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: firstname.lastname@example.org).
Disclosures and sources of funding: Sidney R. Baer Foundation.