Electroconvulsive Therapy in Cochlear Implant Users.

IF 1.8 4区 医学 Q3 BEHAVIORAL SCIENCES
Thomas James Crotty, Anwar Alshehri, Adrien Gendre, Fergal Glynn, Peter Walshe
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引用次数: 0

Abstract

Introduction: Cochlear implant manufacturers currently contraindicate the use of electroconvulsive therapy (ECT) in CI users, citing theoretical evidence of potential harm to the patient or the implant despite a lack of clinical data. We report two uncomplicated cases of ECT in CI users, including the first reported case of bilateral ECT in a patient with bilateral CIs.

Case series: The first case involves a 66-year-old visually impaired male with bilateral CIs. He suffered from major depressive disorder complicated by refusal of oral intake despite maximal pharmacological therapy. He underwent 9 consecutive cycles of bilateral ECT, after which his psychiatric condition improved. Cochlear implant function remained unchanged following the procedure. The second case involved a 65-year-old female with a left-sided CI and a history of recurrent depressive disorder. Her condition deteriorated with the onset of auditory hallucinations and increased suicidality. She underwent 8 consecutive cycles of unilateral ECT with right-sided electrode placement. Her psychiatric condition improved, and there was no change in CI impedance following the procedure.

Conclusions: We report 2 successful cases of ECT in CI users, including the first reported case of bilateral ECT in a patient with bilateral cochlear implants. Further investigation into the safety of ECT in CI users is warranted to ensure that this crucial treatment modality remains available to this vulnerable patient cohort.

人工耳蜗使用者的电痉挛治疗。
导言:人工耳蜗制造商目前禁止在CI使用者中使用电惊厥疗法(ECT),尽管缺乏临床数据,但他们引用了对患者或人工耳蜗有潜在危害的理论证据。我们报告了两例无并发症的CI使用者ECT,包括双侧CI患者双侧ECT的第一例报道。病例系列:第一个病例涉及66岁的视力受损男性双侧CIs。他患有重度抑郁症,并伴有拒服口服药物治疗。他接受了连续9个周期的双侧电痉挛治疗,之后他的精神状况有所改善。手术后人工耳蜗功能保持不变。第二个病例涉及一名65岁女性,左侧CI和复发性抑郁症病史。她的病情随着幻听的出现和自杀倾向的增加而恶化。她接受了连续8个周期的单侧电痉挛治疗,并在右侧放置电极。她的精神状况有所改善,手术后CI阻抗无变化。结论:我们报告了2例CI使用者成功的ECT病例,其中包括首次报道的双侧植入耳蜗患者的双侧ECT病例。有必要进一步调查ECT在CI使用者中的安全性,以确保这一关键的治疗方式仍然适用于这一弱势患者群体。
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
Journal of Ect
Journal of Ect 医学-行为科学
CiteScore
3.70
自引率
20.00%
发文量
154
审稿时长
6-12 weeks
期刊介绍: ​The Journal of ECT covers all aspects of contemporary electroconvulsive therapy, reporting on major clinical and research developments worldwide. Leading clinicians and researchers examine the effects of induced seizures on behavior and on organ systems; review important research results on the mode of induction, occurrence, and propagation of seizures; and explore the difficult sociological, ethical, and legal issues concerning the use of ECT.
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