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Status epilepticus, electroconvulsive therapy and malignant melanoma

Published online by Cambridge University Press:  13 June 2014

Kenneth R Kaufman  and
Aviva Olsavsky
Kenneth R Kaufman*
Affiliation:
Departments of Psychiatry, Neurology and Anaesthesiology, UMDNJ-Robert Wood Johnson Medical School, 125 Paterson Street Suite #2200, New Brunswick, NJ 08901, USA
Aviva Olsavsky
Affiliation:
Department of Neurology, Neurological Institute, Columbia University, 710 W 168th Street, New York, NY 10032, USA
*
*Correspondence E-mail: kaufmakr@umdnj.edu
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Abstract

Status epilepticus (SE), both convulsive and nonconvulsive, is a rare adverse effect of electroconvulsive therapy (ECT). This case report describes SE post-ECT associated with central nervous system (CNS) metastatic melanoma and reviews pertinent literature. The authors recommend that when CNS pathology is suspected, pre-ECT neurology consultation, neuroimaging, and EEG all may be indicated. This is especially important for patients with histories of primary cancers, such as melanoma, that metastasise to the brain.

Keywords

ECTStatus epilepticusMelanomaCNS pathologyEEGNeuroimagingCTMRISeizure DurationDepression
Type
Case Reports
Information
Irish Journal of Psychological Medicine , Volume 26 , Issue 2 , June 2009 , pp. 87 - 89
Copyright
Copyright © Cambridge University Press 2009

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