Volume 43, Issue 9 pp. 1039-1042
Brief Communication

Seizures during high-dose antidepressant therapy: a case series with clinical and video-electroencephalography characteristics

K. Ducharlet

Corresponding Author

K. Ducharlet

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

Correspondence

Kathryn Ducharlet, Department of Medicine, St Vincent's Hospital, Melbourne, Vic. 3065, Australia.

Email: [email protected]

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U. Seneviratne

U. Seneviratne

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

Department of Neurosciences, Monash Medical Centre, Melbourne, Australia

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L. Sedal

L. Sedal

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

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M. Salzberg

M. Salzberg

Department of Psychiatry, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

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M. Cook

M. Cook

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

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W. D'Souza

W. D'Souza

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Australia

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First published: 04 September 2013
Citations: 1
Funding: None.
Conflict of interest: None.

Abstract

This case series identified drug causes of seizures in patients with depressive disorders. Three patients with seizures were admitted for video-electroencephalography (EEG) monitoring in the context of high-dose antidepressants and sodium valproate. Very high-dose antidepressants caused complex partial seizures with secondary generalisation that gave characteristic EEG discharges. This is the first reported series to capture the ictal EEG features associated with antidepressants.

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