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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

20
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...
20
The Cochlea01:13

The Cochlea

44.4K
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
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Related Experiment Video

Updated: May 20, 2025

Performing Intracochlear Electrocochleography During Cochlear Implantation
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Electroconvulsive Therapy in Cochlear Implant Users.

Thomas James Crotty, Anwar Alshehri, Adrien Gendre

    The Journal of ECT
    |March 25, 2025
    PubMed
    Summary
    This summary is machine-generated.

    Electroconvulsive therapy (ECT) is safe for cochlear implant (CI) users, even with bilateral CIs. This study reports two successful ECT cases in CI patients, challenging current contraindications and supporting further research.

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    Area of Science:

    • Neurology
    • Otolaryngology
    • Psychiatry

    Background:

    • Cochlear implant manufacturers currently contraindicate electroconvulsive therapy (ECT) for cochlear implant (CI) users due to theoretical risks.
    • There is a lack of clinical data regarding the safety of ECT in patients with cochlear implants.

    Purpose of the Study:

    • To report on the safety and efficacy of electroconvulsive therapy (ECT) in patients with cochlear implants (CIs).
    • To present the first reported cases of bilateral ECT in patients with bilateral CIs.

    Main Methods:

    • Case report of a 66-year-old male with bilateral CIs undergoing 9 cycles of bilateral ECT for major depressive disorder.
    • Case report of a 65-year-old female with a unilateral CI undergoing 8 cycles of unilateral ECT for recurrent depressive disorder with suicidal ideation.

    Main Results:

    • Both patients experienced significant psychiatric improvement following ECT.
    • Cochlear implant function and impedance remained unchanged in both patients post-ECT.
    • The bilateral ECT in a patient with bilateral CIs was uneventful.

    Conclusions:

    • Electroconvulsive therapy (ECT) can be safely administered to patients with cochlear implants (CIs).
    • These findings challenge current contraindications and suggest ECT may be a viable treatment option for this patient population.
    • Further research is warranted to establish definitive safety guidelines for ECT in CI users.