Electroconvulsive therapy (ECT) has been used effectively in treating
depressed patients with multiple sclerosis (MS). However, several reports
have observed that some patients with MS may suffer neurological
deterioration during ECT. The authors describe the outcomes of 3 depressed
patients with MS who were treated with ECT. Consistent with previous works,
ECT effectively treated the psychiatric symptoms; however, 1 patient
deteriorated neurologically during ECT. The brain MRI findings and clinical
courses of all 3 patients are discussed, along with the possible value of
gadolinium-contrast MRI scans for identifying high-risk patients.
Abstract Teaser