title: Case report of electroconvulsive therapy in a patient with Parkinson disease concomitant with deep brain stimulation.
abstract: We report on a 56-year-old woman with Parkinson disease who had previously been implanted with bilateral deep brain stimulation (DBS). She was hospitalized after a 2-year course of severe depression with psychotic features and physical as well as mental decline. She underwent 2 rounds of successful electroconvulsive therapy (ECT), improving both her physical and mental health without any adverse effects to the patient or the DBS. This is a fourth reported case of ECT being successfully and safely administered in a patient implanted with DBS. This is the first case report of bitemporal ECT in a patient with bilateral DBS. It is also the first case report using the MECTA device and the first case report of a successful and safe second course of ECT after relapse of this patient's depression.
authors.affiliation: Nasr Psychiatric Services, Michigan City, IN, USA. nasrpsych@sbcglobal.net
authors.forename: Suhayl
authors.initials: S
authors.lastname: Nasr
authors.forename: Anne
authors.initials: A
authors.lastname: Murillo
authors.forename: Nasar
authors.initials: N
authors.lastname: Katariwala
authors.forename: Venkat
authors.initials: V
authors.lastname: Mothkur
authors.forename: Burdette
authors.initials: B
authors.lastname: Wendt
mesh_terms: D046690:Deep Brain Stimulation; D003866:Depressive Disorder / Q000150:complications / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications / Q000628:therapy*