Brain stimulation · 2025
Acute and transient change in brain water content induced by a single electroconvulsive therapy session.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Takamiya Akihiro, Riemer Frank, Erchinger Vera Jane, Korbmacher Max, Bartsch Hauke, Ousdal Olga Therese, Maximov Ivan, Dale Anders, Emsell Louise, Oedegaard Ketil Joachim, Kessler Ute, Oltedal Leif
Аннотация
BACKGROUND: While electroconvulsive therapy (ECT) is the most effective treatment for severe depression, there is a concern regarding its potential adverse effects on the brain. It is unclear whether a single ECT session (i.e., an electrically induced seizure) leads to physiological microstructural changes or causes lasting adverse biological effects.
METHODS: This study examined longitudinal changes in multishell diffusion MRI-derived metrics in 25 individuals with depression, with scans acquired 2 h before and after their first ECT session. Follow-up scans were collected within 14 days and 6 months after the last ECT session. To control for potential confounding effects of anesthesia and repeated measurements, two additional groups were included: 16 individuals undergoing short-acting anesthesia and 16 healthy controls without interventions. A multicompartment model was applied to explore extracellular free water and intracellular/extracellular compartments.
RESULTS: Whole-brain voxel-wise analyses identified increased extracellular free water in bilateral periventricular and subcortical regions surrounding the hippocampus, with minimal involvement of cortical regions, following a single ECT session. These changes were not observed in either control group, and were not associated with post-ictal reorientation time (r = 0.11, p = 0.92). Follow-up assessments confirmed that the alterations in tissue free water resolved within 14 days.
CONCLUSIONS: A single ECT-induced seizure induces a transient increase in extracellular water content without evidence of cytotoxic edema indicative of cellular injury. Our findings suggest that ECT-related brain water shifts are reversible and unlikely to reflect permanent damage to brain tissue.
METHODS: This study examined longitudinal changes in multishell diffusion MRI-derived metrics in 25 individuals with depression, with scans acquired 2 h before and after their first ECT session. Follow-up scans were collected within 14 days and 6 months after the last ECT session. To control for potential confounding effects of anesthesia and repeated measurements, two additional groups were included: 16 individuals undergoing short-acting anesthesia and 16 healthy controls without interventions. A multicompartment model was applied to explore extracellular free water and intracellular/extracellular compartments.
RESULTS: Whole-brain voxel-wise analyses identified increased extracellular free water in bilateral periventricular and subcortical regions surrounding the hippocampus, with minimal involvement of cortical regions, following a single ECT session. These changes were not observed in either control group, and were not associated with post-ictal reorientation time (r = 0.11, p = 0.92). Follow-up assessments confirmed that the alterations in tissue free water resolved within 14 days.
CONCLUSIONS: A single ECT-induced seizure induces a transient increase in extracellular water content without evidence of cytotoxic edema indicative of cellular injury. Our findings suggest that ECT-related brain water shifts are reversible and unlikely to reflect permanent damage to brain tissue.