ECT in a patient with a meningioma and Takotsubo cardiomyopathy

Abstract

There are few studies that look at the use of electroconvulsive therapy (ECT) in elderly patients with a comorbid meningioma or other intracranial tumour, with the dilemma being whether or not to do ECT. This case notes article examines the ECT management of an elderly lady with severe depression, coexisting Takotsubo cardiomyopathy, and an incidental finding of a frontal meningioma. The authors detail the multidisciplinary approach necessary for managing a patient with coincident psychiatric, cardiac and neurological diagnoses and the implications for practice.