Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years

The safety and efficacy of electroconvulsive therapy (ECT) in patients with a brain tumor have been debated in the past without a clear conclusion. In the last large review published by Maltbie et al. in 1980, it was concluded that the presence of an intracranial mass should be considered an absolut...

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Main Authors: Jozef Buday, Jakub Albrecht, Tadeas Mareš, Gabriela Podgorná, Klara Horáčková, Lucie Kališová, Jiri Raboch, Martin Anders
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2020.00723/full
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author Jozef Buday
Jakub Albrecht
Tadeas Mareš
Gabriela Podgorná
Klara Horáčková
Lucie Kališová
Jiri Raboch
Martin Anders
author_facet Jozef Buday
Jakub Albrecht
Tadeas Mareš
Gabriela Podgorná
Klara Horáčková
Lucie Kališová
Jiri Raboch
Martin Anders
author_sort Jozef Buday
collection DOAJ
description The safety and efficacy of electroconvulsive therapy (ECT) in patients with a brain tumor have been debated in the past without a clear conclusion. In the last large review published by Maltbie et al. in 1980, it was concluded that the presence of an intracranial mass should be considered an absolute contraindication to ECT. In our updated review, we investigated a total of 33 published and indexed case reports, case report series, and reviews of 75 individual patients who underwent ECT in the presence of a brain tumor over the last 80 years. Mounting case reports after the original Maltbie et al. review show that it is feasible to apply this method safely in patients with benign or otherwise clinically insignificant lesions. Certain precautionary measures, such as dexamethasone or phenytoin application before ECT, could lead to a further minimalization or even absence of adverse effects, particularly in higher risk individuals.
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spelling doaj.art-ad9b6a1bc3d045c4bdb850f0effbe0232022-12-22T00:01:00ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-07-011110.3389/fneur.2020.00723554217Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 YearsJozef BudayJakub AlbrechtTadeas MarešGabriela PodgornáKlara HoráčkováLucie KališováJiri RabochMartin AndersThe safety and efficacy of electroconvulsive therapy (ECT) in patients with a brain tumor have been debated in the past without a clear conclusion. In the last large review published by Maltbie et al. in 1980, it was concluded that the presence of an intracranial mass should be considered an absolute contraindication to ECT. In our updated review, we investigated a total of 33 published and indexed case reports, case report series, and reviews of 75 individual patients who underwent ECT in the presence of a brain tumor over the last 80 years. Mounting case reports after the original Maltbie et al. review show that it is feasible to apply this method safely in patients with benign or otherwise clinically insignificant lesions. Certain precautionary measures, such as dexamethasone or phenytoin application before ECT, could lead to a further minimalization or even absence of adverse effects, particularly in higher risk individuals.https://www.frontiersin.org/article/10.3389/fneur.2020.00723/fullECTbrain tumorabnormal recoveryECT safetyECT and cancer
spellingShingle Jozef Buday
Jakub Albrecht
Tadeas Mareš
Gabriela Podgorná
Klara Horáčková
Lucie Kališová
Jiri Raboch
Martin Anders
Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
Frontiers in Neurology
ECT
brain tumor
abnormal recovery
ECT safety
ECT and cancer
title Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
title_full Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
title_fullStr Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
title_full_unstemmed Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
title_short Brain Tumors and Electroconvulsive Therapy: A Literature Overview of the Last 80 Years
title_sort brain tumors and electroconvulsive therapy a literature overview of the last 80 years
topic ECT
brain tumor
abnormal recovery
ECT safety
ECT and cancer
url https://www.frontiersin.org/article/10.3389/fneur.2020.00723/full
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