Electroconvulsive therapy in patients with deep brain stimulators

J ECT. 2014 Sep;30(3):e16-8. doi: 10.1097/YCT.0000000000000074.


The scope of functional neurosurgery is expanding, and deep brain stimulation (DBS) indications with comorbid depressive disorders that are challenging to manage, such as movement disorders, are common. There is limited research or clinical experience on the safety and efficacy of electroconvulsive therapy (ECT) in patients with DBS electrodes. We present a case illustrating the challenges when faced with ECT for treatment-resistant depression in the context of preexisting DBS electrodes, and establish a database to collect cases of ECT in DBS patients.

Publication types

  • Case Reports

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Combined Modality Therapy
  • Deep Brain Stimulation*
  • Depressive Disorder, Major / therapy*
  • Electroconvulsive Therapy*
  • Electroencephalography
  • Globus Pallidus
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / therapy*
  • Torticollis / therapy*


  • Antipsychotic Agents