Out on PubMed today is this small case series from Japan:
Electroconvulsive therapy in patients with cerebral aneurysms taking an anticoagulant or antiplatelet-report on three cases and review of the literature. Hirata T, Yasuda K, Uemura T, Ueda T, Aruga Y, Shioe R, Tamaoki T, Suzuki T. Psychiatry Res. 2020 Apr 19;288:113022. doi: 10.1016/j.psychres.2020.113022. [Epub ahead of print] No abstract available.
PMID: 32335467
The pdf is here.
The report describes safe ECT in 3 patients with small, incidental cerebral aneurysms who were on
concurrent anticoagulation (this was stopped in one of the 3). The letter-to-the editor is short on details of the treatments; there is no mention of blood pressure control strategies, for example.
Such case reports and the accompanying literature review are helpful resources for partitioners when treating patients with known cerebral aneurysms.
Given the number of patients who have likely been treated with unknown small, cerebral aneurysms
and the remarkably rare association of ECT with any type of stroke or intracranial bleeding, the safety of ECT is again highlighted.
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