title: Modified electroconvulsive therapy for recurrent major depressive disorder in a meningioma patient: a case report of clinical experience.
abstract: Electroconvulsive therapy (ECT) is primarily indicated for mood disorders and schizophrenia. Clinicians may encounter cases in which ECT is administered to patients with various kinds of complications. However, to our knowledge, no detailed medical guideline is available about the indications for ECT in psychiatric illness complicated with a concomitant brain tumor, which is one of the most likely physical complications that can directly affect ECT. We report a case in which 3 courses of modified ECT (m-ECT) were successfully administered without any neurological deterioration to a patient, who was frequently hospitalized for recurrent depressive disorder with stupor. We did not undertake any additional measures for reducing adverse events derived from the meningioma during m-ECT. In this report, we discuss the relation between brain tumor and depression.
authors.affiliation: Department of Psychiatry, National Defense Medical College, Tokorozawa, Saitama, Japan. m-nakatake@hotmail.co.jp
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nakatake
authors.forename: Toshiya
authors.initials: T
authors.lastname: Teraishi
authors.forename: Makoto
authors.initials: M
authors.lastname: Ide
authors.forename: Tomoki
authors.initials: T
authors.lastname: Wakizono
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ogawa
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Kuwahara
authors.forename: Aihide
authors.initials: A
authors.lastname: Yoshino
authors.forename: Soichiro
authors.initials: S
authors.lastname: Nomura
mesh_terms: D000368:Aged; D003865:Major Depressive Disorder / Q000209:etiology / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000150:complications* / Q000473:pathology; D008579:Meningioma / Q000150:complications* / Q000473:pathology; D012008:Recurrence; D053608:Stupor / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome