J Neuropsychiatry Clin Neurosci 1997; 9:283-292
Copyright © 1997 by American Neuropsychiatric Association
Neuropsychiatric considerations in the use of electroconvulsive therapy
AD Krystal and CE Coffey
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27710, USA. krystal@cs.duke.edu
ECT is an effective and rapidly acting treatment for certain major
psychiatric disorders, even in patients with neurologic illness. Further,
in some cases the neurologic illness itself also responds to ECT. Patients
with some types of neurologic illness may be at increased risk of
neurologic or cognitive side effects from ECT, but these risks can be
lowered by careful pre-ECT evaluation and optimal ECT technique.