Electroconvulsive therapy in patients with multiple sclerosis |
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Authors: | Rasmussen Keith G Keegan B Mark |
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Affiliation: | Department of Psychiatry and Psycology, Mayo Clinic, Rochester, MN 55905, USA. rasmussen.keith@mayo.edu |
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Abstract: | There are relatively few case reports of electroconvulsive therapy (ECT) in patients with multiple sclerosis. We present 3 such patients, all of whom received safe, effective ECT without evidence of acute neurological deterioration. We conclude that patients with multiple sclerosis being considered for ECT should have a thorough neurological evaluation, and the informed consent process should include discussion of the possibility of neurological deterioration. However, review of the literature and of our 3 cases does reveal that ECT can be used safely, at least in the short term. Long-term outcomes in such patients remain uncertain. |
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