PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of ijpsychHomeCurrent issueInstructionsSubmit article
 
Indian J Psychiatry. 2002 Jul-Sep; 44(3): 228–239.
PMCID: PMC2954393

ECT IN NEUROLOGICAL COUNDITIONS

Abstract

It is a myth that electroconvulsive therapy (ECT) produces greater side effects and worsens the neurological condition when used in neurologically ill patients. With the advancement and sophistication in ECT practice standards and modification procedures, it can be safely administered either to treat selected neurological conditions or the co-morbid psychiatric illnesses without additional risks. However ECT should be administered only after thorough evaluation of risks and benefits in such individuals.

Keywords: ECT, Neorological illnesses

Full Text

The Full Text of this article is available as a PDF (544K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Abrams R. Electroconvulsive therapy in the medically compromised patient. Psychiatr Clin North Am. 1991 Dec;14(4):871–885. [PubMed]
  • Adityanjee, Jayaswal SK, Chan TM, Subramaniam M. Temporary remission of tardive dystonia following electroconvulsive therapy. Br J Psychiatry. 1990 Mar;156:433–435. [PubMed]
  • Allman Peter, Hawton Keith. ECT for Post-stroke Depression: Beta Blockade to Modify Rise in Blood Pressure. Convuls Ther. 1987;3(3):218–221. [PubMed]
  • Beale MD, Kellner CH, Gurecki P, Pritchett JT. ECT for the treatment of Huntington's disease: a case study. Convuls Ther. 1997 Jun;13(2):108–112. [PubMed]
  • Brown RG, MacCarthy B. Psychiatric morbidity in patients with Parkinson's disease. Psychol Med. 1990 Feb;20(1):77–87. [PubMed]
  • Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. II. Treatment with lorazepam and electroconvulsive therapy. Acta Psychiatr Scand. 1996 Feb;93(2):137–143. [PubMed]
  • Gardno AG, Simpson CJ. Electroconvulsive Therapy in Paget's Disease and Hydrocephalus. Convuls Ther. 1991;7(1):48–51. [PubMed]
  • Celesia GG, Barr AN. Psychosis and other psychiatric manifestations of levodopa therapy. Arch Neurol. 1970 Sep;23(3):193–200. [PubMed]
  • Coffey C Edward, Weiner Richard D, McCall W Vaughn, Heinz E Ralph. Electroconvulsive Therapy in Multiple Sclerosis: A Magnetic Resonance Imaging Study of the Brain. Convuls Ther. 1987;3(2):137–144. [PubMed]
  • Devinsky O, Duchowny MS. Seizures after convulsive therapy: a retrospective case survey. Neurology. 1983 Jul;33(7):921–925. [PubMed]
  • Douyon R, Serby M, Klutchko B, Rotrosen J. ECT and Parkinson's disease revisited: a "naturalistic" study. Am J Psychiatry. 1989 Nov;146(11):1451–1455. [PubMed]
  • Dressler DM, Folk J. The treatment of depression with ECT in the presence of brain tumor. Am J Psychiatry. 1975 Dec;132(12):1320–1321. [PubMed]
  • Drop LJ, Bouckoms AJ, Welch CA. Arterial hypertension and multiple cerebral aneurysms in a patient treated with electroconvulsive therapy. J Clin Psychiatry. 1988 Jul;49(7):280–282. [PubMed]
  • Dubovsky SL. Using electroconvulsive therapy for patients with neurological disease. Hosp Community Psychiatry. 1986 Aug;37(8):819–825. [PubMed]
  • Escalona P Rodrigo, Coffey C Edward, Maus-Feldman Jacqueline. Electroconvulsive Therapy in a Depressed Patient with an Intracranial Arachnoid Cyst: A Brain Magnetic Resonance Imaging Study. Convuls Ther. 1991;7(2):133–138. [PubMed]
  • Figiel GS, Hassen MA, Zorumski C, Krishnan KR, Doraiswamy PM, Jarvis MR, Smith DS. ECT-induced delirium in depressed patients with Parkinson's disease. J Neuropsychiatry Clin Neurosci. 1991 Fall;3(4):405–411. [PubMed]
  • Folstein S, Abbott MH, Chase GA, Jensen BA, Folstein MF. The association of affective disorder with Huntington's disease in a case series and in families. Psychol Med. 1983 Aug;13(3):537–542. [PubMed]
  • Fried D, Mann JJ. Electroconvulsive treatment of a patient with known intracranial tumor. Biol Psychiatry. 1988 Jan 15;23(2):176–180. [PubMed]
