ECT administration in a patient after craniotomy and gamma knife surgery: a case report and review.
The safe administration of electroconvulsive therapy (ECT) in a man with steroid-induced depression and a history of craniotomy and gamma knife surgery for two separate foci of metastatic laryngeal cancer is reported. This is the first reported case of ECT given to a patient with a history of gamma knife surgery. The literature on ECT administration to patients with brain masses or a history of craniotomy is reviewed. The current case report indicates that with careful medical evaluation, including consultation with neurosurgeons and internal medicine physicians, ECT may be safely administered to this patient population.
Gursky
J T
JT
Training Program in General Psychiatry, Mayo Clinic and Foundation, Rochester, Minnesota, USA.
Rummans
T A
TA
Black
J L
JL
D000368:Aged; D001932:Brain Neoplasms / Q000556:secondary / Q000601:surgery; D003399:Craniotomy; D003866:Depressive Disorder / Q000139:chemically induced / Q000523:psychology / Q000628:therapy*; D003907:Dexamethasone / Q000009:adverse effects / Q000627:therapeutic use; D004565:Electroconvulsive Therapy; D005938:Glucocorticoids / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology; D008297:Male; D016634:Radiosurgery
D005938:Glucocorticoids; D003907:Dexamethasone