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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

104
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
104

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[Electroconvulsive therapy in patients with metallic skull implants].

D Segers, T Segers, G De Bruecker

    Tijdschrift Voor Psychiatrie
    |February 3, 2023
    PubMed
    Summary

    Electroconvulsive therapy (ECT) is safe for patients with metallic skull implants. This review found no complications and positive psychiatric outcomes in 95% of cases, supporting its use with caution.

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    Area of Science:

    • Neuroscience
    • Psychiatry

    Context:

    • Electroconvulsive therapy (ECT) is a vital treatment for mood disorders.
    • Patients with metallic skull implants represent a population at higher risk for mood disorders.
    • The safety of ECT in patients with metallic skull implants remains debated.

    Purpose:

    • To consolidate existing literature on ECT use in patients with metallic skull implants.
    • To evaluate the safety and efficacy of ECT in this specific patient group.

    Summary:

    • A review of 37 case reports published since 1950 was conducted.
    • No complications were reported regarding the interaction between ECT and metallic skull implants.
    • Positive psychiatric outcomes were observed in 95% of reviewed cases.

    Impact:

    • Findings suggest ECT is a safe treatment option for patients with metallic skull implants.
    • ECT can be considered on a case-by-case basis by psychiatrists for this population.
    • This evidence supports informed clinical decision-making regarding ECT in patients with cranial implants.