title: Electroconvulsive therapy in patients with multiple sclerosis.
abstract: There are relatively few case reports of electroconvulsive therapy (ECT) in patients with multiple sclerosis. We present 3 such patients, all of whom received safe, effective ECT without evidence of acute neurological deterioration. We conclude that patients with multiple sclerosis being considered for ECT should have a thorough neurological evaluation, and the informed consent process should include discussion of the possibility of neurological deterioration. However, review of the literature and of our 3 cases does reveal that ECT can be used safely, at least in the short term. Long-term outcomes in such patients remain uncertain.
authors.affiliation: Department of Psychiatry and Psycology, Mayo Clinic, Rochester, MN 55905, USA. rasmussen.keith@mayo.edu
authors.forename: Keith G
authors.initials: KG
authors.lastname: Rasmussen
authors.forename: B Mark
authors.initials: BM
authors.lastname: Keegan
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000150:complications* / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications*; D016896:Treatment Outcome