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. 2023 Dec 1;39(4):220-226.
doi: 10.1097/YCT.0000000000000924. Epub 2023 May 26.

Electroconvulsive Therapy in Patients With Cerebral Aneurysms

Christopher Shane Buntting  1 , David Tran, Charles Fish, Gurkirat Chatha, Rondhir Jithoo
Affiliations

Electroconvulsive Therapy in Patients With Cerebral Aneurysms

Christopher Shane Buntting et al. J ECT. .

Abstract

Subarachnoid hemorrhage due to cerebral aneurysm rupture is a devastating event with a high mortality and significant morbidity. The safety of patients undergoing electroconvulsive therapy (ECT) in the presence of an aneurysm is not clear and is a cause of anxiety for both health care workers and patients. The present article collated the available evidence related to ECT in the presence of an aneurysm and found that there were no case reports where ECT directly led to the rupture of an aneurysm, although 1 case reported a rupture of an aneurysm between sessions of ECT. The epidemiology of cerebral aneurysms is discussed, as are key clinical considerations related to the care of patients with aneurysms who require ECT.

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Conflict of interest statement

The authors have no conflicts of interest or financial disclosures to report.

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