title: Electroconvulsive therapy for a patient with metallic internal fixation in mandible.
abstract: Electroconvulsive therapy (ECT) in the presence of metal in the skull may cause concern among clinicians. The literature is sparse, with only a few case reports in this area. We present here a case where ECT was administered in a patient with metallic internal fixation for the fracture of mandible. The 37-year-old man presented with severe depression, suicide risk, and alcohol dependence. Administration of ECT was uneventful, with no complications during ECT or at follow-up; and there was successful resolution of symptoms. This case report demonstrates that ECT may be safe in the presence of metallic implants in mandible.
authors.forename: Nilamadhab
authors.initials: N
authors.lastname: Kar
authors.forename: Jenny
authors.initials: J
authors.lastname: Mannix
authors.forename: Maggie
authors.initials: M
authors.lastname: Sichel
authors.forename: Jayshree
authors.initials: J
authors.lastname: Viswanathan
authors.forename: Kamalpreet
authors.initials: K
authors.lastname: Kaur
authors.forename: Jagadisha
authors.initials: J
authors.lastname: Thirthalli
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000628:therapy; D000758:Anesthesia; D000928:Antidepressive Agents / Q000627:therapeutic use; D003865:Major Depressive Disorder / Q000150:complications / Q000628:therapy; D004565:Electroconvulsive Therapy / Q000379:methods*; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects*; D008297:Male; D008334:Mandible; D008670:Metals; D011569:Psychiatric Status Rating Scales; D013405:Suicide
chemical_list: D000928:Antidepressive Agents; D008670:Metals