Bader G M, Silk K R, Dequardo J R, Tandon R
Department of Psychiatry, University of Michigan, Ann Arbor, USA.
Convuls Ther. 1995 Jun;11(2):139-43.
Little has been written regarding the safety of electroconvulsive therapy (ECT) administered to patients with intracranial aneurysms. The literature is reviewed and we report two additional cases of ECT safely and effectively employed to treat depressed patients with intracranial aneurysms. We found no reported cases of aneurysm rupture associated with ECT. We do not feel the presence of intracranial aneurysm is a contraindication to ECT, in most patients, with appropriate monitoring and control of arterial blood pressure.
关于对颅内动脉瘤患者进行电休克治疗(ECT)的安全性,相关文献报道较少。本文回顾了相关文献,并报告了另外两例安全有效地应用ECT治疗颅内动脉瘤伴发抑郁症患者的病例。我们未发现与ECT相关的动脉瘤破裂报道病例。我们认为,在大多数患者中,只要对动脉血压进行适当监测和控制,颅内动脉瘤的存在并非ECT的禁忌证。