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Electroconvulsive Therapy and Asymptomatic Meningioma.

Parviz Malek-Ahmadi¹, Ross R. Sedler

¹Department of Psychiatry, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.

Convulsive Therapy

|January 1, 1989

Summary

Electroconvulsive therapy (ECT) can be a safe and effective treatment for elderly patients with depression, even when they have an asymptomatic meningioma. This case study shows successful outcomes without neurological decline.

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Area of Science:

Neuroscience
Geriatric Psychiatry
Neurology

Background:

Elderly patients with depression often present complex treatment challenges.
Antidepressant intolerance is common in this demographic.
Incidental findings of asymptomatic brain tumors, such as meningioma, require careful management consideration during psychiatric treatment.

Purpose of the Study:

To report the successful use of electroconvulsive therapy (ECT) in an elderly female patient with major depression who had an asymptomatic meningioma.
To evaluate the safety and efficacy of bilateral ECT in a patient with a pre-existing intracranial lesion.

Main Methods:

A case report of an elderly female patient diagnosed with depression.
The patient had a history of poor tolerance to antidepressant medications.
The patient was treated with seven sessions of bilateral electroconvulsive therapy (ECT) after a small, asymptomatic meningioma was identified.

Main Results:

The patient tolerated bilateral ECT without any neurological deterioration.
A significant clinical improvement in depressive symptoms was observed.
The presence of an asymptomatic meningioma did not preclude the safe and effective use of ECT.

Conclusions:

Electroconvulsive therapy (ECT) can be a viable and safe treatment option for geriatric depression, even in the presence of an asymptomatic meningioma.
Careful patient selection and monitoring are crucial when considering ECT in patients with incidental intracranial findings.
This case highlights the potential for positive therapeutic outcomes in complex psychiatric cases with combined neurological considerations.

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