Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review
Electroconvulsive therapy (ECT) is commonly used in the management of medication nonresponsive depressive disorder, with proven efficacy in psychiatric practice since many decades. A rare complication of intracranial bleed following this therapeutic procedure has been reported in sporadic case repor...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2012/585303 |
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| _version_ | 1850237091447832576 |
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| author | Ranganath R. Kulkarni Sateesh Melkundi |
| author_facet | Ranganath R. Kulkarni Sateesh Melkundi |
| author_sort | Ranganath R. Kulkarni |
| collection | DOAJ |
| description | Electroconvulsive therapy (ECT) is commonly used in the management of medication nonresponsive depressive disorder, with proven efficacy in psychiatric practice since many decades. A rare complication of intracranial bleed following this therapeutic procedure has been reported in sporadic case reports in the English literature. We report a case of such a complication in a 42-year-old male, a known case of nonorganic medication nonresponsive depressive disorder for the last two years who required ECT application. Presenting symptoms included altered mental state, urinary incontinence, and repeated episodes of vomiting; following ECT procedure with magnetic resonance imaging (MRI) of the brain suggestive of bilateral acute subdural hematoma. Despite the view that it may be used in neurological conditions without raised intracranial tension, it will be worthwhile to be vigilant during post-ECT recovery for any emergent complications. |
| format | Article |
| id | doaj-art-1b993f80b56444a6883655fbdcda95fc |
| institution | OA Journals |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-1b993f80b56444a6883655fbdcda95fc2025-08-20T02:01:50ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/585303585303Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature ReviewRanganath R. Kulkarni0Sateesh Melkundi1Department of Psychiatry, SDM College of Medical Sciences and Hospital, Karnataka, Dharwad 580009, IndiaDepartment of Neurosurgery, SDM College of Medical Sciences and Hospital, Karnataka, Dharwad 580009, IndiaElectroconvulsive therapy (ECT) is commonly used in the management of medication nonresponsive depressive disorder, with proven efficacy in psychiatric practice since many decades. A rare complication of intracranial bleed following this therapeutic procedure has been reported in sporadic case reports in the English literature. We report a case of such a complication in a 42-year-old male, a known case of nonorganic medication nonresponsive depressive disorder for the last two years who required ECT application. Presenting symptoms included altered mental state, urinary incontinence, and repeated episodes of vomiting; following ECT procedure with magnetic resonance imaging (MRI) of the brain suggestive of bilateral acute subdural hematoma. Despite the view that it may be used in neurological conditions without raised intracranial tension, it will be worthwhile to be vigilant during post-ECT recovery for any emergent complications.http://dx.doi.org/10.1155/2012/585303 |
| spellingShingle | Ranganath R. Kulkarni Sateesh Melkundi Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review Case Reports in Psychiatry |
| title | Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review |
| title_full | Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review |
| title_fullStr | Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review |
| title_full_unstemmed | Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review |
| title_short | Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review |
| title_sort | subdural hematoma an adverse event of electroconvulsive therapy case report and literature review |
| url | http://dx.doi.org/10.1155/2012/585303 |
| work_keys_str_mv | AT ranganathrkulkarni subduralhematomaanadverseeventofelectroconvulsivetherapycasereportandliteraturereview AT sateeshmelkundi subduralhematomaanadverseeventofelectroconvulsivetherapycasereportandliteraturereview |