  • Galloway GJ, Denborough MA. Suxamethonium chloride and malignant hyperpyrexia. Br J Anaesth. 1986 Apr;58(4):447–450. [PubMed]
  • Gjessing LR. A review of periodic catatonia. Biol Psychiatry. 1974 Feb;8(1):23–45. [PubMed]
  • Gosek E, Weller RA. Improvement of tardive dyskinesia associated with electroconvulsive therapy. J Nerv Ment Dis. 1988 Feb;176(2):120–122. [PubMed]
  • Goswami U, Dutta S, Kuruvilla K, Papp E, Perenyi A. Electroconvulsive therapy in neuroleptic-induced parkinsonism. Biol Psychiatry. 1989 Jul;26(3):234–238. [PubMed]
  • Greenberg Lawrence B, Anand Azad, Roque Clemente T, Grinberg Yair. Electroconvulsive Therapy and Cerebral Venous Angioma. Convuls Ther. 1986;2(3):197–202. [PubMed]
  • Hauser WA. Status epilepticus: frequency, etiology, and neurological sequelae. Adv Neurol. 1983;34:3–14. [PubMed]
  • Heshe J, Roeder E. Electroconvulsive therapy in Denmark. Br J Psychiatry. 1976 Mar;128:241–245. [PubMed]
  • Hicks Frederick G. ECT Modified by Atracurium. Convuls Ther. 1987;3(1):54–59. [PubMed]
  • Hsiao JK, Evans DL. ECT in a depressed patient after craniotomy. Am J Psychiatry. 1984 Mar;141(3):442–444. [PubMed]
  • Husum B, Vester-Andersen T, Buchmann G, Bolwig TG. Electroconvulsive therapy and intracranial aneurysm. Prevention of blood pressure elevation in a normotensive patient by hydralazine and propranolol. Anaesthesia. 1983 Dec;38(12):1205–1207. [PubMed]
  • Janis K, Hess J, Fabian JA, Gillis M. Substitution of mivacurium for succinylcholine for ECT in elderly patients. Can J Anaesth. 1995 Jul;42(7):612–613. [PubMed]
  • Juncos JL. Management of psychotic aspects of Parkinson's disease. J Clin Psychiatry. 1999;60 (Suppl 8):42–53. [PubMed]
  • Karliner W. ECT for patients with CNS disease. Psychosomatics. 1978 Dec;19(12):781–783. [PubMed]
  • Kellner CH, Beale MD, Pritchett JT, Bernstein HJ, Burns CM. Electroconvulsive therapy and Parkinson's disease: the case for further study. Psychopharmacol Bull. 1994;30(3):495–500. [PubMed]
  • Krystal AD, Coffey CE. Neuropsychiatric considerations in the use of electroconvulsive therapy. J Neuropsychiatry Clin Neurosci. 1997 Spring;9(2):283–292. [PubMed]
  • Kwentus JA, Hart RP, Calabrese V, Hekmati A. Mania as a symptom of multiple sclerosis. Psychosomatics. 1986 Oct;27(10):729–731. [PubMed]
  • Kwentus JA, Schulz SC, Hart RP. Tardive dystonia, catatonia, and electroconvulsive therapy. J Nerv Ment Dis. 1984 Mar;172(3):171–173. [PubMed]
  • Levin R, Banks S, Berg B. Psychosocial dimensions of epilepsy: a review of the literature. Epilepsia. 1988 Nov-Dec;29(6):805–816. [PubMed]
  • Lewis CF, DeQuardo JR, Tandon R. ECT in genetically confirmed Huntington's disease. J Neuropsychiatry Clin Neurosci. 1996 Spring;8(2):209–210. [PubMed]
  • Malek-Ahmadi Parviz, Beceiro Jose R, McNeil B Wayne, Weddige Richard L. Electroconvulsive Therapy and Chronic Subdural Hematoma. Convuls Ther. 1990;6(1):38–41. [PubMed]
  • Maltbie AA, Wingfield MS, Volow MR, Weiner RD, Sullivan JL, Cavenar JO., Jr Electroconvulsive therapy in the presence of brain tumor. Case reports and an evaluation of risk. J Nerv Ment Dis. 1980 Jul;168(7):400–405. [PubMed]
  • Mann SC, Caroff SN, Bleier HR, Welz WK, Kling MA, Hayashida M. Lethal catatonia. Am J Psychiatry. 1986 Nov;143(11):1374–1381. [PubMed]
  • Mansheim P. ECT in the treatment of a depressed adolescent with meningomyelocele, hydrocephalus, and seizures. J Clin Psychiatry. 1983 Oct;44(10):385–386. [PubMed]
  • McKinney P, Kellner C. Multiple ECT late in the course of neuroleptic malignant syndrome. Convuls Ther. 1997 Dec;13(4):269–273. [PubMed]
  • Miller AR, Isenberg KE. Reversible ischemic neurologic deficit after ECT. J ECT. 1998 Mar;14(1):42–48. [PubMed]
  • Murray GB, Shea V, Conn DK. Electroconvulsive therapy for poststroke depression. J Clin Psychiatry. 1986 May;47(5):258–260. [PubMed]
