ASYMMETRIC BILATERAL RIGHT FRONTOTEMPORAL LEFT FRONTAL STIMULUS ELECTRODE PLACEMENT - COMPARISONS WITH BIFRONTOTEMPORAL AND UNILATERAL PLACEMENTS

The asymmetric bilateral stimulus electrode placement described by Swa rtz was used to treat four patients, ages 60, 75, 75, and 80 years, wh o had previously received electroconvulsive therapy with other placeme nts. After the course, each showed full remission with no overt cognit ive dysfunction and no decrement in mini-mental state score. Three pat ients had shown substantial confusion during previous treatments, one with bifrontotemporal brief pulse and two with sine wave, at least one of whom received unilateral treatment. Remission was maintained at fo llowup 2-4 months later. These cases further suggest that this new pla cement is clinically useful.