title: Should electroconvulsive therapy be given to patients with intracranial vascular lesions?
abstract: The risk of rupture and hemorrhage of intracranial vascular lesions during electroconvulsive therapy (ECT) is currently unknown. We describe 2 cases in which ECT was discontinued because of perceptual disturbances, confusion, and the subsequent discovery of intracranial angiomas. ECT has been associated with nonconvulsive status epilepticus and prolonged altered mental status following treatment, but there has been scant documentation of side effects associated with intracranial vascular malformations. We review the literature on ECT in patients with such lesions and present 2 cases in which lesions were found in the context of perceptual disturbances and altered states of consciousness following ECT.
authors.affiliation: Cambridge Health Alliance, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
authors.forename: Fremonta
authors.initials: F
authors.lastname: Meyer
authors.forename: Trina
authors.initials: T
authors.lastname: Chang
authors.forename: R Andrew
authors.initials: RA
authors.lastname: Sewell
authors.forename: Bruce H
authors.initials: BH
authors.lastname: Price
authors.forename: Miles
authors.initials: M
authors.lastname: Cunningham
mesh_terms: D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000379:methods*; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012196:Review Literature as Topic