Arif ONDER, Canem KAVURMA, Oznur BİLAC, Asli Surer ADANİR, Yakup DOGAN

Ergen grupta elektrokonvulsif tedavi kullanımı olgu sunumu

Elektrokonvulsif tedavi (EKT) ruhsal hastalıkların tedavisinde kullanılan etkin bir tedavi yöntemidir. Yapılan çalışmalarda; çocuk ve ergenlerde erişkindekine eşit etki göstermesine, düşük yan etki sıklık ve şiddetine karşın çocuk ve ergen grupta EKT kullanımı nadirdir. Bu makalede çeşitli hastalıklarla servisimize yatan diğer tedavilere dirençli üç hastada EKT kullanımının etkilerinden söz edilecektir. Her üç olgu da incelediğinde uygulanan tedaviden ergen grupta hastaların fayda gördüğü ve düşük derecede yan etki oluştuğu gözlemlenmiştir. Ergen grubunda diğer tedavilere direnç halinde EKT tedavisi seçenekler arasında değerlendirilmeli ve uygulanmalı, uygulanamadığı durumlarda hasta uygulanabilen merkezlere yönlendirilmelidir. Ayrıca klinisyenlerin de EKT konusunda bilgi ve deneyiminin arttırılması ve çocuk ve ergen psikiyatri kliniklerinde EKT yapılabilecek şartların sağlanmasına yönelik çalışmalar yararlı olacaktır.

Electroconvulsive therapy in the adolescent group case report

Electroconvulsive therapy (ECT) is an effective method for the treatment of mental illnesses. Use of ECTin children and adolescents is rare although studies have shown equal efficacy as in adults with lower rateand severity of adverse effects. This paper discussed the impact of ECT usage in three adolescentpatients who were diagnosed with several disorders and refractory to other treatment modalities. It wasobserved that all three adolescents benefited from the treatment with few adverse effects. If resistanceto other modalities exists in adolescent patients, ECT should be considered and applied; and if notapplicable, the patient should be referred to the centers where it is applied. In addition, we believe thatsuch efforts that help clinicians increase their knowledge and experience on ECT and promote theconditions to implement ECT in child and adolescent psychiatry clinics will be useful.

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