Citation

Harmandayan M, Romanowicz M, Sola C. Gen. Hosp. Psychiatry 2012; 34(1): 102.e5-102.e6.

Copyright

(Copyright © 2012, Elsevier Publishing)

DOI

10.1016/j.genhosppsych.2011.08.006

PMID

unavailable

Abstract

Post-stroke depression is a potentially persistent complication of stroke. Electroconvulsive therapy (ECT) is an effective treatment for depression, but with limited data regarding safety in stroke patients. We report the case of a 30-year-old woman with a history of stroke and antiphospholipid syndrome, who became depressed and suicidal. Neurologic and Internal Medicine consults did not reveal any contraindications to ECT, but stroke risk factor management was identified as an important measure for patient safety. The patient tolerated ECT well, reporting improvement of mood and abatement of hopelessness. This case suggests that ECT may be a safe and well-tolerated treatment for post-stroke depression. © 2012 Elsevier Inc.

Language: en

Keywords

adult; human; female; case report; psychotherapy; suicidal ideation; depression; Post-stroke depression; stroke; suicide attempt; treatment outcome; Electroconvulsive therapy; hopelessness; obesity; migraine; fatigue; article; anticonvulsive agent; clinical feature; physical examination; anxiety disorder; sleep disorder; electroconvulsive therapy; seizure; trazodone; follow up; drug withdrawal; duloxetine; hyperlipidemia; electroencephalography; anhedonia; tobacco dependence; memory disorder; medical history; post stroke depression; limb weakness; antiphospholipid syndrome; Antiphospholipid syndrome