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ECT—cerebral aneurysm

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17 papers 0 to 25 followers A collection of relevant articles regarding the use of electroconvulsive therapy (ECT) in patients with intracranial vascular lesions.
N Kang, Michael J Passmore
There are no cases in the literature describing the use of electroconvulsive therapy (ECT) in a patient with an intraorbital vascular mass. We report the clinical course of a 69-year-old female with a cavernous hemangioma of the left orbit who was successfully treated with ECT for major depressive disorder. There were no apparent effects on the orbital hemangioma as a result of ECT-related blood pressure elevations measured up to 195/90 mm Hg despite pretreatment with intravenous esmolol. Modulation of ECT-related cardiovascular changes in the presence of intracranial or intraorbital vascular masses remains advisable to reduce the risk of an adverse vascular event during ECT...
December 2004: Journal of ECT
Simon Ducharme, Evan D Murray, Stephen J Seiner, Haythum Tayeb, Benafew Legesse, Bruce H Price
Pre-ECT neurology consultations are often requested to determine the relative risk of the procedure in patients with neurological comorbidities, but there is limited data to guide clinicians. The authors performed a retrospective chart review of all consecutive inpatients at McLean Hospital who underwent a pre-ECT neurological evaluation between January 2012 and June 2014 (N=68). ECT was safe and effective in patients with a wide variety of neurological diseases. Only one minor event was related to a neurological comorbidity, and there were no serious neurological complications...
2015: Journal of Neuropsychiatry and Clinical Neurosciences
Jarrod A Marks, Ethan O Bryson, Daniel A Adams, Gabriella M Ahle, Emma T Geduldig, Charles H Kellner
We present images showing surgical clips from a remotely repaired cerebral arteriovenous malformation in a patient treated safely with electroconvulsive therapy.
March 2016: Journal of ECT
Bruce Sutor, Keith G Rasmussen
As patients receiving maintenance electroconvulsive therapy (MECT) age, many will acquire medical illnesses that may complicate their course of ECT and the treatment of their underlying psychiatric conditions. In this study, we present 7 cases of patients receiving MECT whose medical illnesses resulted in clinical reassessment of whether or not MECT should be continued. We discuss clinical implications and considerations for treating medically ill patients with MECT.
March 2016: Journal of ECT
Samuel T Wilkinson, Lars Helgeson, Robert B Ostroff
No abstract text is available yet for this article.
December 2014: Journal of ECT
E van Herck, P Sienaert, A Hagon
BACKGROUND: Electroconvulsive therapy (ect) is an effective treatment for severe psychiatric disorders, such as mood disorders and schizophrenia. ect is a safe treatment, even in the presence of somatic comorbidity. There are no absolute contraindications to ect, although a few somatic conditions can constitute an increased risk. ect causes a transient increase in blood pressure and heart rate and an increase in cerebral blood flow. In the presence of intracranial vascular malformations such as aneurysms, these haemodynamic changes can, in theory, increase the risk of bleeding...
2009: Tijdschrift Voor Psychiatrie
Sohrab Zahedi, Clifford Yang, Donal O'Hanlon, Kaloyan Tanev, William P Shea
According to the American Psychiatric Association, the risk for complications related to the electroconvulsive therapy (ECT) treatment of patients with cerebrovascular malformations is small. The literature contains a number of case studies presenting the uneventful treatment of patients with cerebral aneurysms with ECT. However, there is a paucity of cases presenting ECT in the context of a cerebral venous angioma. In this article, we present 2 cases of patients treated with ECT who were found to have documented venous angiomas...
September 2006: Journal of ECT
Tsuyoshi Okamura, Koutaro Kudo, Norihiro Sata, Tatsuo Sameshima, Nagafumi Doi, Nobumasa Kato
We report a case of an uneventful course after electroconvulsive therapy (ECT) of a patient who had undergone coil embolization for an intracranial aneurysm 37 days earlier. There have been no reports until now of ECT after coil embolization. According to histopathologic examinations, it takes approximately 2 weeks after coil embolization for the aneurysm to become fixed. The ECT can be a therapeutic option even in patients with a previous history of coil embolization, as long as it is performed under proper anesthetic management...
June 2006: Journal of ECT
Arun Sharma, Sriram Ramaswamy, Subhash C Bhatia
There are cases in the literature describing the use of electroconvulsive therapy (ECT) in patients with intracerebral aneurysms. We report the clinical course of a 60-year-old woman with a history of a recently ruptured intracerebral aneurysm and placement of a ventriculoperitoneal shunt that was successfully treated with ECT for major depressive disorder. Beta blockade with esmolol 20-50 mg was used to maintain her blood pressure, which ranged from 100/63 to 170/94 mm Hg. Propofol was used for anesthesia...
