Electroconvulsive therapy for depression in a patient with a programmable ventriculoperitoneal shunt in situ for congenital hydrocephalus.

IF 1 4区 医学 Q4 CLINICAL NEUROLOGY
Caed Whittle, Aaida Eghbal, Adam Pilkington, Kehaan Akram, Milo A Hollingworth
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引用次数: 0

Abstract

Background: Shunt surgery remains the gold standard of treatment for hydrocephalus. Ventriculoperitoneal (VP) shunt systems represent the most commonly used technique, and the increasing use of programmable valves allows the neurosurgical team to easily and non-invasively adjust shunt settings where indicated. However, their safety in specific clinical scenarios can be a common source of uncertainty due to potential interactions between parametric shunt components and external electromagnetic fields.

Case presentation: We report the case of electroconvulsive therapy being used successfully in a 64-year-old presenting with treatment-resistant depression, on a background of a programmable VP shunt system in situ for congenital hydrocephalus. To our knowledge, this is the first individual report which presents the successful use of ECT in a patient with a programmable shunt valve.

电痉挛疗法治疗先天性脑积水伴可编程脑室-腹膜原位分流的抑郁症1例。
背景:分流手术仍然是治疗脑积水的金标准。脑室-腹膜(VP)分流系统是最常用的技术,可编程阀的使用越来越多,使得神经外科团队可以轻松、无创地调整分流器的设置。然而,由于参数分流元件与外部电磁场之间的潜在相互作用,它们在特定临床场景中的安全性可能成为不确定性的常见来源。病例介绍:我们报告了一例电休克治疗成功用于64岁的顽固性抑郁症患者,背景是可编程VP分流系统原位治疗先天性脑积水。据我们所知,这是第一个介绍电痉挛疗法成功应用于可编程分流阀患者的个人报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British Journal of Neurosurgery
British Journal of Neurosurgery 医学-临床神经学
CiteScore
2.30
自引率
9.10%
发文量
139
审稿时长
3-8 weeks
期刊介绍: The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide. Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.
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