ABSTRACT
Electroconvulsive therapy (ECT) is a treatment option that is considered relatively safe, and is frequently administered for treatment resistant mental disorders. There is no absolute contraindication, however, careful attention should be given when ECT is applied to patients with severe medical comorbidities. Intracranial aneurysms is one of the comorbidities which increases certain risks associated with ECT. Increase in cerebral blood flow during ECT may be associated with increased risk of rupture of an aneurysm and bleeding from vascular malformation. In the literature, there is a limited number of case reports on ECT administration in patients with surgically repaired cerebral aneurysm. In this case report, method and consequences of ECT in a 53 years old female patient diagnosed with treatment resistant major depressive disorder, and with a history of surgical repair for intracranial aneurysm are presented. Special concerns and precautions about ECT application in patients with repaired intracranial aneurysms are reviewed.
Key words: Electroconvulsive therapy (ECT), Intracranial aneurism, Depression
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