Key result
Right unilateral ECT safely avoids adverse neurological outcomes in severe cervical degenerative myelopathy.
Why the study?
Can electroconvulsive therapy be safely administered in a geriatric patient with symptomatic degenerative cervical myelopathy?
Case Report (n=1)
Can electroconvulsive therapy be safely administered in a geriatric patient with symptomatic degenerative cervical myelopathy?
This case suggests that ECT can be safely administered in patients with severe cervical degenerative myelopathy when appropriate precautions are taken.
Answers are grounded in this paper and cite their sources.
ECT may be feasible in severe cervical myelopathy; single case leaves open need for prospective safety confirmation.
We report the case of a 70-year-old woman who received ECT for major depression with psychotic features. The patient was identified to have symptomatic severe cervical degenerative myelopathy during treatment and she received 21 sessions of right unilateral electroconvulsive therapy (ECT) without adverse neurological outcome. Precautions were undertaken to minimize risk of ECT-associated spinal cord injury. ECT was successfully recommenced without precautions following laminectomy.
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James et al. (2023) conducted a case report in Major depression with psychotic features and symptomatic severe cervical degenerative myelopathy (n=1). Electroconvulsive therapy (ECT) was evaluated on Adverse neurological outcome. A 70-year-old woman with severe cervical degenerative myelopathy successfully received 21 sessions of right unilateral electroconvulsive therapy without adverse neurological outcomes.
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