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Postictal agitation can be a significant practical problem in ECT, with the potential for causing injury to both the patient and the nursing staff caring for the patient (Augoustides et al. 2002). Postictal agitation is difficult to predict in an individual patient but is likely to reoccur if it occurs with the initial treatment. Postictal agitation must be differentiated from status epilepticus and is clearly distinguished by the random flailing movements of the patient in contrast to the rhythmic convulsions of a seizure and by the fact that the patient does not lose consciousness or demonstrate the fixed gaze of a patient experiencing a grand mal seizure.

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