Case ReportSuccessful ECT in a Patient with Hydrocephalus, Shunt, Hypopituitarism, and ParaplegiaHanretta, Allan T. M.D., Ph.D.; Malek-Ahmadi, Parviz M.D.Author Information Department of Neuropsychiatry, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, U.S.A. Received January 11, 2000; accepted June 15, 2000. Address correspondence and reprint requests to Dr. P. Malek-Ahmadi, Department of Neuropsychiatry, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, U.S.A. An abbreviated version of this case report entitled “Electroconvulsive Therapy and Ventriculoperitoneal Shunt” was presented in a poster session at the 1995 annual meeting (November 3–5) of the Texas Society of Psychiatric Physicians held in San Antonio, Texas. The Journal of ECT: March 2001 - Volume 17 - Issue 1 - p 71-74 Buy Abstract A 25-year-old patient with paraplegia, hypopituitarism, hydrocephalus, and a ventriculoperitoneal shunt was successfully treated with a course of bilateral electroconvulsive therapy (ECT) for major depression. Brain imaging studies and neurology/endocrinology consultations were obtained prior to the use of ECT. Throughout the course of ECT, his replacement hormonal therapy continued. Prior to each ECT, additional parenteral hydrocortisone was also administered. Consistent with the previously published reports, the patient did not experience any neurological deterioration. A brief review of the literature on the use of ECT in patients with panhypopituitarism, spinal cord injury, and hydrocephalus is presented. © 2001 Lippincott Williams & Wilkins, Inc.