Peroski Michael S, Chu Michael M, Doddi Seshagiri Rao, Regenold William T
Division of Geriatric Psychiatry, Department of Psychiatry, University of Maryland School Medicine, Baltimore, MD.
J ECT. 2019 Jun;35(2):84-90. doi: 10.1097/YCT.0000000000000554.
Currently there is no consensus statement about the safety of electroconvulsive therapy in patients who have implanted electrodes for deep brain stimulation. We present a summary of the existing literature on this topic, consisting of 21 cases, and then report a case performed at the University of Maryland Medical Center. Notably, with appropriate safety precautions and careful patient selection, there were no adverse events reported in the literature that were related to the presence of the deep brain stimulation device in any of the cases. Based on our review of the literature and the case we present, we have found no evidence so far to indicate that electroconvulsive therapy in patients with an implanted deep brain stimulator is unsafe.
目前，对于植入深部脑刺激电极的患者进行电休克治疗的安全性，尚无共识声明。我们总结了关于该主题的现有文献，其中包括21例病例，然后报告了在马里兰大学医学中心进行的一例病例。值得注意的是，通过采取适当的安全预防措施并仔细选择患者，文献中未报告任何与深部脑刺激装置存在相关的不良事件。基于我们对文献的回顾以及所呈现的病例，到目前为止，我们尚未发现证据表明植入深部脑刺激器的患者进行电休克治疗不安全。