September 2005: Journal of ECT
S Saito, Y Kadoi, T Nara, M Sudo, H Obata, T Morita, F Goto
UNLABELLED: Electroconvulsive therapy provokes abrupt changes in both systemic and cerebral hemodynamics. An anesthetic that has a minor effect on cerebral hemodynamics might be more suitable for patients with intracranial complications, such as cerebral aneurysm. The purpose of our present study was to compare the effects of thiopental and propofol on cerebral blood flow velocity. We continuously compared cerebral blood flow velocity at the middle cerebral artery (MCA) during electroconvulsive therapy, using propofol (1 mg/kg, n = 20) versus thiopental (2 mg/kg, n = 20) anesthesia...
December 2000: Anesthesia and Analgesia
S Salaris, M P Szuba, K Traber
In 1990, the APA Task Force on ECT cited no "absolute" contraindications to ECT but "Substantial Risk" to be associated with ECT for patients with space occupying or other cerebral lesions with increased intracranial pressure and with bleeding or otherwise unstable vascular aneurysm or malformation. These findings indicate that patients with intracranial vascular masses are at increased risk for serious morbidity and mortality. Several authors have reported performing ECT in patients with intracranial vascular masses without adverse events by monitoring blood pressure both with and without pharmacologic intervention...
June 2000: Journal of ECT
F Najjar, L B Guttmacher
Two patients with known intracranial aneurysms (ICA) received electroconvulsive therapy (ECT). The first patient received ECT 4 years after the clipping of a right middle cerebral artery aneurysm. Treatment with esmolol failed to completely prevent an increase in blood pressure, but she did well nonetheless. The second patient underwent clipping of a basilar artery aneurysm 11 years before ECT. At the time of ECT, angiography showed a right paraophthalmic artery aneurysm. He received esmolol before each ECT, and, like the first patient, still had significant peri-ictal increases in his blood pressure, but otherwise tolerated the procedure well...
December 1998: Journal of ECT
A Viguera, G Rordorf, R Schouten, C Welch, L J Drop
OBJECTIVES: This report describes successful anaesthesia and electroconvulsive therapy (ECT) in a patient with an unruptured basilar artery aneurysm. ECT is associated with a hyperdynamic state characterised by arterial hypertension, tachycardia, and considerably increased cerebral blood flow rate and velocity. These responses pose an increased risk for subarachnoid haemorrhage when an intracranial aneurysm coexists. METHODS: A 54 year old woman presented for ECT...
June 1998: Journal of Neurology, Neurosurgery, and Psychiatry
S A Hunt, E Kaplan
No abstract text is available yet for this article.
June 1998: Journal of ECT
J E Kolano, A Chhibber, C C Calalang
Electroconvulsive therapy (ECT) is a commonly used treatment modality for patients with major affective disorders that are unresponsive to pharmacological therapy. While ECT has been shown to be a very safe treatment, it is associated with transient hemodynamic alterations, including hypertension, which are associated with an increased risk of rupture of an intracranial aneurysm. We describe our use of the ultrashort acting beta-blocker, esmolol, for blood-pressure control in a woman with known cerebral aneurysmal disease who required ECT for treatment of recurrent major depression...
September 1997: Journal of Clinical Anesthesia
A Farah, W V McCall, R H Amundson
Cerebral aneurysms or recent surgical repair of aneurysms are relative contraindications for electroconvulsive therapy (ECT), yet the literature contains at least three cases in which ECT resulted in no known CNS complications. The following case describes a course of ECT in a patient 4 months after he had undergone surgical repair of a posterior cerebral artery aneurysm. Blood pressure control in patients with CNS aneurysms and repaired aneurysms can be achieved through choice of anesthetic agent, and intravenous antihypertensives, thus reducing the risk of cerebrovascular complications...
September 1996: Convulsive Therapy
L J Drop, A J Bouckoms, C A Welch
The authors successfully instituted two courses of ECT at a 1-year interval for drug-resistant major depression in a patient with arterial hypertension and intracranial aneurysms. Both ECT courses required arterial and central venous cannulas, but the first course was complicated by an unusual and excessive degree of hypertension, which was not appropriately responsive to high doses of sodium nitroprusside (9 micrograms/kg/minute). Appropriate responsiveness to nitroprusside was established after therapy with timolol...
July 1988: Journal of Clinical Psychiatry
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