Nakatake Masayuki, Teraishi Toshiya, Ide Makoto, Wakizono Tomoki, Ogawa Tetsuo, Kuwahara Tatsuro, Yoshino Aihide, Nomura Soichiro
Department of Psychiatry, National Defense Medical College, Tokorozawa, Saitama, Japan.
Fukuoka Igaku Zasshi. 2010 Sep;101(9):198-206.
Electroconvulsive therapy (ECT) is primarily indicated for mood disorders and schizophrenia. Clinicians may encounter cases in which ECT is administered to patients with various kinds of complications. However, to our knowledge, no detailed medical guideline is available about the indications for ECT in psychiatric illness complicated with a concomitant brain tumor, which is one of the most likely physical complications that can directly affect ECT. We report a case in which 3 courses of modified ECT (m-ECT) were successfully administered without any neurological deterioration to a patient, who was frequently hospitalized for recurrent depressive disorder with stupor. We did not undertake any additional measures for reducing adverse events derived from the meningioma during m-ECT. In this report, we discuss the relation between brain tumor and depression.
电休克治疗（ECT）主要适用于心境障碍和精神分裂症。临床医生可能会遇到对伴有各种并发症的患者进行ECT治疗的情况。然而，据我们所知，目前尚无关于ECT在合并脑肿瘤的精神疾病中的应用指征的详细医学指南，脑肿瘤是最有可能直接影响ECT的躯体并发症之一。我们报告了一例反复因伴有木僵的复发性抑郁症频繁住院的患者，成功接受了3个疗程的改良电休克治疗（m-ECT），且未出现任何神经功能恶化。在m-ECT期间，我们未采取任何额外措施来减少源自脑膜瘤的不良事件。在本报告中，我们讨论了脑肿瘤与抑郁症之间的关系。
