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Electroconvulsive therapy for major depressive disorder in a patient with a permanent skull defect: A case report
Author(s) -
Roh Jihyun,
Kang MinHee,
Kim ChulEung,
Lee JeongSeop,
Bae JaeNam
Publication year - 2014
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/appy.12130
Subject(s) - electroconvulsive therapy , contraindication , skull , major depressive disorder , medicine , surgery , psychology , psychiatry , anesthesia , electroconvulsive shock , cognition , alternative medicine , pathology
Electroconvulsive therapy (ECT) is an effective and safe treatment method for a variety of psychiatric disorders, including major depressive disorder. Although there is no absolute contraindication to ECT, clinicians often hesitate to apply this method to patients with a skull defect. We report a case of ECT performed on a major depressive disorder patient with an open wound after craniectomy. We summarize successful ECT cases of patients with a permanent skull defect and discuss various factors that may influence ECT outcomes in patients with a skull defect, including electrode placement, benzodiazepines, and anticonvulsants.