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Effective Use of Electroconvulsive Therapy After Craniofacial Reconstructive Surgery

Glezer, Anna MD*; Murray, Evan MD†; Price, Bruce MD†; Cunningham, Miles MD, PhD‡

doi: 10.1097/YCT.0b013e31818e2d5d
Case Reports

The present case report describes a 53-year-old male patient with long-standing, refractory major depressive disorder admitted for electroconvulsive therapy. The patient had a history of head trauma and was status-post craniofacial surgery with mesh and metallic implants. We describe the patient's history and the concerns associated with performing electroconvulsive therapy on a patient with metallic skull implants, and we conclude with an account of successful treatment.

From the *Massachusetts General Hospital, McLean Hospital Psychiatry Residency Training Program, Boston; and †Department of Behavioral Neurology and ‡Laboratory for Neural Reconstruction, Harvard Medical School, McLean Hospital, Belmont, MA.

Received for publication August 9, 2008; accepted September 15, 2008.

Reprints: Miles G. Cunningham, MD, PhD, Harvard Medical School, McLean Hospital, MRC 312, 115 Mill St, Belmont, MA 02478 (e-mail: mcunningham@mclean.harvard.edu).

Disclosures and sources of funding: Sidney R. Baer Foundation.

© 2009 Lippincott Williams & Wilkins, Inc.