Electroconvulsive therapy (ECT) has been frequently considered relatively contraindicated in patients with space-occupying lesions in the brain. After the 7 cases available in the literature, we describe the safe use of ECT in a depressive patient with arachnoid cyst. We provide a comprehensive review on this clinical association, and we conclude that even if the few data available are reassuring, careful neurological evaluation before the ECT treatment is indicated.
From the *Department of Psychiatry, University Hospital Center of Liège, Liège; †Department of Anesthésie-Réanimation, Centre hospitalier du Bois de l'Abbaye et de Hesbaye, Seraing; ‡Department of Medical Imaging, University Hospital Center of Liège, Liège, Belgium; §Department of Psychiatry, Harbor-UCLA Medical Center, Torrance, and ∥Department of Psychiatry and Biobehavioral Science, UCLA School of Medicine, Los Angeles, CA.
Received for publication March 3, 2008; accepted March 3, 2008.
Reprints: Martin Desseilles, Department of Psychiatry, University Hospital Center of Liège, Batiment B35, 13 avenue de l'Hôpital, 4000 Liège, Belgium (e-mail: firstname.lastname@example.org).