Subdural Hematoma: An Adverse Event of Electroconvulsive Therapy—Case Report and Literature Review. (14th November 2012)

• Record Type: Journal Article
• Authors: Kulkarni, Ranganath R.; Melkundi, Sateesh
• Other Names: Dell'Osso L. Academic Editor.; Jollant F. Academic Editor.; Noordsy D. L. Academic Editor.
• Is Part Of: Case reports in psychiatry. Volume 2012(2012)
• Publication Date: 2012-11-14
• Subjects: Psychiatry -- Periodicals; Psychiatry -- Case studies -- Periodicals; Mental Disorders; Psychiatry; Psychiatry; Periodicals; Case studies; Periodicals; 616.89
• DOI: 10.1155/2012/585303
• Languages: English
• ISSNs: 2090-682X

Abstract

Abstract : 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.