title: Effective use of electroconvulsive therapy after craniofacial reconstructive surgery.
abstract: The present case report describes a 53-year-old male patient with long-standing, refractory major depressive disorder admitted for electroconvulsive therapy. The patient had a history of head trauma and was status-post craniofacial surgery with mesh and metallic implants. We describe the patient's history and the concerns associated with performing electroconvulsive therapy on a patient with metallic skull implants, and we conclude with an account of successful treatment.
authors.affiliation: Massachusetts General Hospital, McLean Hospital Psychiatry Residency Training Program, Boston, MA, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Glezer
authors.forename: Evan
authors.initials: E
authors.lastname: Murray
authors.forename: Bruce
authors.initials: B
authors.lastname: Price
authors.forename: Miles
authors.initials: M
authors.lastname: Cunningham
mesh_terms: D000063:Accidents, Traffic; D000928:Antidepressive Agents / Q000627:therapeutic use; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications; D001860:Bone Plates; D006259:Craniocerebral Trauma / Q000150:complications / Q000523:psychology / Q000601:surgery*; D003865:Major Depressive Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005151:Facial Injuries / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures
chemical_list: D000928:Antidepressive Agents