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Case Report of Electroconvulsive Therapy in a Patient With Parkinson Disease Concomitant With Deep Brain Stimulation

Nasr, Suhayl MD*†‡§; Murillo, Anne MD§; Katariwala, Nasar MD§∥; Mothkur, Venkat MD*; Wendt, Burdette*

doi: 10.1097/YCT.0b013e3181da843c
Case Reports

We report on a 56-year-old woman with Parkinson disease who had previously been implanted with bilateral deep brain stimulation (DBS). She was hospitalized after a 2-year course of severe depression with psychotic features and physical as well as mental decline. She underwent 2 rounds of successful electroconvulsive therapy (ECT), improving both her physical and mental health without any adverse effects to the patient or the DBS. This is a fourth reported case of ECT being successfully and safely administered in a patient implanted with DBS. This is the first case report of bitemporal ECT in a patient with bilateral DBS. It is also the first case report using the MECTA device and the first case report of a successful and safe second course of ECT after relapse of this patient's depression.

From the *Nasr Psychiatric Services, Michigan City; †Department of Psychology, Notre Dame University, Notre Dame, IN; ‡Department of Psychiatry, Indiana University, Indianapolis, IN; §St. Anthony's Memorial Health Center; and ∥The NeuroClinic, P.C., Michigan City, IN.

Received for publication December 16, 2009; accepted February 9, 2010.

Reprints: Suhayl Nasr, MD, 2814 S Franklin St, Michigan City, IN 46360 (e-mail: nasrpsych@sbcglobal.net).

No outside sources of funding were used in this project.

© 2011 Lippincott Williams & Wilkins, Inc.