Document Detail

Electroconvulsive therapy and meningioma: a brief review.
MedLine Citation:
PMID:  22708257     Owner:  NLM     Status:  In-Process    
Accumulating clinical knowledge indicates that electroconvulsive therapy (ECT) can be used in patients with stable and small brain tumors without any sign of increasing intracranial pressure as long as the risks have been appropriately evaluated. However, there are no clear and detailed clinical guidelines for the application of ECT in patients with brain tumors. Severe complications are described in cases reported before 1980 when the definitive diagnosis of brain tumor before ECT was difficult. We reviewed 13 cases from the literature from the 1980s or later in which ECT was administered to psychiatric patients with a prior diagnosis of meningiomas, a very common type of tumor, before ECT. All cases responded to ECT. Among the cases reviewed, the largest meningioma was 3 x 3 cm. Minor complications such as headache and transient confusion were reported in 5 of 13 cases; however, no severe complications were observed. Accurate identification and careful evaluation of meningioma by routine neuroimaging and other advanced medical techniques surrounding the use of ECT have contributed to the decrease in severe complications.
Toshiya Teraishi; Masayuki Nakatake; Jinichi Hirano; Makoto Ide; Tatsuro Kuwahara; Soichiro Nomura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nihon shinkei seishin yakurigaku zasshi = Japanese journal of psychopharmacology     Volume:  32     ISSN:  1340-2544     ISO Abbreviation:  Nihon Shinkei Seishin Yakurigaku Zasshi     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-06-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9509023     Medline TA:  Nihon Shinkei Seishin Yakurigaku Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  57-61     Citation Subset:  IM    
Department of Psychiatry, National Defense Medical College 3-2, Namiki, Tokorozawa 359-8513, Japan.
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