Subdural hematoma and electroconvulsive therapy: A case report and review of the literature - 17/12/18
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Abstract |
Background and case presentation |
Electroconvulsive therapy (ECT) is a common therapeutic procedure in psychiatry associated with a low rate of complications. We report a rare case of subdural hematoma (SDH) associated with ECT. Clinical presentation: a 64 year old woman, with a medical history of persistent depression which required ECT six years previously, underwent ECT following a new acute episode. After four ECT sessions, a left hemiparesis occurred. Brain CT scan revealed a right SDH. The patient underwent surgery and fully recovered three months after the drainage of the hematoma. We conducted a review of all cases in which SDH was associated to ECT.
Conclusion |
Early stage brain imaging is indispensable prior to starting ECT. Moreover, a previous medical history of SDH may not be a contraindication to ECT. In these situations, a clinical and radiological follow-up by both the psychiatrist and the neurosurgeon during all the ECT sessions is highly recommended.
Le texte complet de cet article est disponible en PDF.Keywords : Electroconvulsive therapy, Subdural hematoma, Depressive disorder, Drug resistant, Case report
Abbreviations : CT-scan:, ECT:, MRI:, PD:, SDH:
Plan
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