treatment-features influenced seizure development. A longer latency to first seizure was associated with greater likelihood of seizure recurrence, a relationship also observed in posttraumatic epilepsy.

Address correspondence and reprint requests to Dr. Duchowny, Division of Neurology, Miami Children's Hospital, 6125 SW 31 Street, Miami, FL 33155.

Accepted for publication November 16, 1982.






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