Electroconvulsive Therapy (Ect)

Brain tumour

Intracranial SOL 

Between 80% and 90% of all ECT treatments are performed for the treatment of major depressive disorder.

There are no absolute contraindications to the use of ECT. With appropriate preparation, ECT can be used effectively and safely in both pregnant and elderly patients. Pheochromocytoma is a relative contraindication for ECT.

B i.e. Depression with sucidal tendency

D i.e. Delusional Depression

C i.e. Acute depression

A i.e. Chronic schizophrenia

C i.e. Shortens durations

B i.e. Depression

A, B i.e. Psychotic depression, Catatonic schizophrenia

B i.e. Brain tumor

C i.e. Raised Intracranial tension

C i.e. Both

B i.e. Retrograde amnesia

B i.e. Few weeks to few months 

Ans. is ‘d’ i.e., Cerebral aneurysm

Contraindications of ECT

• Absolute : – Increased intracranial tension.cerebrovascular response to ECT include marked increased in cerebral blood flow and blood flow velocity. Cerebral oxygen consumption increases as well. The rapid increase in systemic blood pressure may transiently overwhelm cerebral autoregulation and may result in increased in intracranial pressure. Therefore, the use of ECT is prohibited in patients with known space occupying lesion (brain tumor) or head injury, cerebral (intracranial) aneurysm.
• Relative : – Recent myocardial infarction, severe hypertension, cerebrovascular accident, severe pulmonary disease, Retinal detachment, Pheochromocytoma.

Ans. is ‘b’ i.e., Raised ICT

Ans. is ‘d’ i.e., Sever manic attack

Indications of ECT

• Severe depression with suicial risk or with psychotic features or with stupor.
• Some types of schizophrenia (catatonic or paranoid)
• Schizophrenic or depressive stupor
• Severe catatonia with stupor
• Severe psychoses (schizophrenia or mania) with risk of suicide or homicide or physical assault.