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ECT in Youth with Comorbid Medical and Neurological Disorders 

ECT in Youth with Comorbid Medical and Neurological Disorders
Chapter:
ECT in Youth with Comorbid Medical and Neurological Disorders
Source:
Electroconvulsive Therapy in Children and Adolescents
Author(s):

Daniel F. Maixner

DOI:
10.1093/med/9780199937899.003.0006

This chapter describes the relevance of medical and neurological conditions encountered in adolescents who are being considered for ECT. Although there are no absolute contraindications, it is essential that any comorbid condition is correctly identified prior to ECT treatment. There are reports about the safe administration of ECT in adolescents with space occupying lesions of the brain, seizure disorders or hydrocephalous with a ventricular shunt. Similarly, ECT has been successfully used in the presence of general medical conditions such as insulin dependent diabetes mellitus. An essential prerequisite for ECT is a physical examination of the patient with emphasis on the cardiovascular, pulmonary and neurological systems. Most psychiatric medications are either discontinued or reduced during the treatment. Additional medications are sometimes administered to manage side effects. A battery of laboratory tests is completed, while brain imaging should be performed whenever possible.

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