title: Electroconvulsive therapy after repair of cerebral aneurysm.
abstract: There are cases in the literature describing the use of electroconvulsive therapy (ECT) in patients with intracerebral aneurysms. We report the clinical course of a 60-year-old woman with a history of a recently ruptured intracerebral aneurysm and placement of a ventriculoperitoneal shunt that was successfully treated with ECT for major depressive disorder. Beta blockade with esmolol 20-50 mg was used to maintain her blood pressure, which ranged from 100/63 to 170/94 mm Hg. Propofol was used for anesthesia. There were no vascular complications secondary to the ECT procedure.
authors.affiliation: Alegent Behavioral Health, Omaha, Nebraska, USA. ASharma@alegent.org
authors.forename: Arun
authors.initials: A
authors.lastname: Sharma
authors.forename: Sriram
authors.initials: S
authors.lastname: Ramaswamy
authors.forename: Subhash C
authors.initials: SC
authors.lastname: Bhatia
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery; D003866:Depressive Disorder / Q000150:complications* / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery*; D008875:Middle Aged; D017287:Ventriculoperitoneal Shunt