Why the study?
Is electroconvulsive therapy safe and effective for treating psychiatric conditions in patients with concurrent neurological disease?
Is electroconvulsive therapy safe and effective for treating psychiatric conditions in patients with concurrent neurological disease?
ECT may be a safe and beneficial treatment option for patients with concurrent psychiatric and neurological disorders, despite its uncommon use in this population in the US.
Answers are grounded in this paper and cite their sources.
May support ECT consideration in comorbid psychiatric-neurological cases; leaves open need for prospective controlled trials.
In the United States electroconvulsive therapy (ECT) is not commonly used with patients who have conditions affecting the structure or function of the brain. Many clinicians may be unaware, therefore, that ECT has been used safely to treat patients with combined major depression and central nervous system disorders; patients with organic mental syndromes, particularly delirium; and patients who have psychiatric disorders that mimic or are distorted by brain disease. The author discusses the successful use of ECT with such patients as well as potential dangers of the treatment through a review of worldwide experience with ECT and presentation of case examples. He concludes by suggesting possible mechanisms through which ECT may benefit both depression and organic mental syndromes.
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Steven Dubovsky (1986) studied this question.
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