PMC9935692_01
Timeline of clinical events.
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F1
Here we present a 44-year-old female with a history of developmental delay, localization-related epilepsy diagnosed at age 16, VNS placement at age 38, and status post-head injury with intracranial bleed that required craniotomy 1 year prior who presents with daily prolonged periods of generalized seizures lasting up to 20 min that had increased from her baseline of one seizure per day previously controlled by her home regimen of topiramate 200 mg TID and lamotrigine 400 mg BID (Figure 1).
Magnetic resonance imaging showing patient's right hygroma prior to initiation of electroconvulsive therapy (ECT).
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F2
Due to the patient's prior right craniotomy and subsequent right hygroma (Figure 2), initial ECT sessions were performed with a right anterior, left temporal (RALT) lead placement using a MECTA spECTrum 5000Q ECT Device.