Successful administration of electroconvulsive therapy in a patient with treatment-resistant schizophrenia and coexisting myasthenia gravis

Sreeraj, Vanteemar S.; Venkataramaiah, Sudhir; Sunka, Aditya; Sriganesh, Kamath; Rao, Naren P.

doi:10.4103/psychiatry.indianjpsychiatry_215_19

Indian J Psychiatry

2019

DOI: 10.4103/psychiatry.indianjpsychiatry_215_19

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Successful administration of electroconvulsive therapy in a patient with treatment-resistant schizophrenia and coexisting myasthenia gravis

Vanteemar S. Sreeraj

Sudhir Venkataramaiah

Aditya Sunka

et al.

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Cited by 2 publications

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Safety of electroconvulsive therapy in the context of physiological and medical complexity: A state‐of‐the art review

Elias,

Das,

Kirkland

et al. 2025

PCN Reports

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Medical contraindications and complications pose challenges for electroconvulsive therapy (ECT). Most published reports are scattered across various physiological systems and individual disease conditions. This review aimed to evaluate the literature on physiological and medical complexities during ECT and discuss risk mitigation strategies in a comprehensive review. We searched PubMed and Embase for contraindications and precautions during ECT with relevant MeSH terms and appraised previous reviews on the same topic. The results suggest that mortality directly attributed to ECT is extremely rare. Instances of fatalities, including fetal deaths, have been reported after ECT in the presence of recent myocardial infarction, deep vein thrombosis, intracranial aneurysm and tumors, pheochromocytoma, sepsis, and pregnancy. However, there are no definite conclusions or consensus on attributions of the outcomes to ECT in all cases because of the time lag between the treatment and deaths and confounding factors. The risks can be mitigated with safety protocols, adequate stakeholder communication, collaboration with anesthetists and specialists, consultation‐liaison services, and ECT education. Overall, ECT remains a relatively safe treatment even in the presence of medical and physiological complexities. In rare instances, certain medical conditions may indicate a high risk for ECT, where practitioners avoid the treatment or administer it with precautions if the risk‐benefit ratio favors its use.

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Safety of electroconvulsive therapy in the context of physiological and medical complexity: A state‐of‐the art review

Elias,

Das,

Kirkland

et al. 2025

PCN Reports

View full text Add to dashboard Cite

show abstract

Brief psychotic disorder revealing a SARS-COV-2 encephalopathy in a patient with myasthenia gravis: A case report

et al. 2023

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Successful administration of electroconvulsive therapy in a patient with treatment-resistant schizophrenia and coexisting myasthenia gravis

Cited by 2 publications

References 6 publications

Safety of electroconvulsive therapy in the context of physiological and medical complexity: A state‐of‐the art review

Safety of electroconvulsive therapy in the context of physiological and medical complexity: A state‐of‐the art review

Brief psychotic disorder revealing a SARS-COV-2 encephalopathy in a patient with myasthenia gravis: A case report

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