Chronic Tinnitus following Electroconvulsive Therapy

A 43-year-old female with a 27-year history of obsessive-compulsive disorder and major depression had previously been treated with psychotherapy, antidepressant, and antipsychotic medications. Because these treatments were minimally...

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Main Authors: Robert L. Folmer, Yongbing Shi, Sarah Theodoroff
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2011/607061
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author Robert L. Folmer
Yongbing Shi
Sarah Theodoroff
author_facet Robert L. Folmer
Yongbing Shi
Sarah Theodoroff
author_sort Robert L. Folmer
collection DOAJ
description A 43-year-old female with a 27-year history of obsessive-compulsive disorder and major depression had previously been treated with psychotherapy, antidepressant, and antipsychotic medications. Because these treatments were minimally effective and because the frequency and duration of her depressive episodes continued to increase, the patient was scheduled to undergo a series of electroconvulsive therapy (ECT) procedures. The patient received four ECT treatments during one month. Stimulating current was delivered to the right frontotemporal region of the head. Electroencephalographic seizures occurred during each of the ECT procedures. After the patient recovered from anesthesia, she complained of headaches, muscle pain, amnesia, and, after the fourth ECT, she reported a ringing sound in her right ear. Audiometric testing the day after the fourth ECT revealed a slight increase in threshold for 8000 Hz tones in her right ear. It is likely that current delivered during the fourth ECT treatment triggered the perception of tinnitus for this patient. The unique organization of this patient's central nervous and auditory systems combined with her particular pharmacological history might have predisposed her to developing tinnitus.
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spelling doaj-art-a4cd4f964db44aa5a4bbbf5664436e892025-02-03T01:03:46ZengWileyCase Reports in Psychiatry2090-682X2090-68382011-01-01201110.1155/2011/607061607061Chronic Tinnitus following Electroconvulsive TherapyRobert L. Folmer0Yongbing Shi1Sarah Theodoroff2National Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, OR 97239, USADepartment of Otolaryngology, Oregon Health & Science University, Portland, OR 97239, USANational Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, OR 97239, USAA 43-year-old female with a 27-year history of obsessive-compulsive disorder and major depression had previously been treated with psychotherapy, antidepressant, and antipsychotic medications. Because these treatments were minimally effective and because the frequency and duration of her depressive episodes continued to increase, the patient was scheduled to undergo a series of electroconvulsive therapy (ECT) procedures. The patient received four ECT treatments during one month. Stimulating current was delivered to the right frontotemporal region of the head. Electroencephalographic seizures occurred during each of the ECT procedures. After the patient recovered from anesthesia, she complained of headaches, muscle pain, amnesia, and, after the fourth ECT, she reported a ringing sound in her right ear. Audiometric testing the day after the fourth ECT revealed a slight increase in threshold for 8000 Hz tones in her right ear. It is likely that current delivered during the fourth ECT treatment triggered the perception of tinnitus for this patient. The unique organization of this patient's central nervous and auditory systems combined with her particular pharmacological history might have predisposed her to developing tinnitus.http://dx.doi.org/10.1155/2011/607061
spellingShingle Robert L. Folmer
Yongbing Shi
Sarah Theodoroff
Chronic Tinnitus following Electroconvulsive Therapy
Case Reports in Psychiatry
title Chronic Tinnitus following Electroconvulsive Therapy
title_full Chronic Tinnitus following Electroconvulsive Therapy
title_fullStr Chronic Tinnitus following Electroconvulsive Therapy
title_full_unstemmed Chronic Tinnitus following Electroconvulsive Therapy
title_short Chronic Tinnitus following Electroconvulsive Therapy
title_sort chronic tinnitus following electroconvulsive therapy
url http://dx.doi.org/10.1155/2011/607061
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AT yongbingshi chronictinnitusfollowingelectroconvulsivetherapy
AT sarahtheodoroff chronictinnitusfollowingelectroconvulsivetherapy