  • Nelson John P, Rosenberg David R. ECT Treatment of Demented Elderly Patients with Major Depression: A Retrospective Study of Efficacy and Safety. Convuls Ther. 1991;7(3):157–165. [PubMed]
  • Price Trevor R P, McAllister Thomas W. Safety and Efficacy of ECT in Depressed Patients with Dementia: A Review of Clinical Experience. Convuls Ther. 1989;5(1):61–74. [PubMed]
  • Price TR, Tucker GJ. Psychiatric and behavioral manifestations of normal pressure hydrocephalus. A case report and brief review. J Nerv Ment Dis. 1977 Jan;164(1):51–55. [PubMed]
  • Pridmore S, Pollard C. Electroconvulsive therapy in Parkinson's disease: 30 month follow up. J Neurol Neurosurg Psychiatry. 1996 Jun;60(6):693–693. [PMC free article] [PubMed]
  • Pujol J, Leal S, Fluvia X, Conde C. Psychiatric aspects of normal-pressure hydrocephalus. A report of five cases. Br J Psychiatry Suppl. 1989 May;(4):77–80. [PubMed]
  • Ranen NG, Peyser CE, Folstein SE. ECT as a treatment for depression in Huntington's disease. J Neuropsychiatry Clin Neurosci. 1994 Spring;6(2):154–159. [PubMed]
  • Rasmussen K, Abrams R. Treatment of Parkinson's disease with electroconvulsive therapy. Psychiatr Clin North Am. 1991 Dec;14(4):925–933. [PubMed]
  • Ries R, Bokan J. Electroconvulsive therapy following pituitary surgery. J Nerv Ment Dis. 1979 Dec;167(12):767–768. [PubMed]
  • Roberts MA, Attah JR. Carbamazepine and ECT. Br J Psychiatry. 1988 Sep;153:418–418. [PubMed]
  • Robins AH. Depression in patients with Parkinsonism. Br J Psychiatry. 1976 Feb;128:141–145. [PubMed]
  • Roccaforte WH, Burke WJ. ECT following craniotomy. Psychosomatics. 1989 Winter;30(1):99–101. [PubMed]
  • Ron MA, Logsdail SJ. Psychiatric morbidity in multiple sclerosis: a clinical and MRI study. Psychol Med. 1989 Nov;19(4):887–895. [PubMed]
  • Roth Steven D, Mukherjee Sukdeb, Sackeim Harold A. Electroconvulsive Therapy in a Patient with Mania, Parkinsonism, and Tardive Dyskinesia. Convuls Ther. 1988;4(1):92–97. [PubMed]
  • Rovner BW, Broadhead J, Spencer M, Carson K, Folstein MF. Depression and Alzheimer's disease. Am J Psychiatry. 1989 Mar;146(3):350–353. [PubMed]
  • Ruedrich SL, Chu CC, Moore SL. ECT for major depression in a patient with acute brain trauma. Am J Psychiatry. 1983 Jul;140(7):928–929. [PubMed]
  • Sackeim HA, Decina P, Prohovnik I, Malitz S, Resor SR. Anticonvulsant and antidepressant properties of electroconvulsive therapy: a proposed mechanism of action. Biol Psychiatry. 1983 Nov;18(11):1301–1310. [PubMed]
  • Scheftner William A, Shulman Robert B. Treatment Choice in Neuroleptic Malignant Syndrome. Convuls Ther. 1992;8(4):267–279. [PubMed]
  • Schrag A, Jahanshahi M, Quinn NP. What contributes to depression in Parkinson's disease? Psychol Med. 2001 Jan;31(1):65–73. [PubMed]
  • Shalev A, Hermesh H, Munitz H. Mortality from neuroleptic malignant syndrome. J Clin Psychiatry. 1989 Jan;50(1):18–25. [PubMed]
  • Stenager EN, Stenager E, Koch-Henriksen N, Brønnum-Hansen H, Hyllested K, Jensen K, Bille-Brahe U. Suicide and multiple sclerosis: an epidemiological investigation. J Neurol Neurosurg Psychiatry. 1992 Jul;55(7):542–545. [PMC free article] [PubMed]
  • Summers WK, Robins E, Reich T. The natural history of acute organic mental syndrome after bilateral electroconvulsive therapy. Biol Psychiatry. 1979 Dec;14(6):905–912. [PubMed]
  • Turek IS, Hanlon TE. The effectiveness and safety of electroconvulsive therapy (ECT). J Nerv Ment Dis. 1977 Jun;164(6):419–431. [PubMed]
  • Yassa R, Hoffman H, Canakis M. The Effect of Electroconvulsive Therapy on Tardive Dyskinesia: A Prospective Study. Convuls Ther. 1990;6(3):194–198. [PubMed]
  • Zwil Alexander S, Bowring Margaret Ann, Price Trevor R P, Goetz Kenneth L, Greenbarg Jeffrey B, Kane-Wanger Gwen. Prospective Electroconvulsive Therapy in the Presence of Intracranial Tumor. Convuls Ther. 1990;6(4):299–307. [PubMed]

Articles from Indian Journal of Psychiatry are provided here courtesy of Medknow Publications