title: Electroconvulsive therapy for major depressive disorder in a patient with a permanent skull defect: a case report.
abstract: Electroconvulsive therapy (ECT) is an effective and safe treatment method for a variety of psychiatric disorders, including major depressive disorder. Although there is no absolute contraindication to ECT, clinicians often hesitate to apply this method to patients with a skull defect. We report a case of ECT performed on a major depressive disorder patient with an open wound after craniectomy. We summarize successful ECT cases of patients with a permanent skull defect and discuss various factors that may influence ECT outcomes in patients with a skull defect, including electrode placement, benzodiazepines, and anticonvulsants.
authors.affiliation: Department of Psychiatry, Inha University Hospital, Incheon, Korea.
authors.forename: Jihyun
authors.initials: J
authors.lastname: Roh
authors.forename: Min-Hee
authors.initials: MH
authors.lastname: Kang
authors.forename: Chul-Eung
authors.initials: CE
authors.lastname: Kim
authors.forename: Jeong-Seop
authors.initials: JS
authors.lastname: Lee
authors.forename: Jae-Nam
authors.initials: JN
authors.lastname: Bae
mesh_terms: D003865:Major Depressive Disorder / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012886:Skull / Q000002:abnormalities*; D016896:Treatment Outcome
keywords: ECT; MDD; skull defect