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Electroconvulsive Therapy for Depression in a Patient With an Intracranial Arachnoid Cyst

Desseilles, Martin MD*; Thiry, Jean-Christophe MD; Monville, Jean-François MD; Ansseau, Marc MD, PhD*; Makhinson, Michael MD§∥

doi: 10.1097/YCT.0b013e3181729268
Case Reports

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: mdesseilles@yahoo.fr).

© 2009 Lippincott Williams & Wilkins, Inc.