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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§∥

Journal of ECT:
doi: 10.1097/YCT.0b013e3181729268
Case Reports
Abstract

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.

Author Information

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.