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Electroconvulsive Therapy in a Patient After Radiation Treatment of a Brain Metastasis: A Case Report

Kranaster, Laura MD*; Hoyer, Carolin MD*; Krisam, Mathias MD*; Deuschle, Michael MD*; Janke, Christoph MD; Sartorius, Alexander MD*

Journal of ECT:
doi: 10.1097/YCT.0b013e318256ce29
Case Reports
Abstract

Abstract: Major depression has a high incidence in patients with cancer, but treatment guidelines for this vulnerable population are missing and antidepressants seem to be less effective than in patients not affected by cancer. We report the case of a patient with bronchial cancer with a single temporo-occipital brain metastasis that had been treated by radiotherapy (whole-brain radiation, 40 Gy, followed by a stereotactic radiotherapy, 15 Gy). The patient developed a major depressive episode and was successfully treated with electroconvulsive therapy without relevant adverse events. This case further underscores the safety and effectiveness of electroconvulsive therapy after radiotherapy of the brain and demonstrates a viable alternative for severely depressed patients with cancer who do not adequately respond to psychotherapy or pharmacotherapy alone.

Author Information

From the *Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University; and †Department of Anaesthesiology and Critical Care Medicine, Medical Centre Mannheim, Mannheim, Germany.

Received for publication February 23, 2012; accepted March 12, 2012.

Reprints: Laura Kranaster, MD, Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, 68159 Mannheim, Germany (e-mail: laura.kranaster@zi-mannheim.de).

The authors have no conflicts of interest or financial disclosures to report.

© 2012 Lippincott Williams & Wilkins, Inc.