Experience of electroconvulsive therapy in a case of glioblastoma multiforme
Notice bibliographique
Résumé
Electroconvulsive therapy (ECT) is an effective treatment for depression although its use in brain tumors is controversial. The case presented is of an elderly woman with a highly malignant brain tumor who received ECT prior to the tumor's detection An 80-year-old female was admitted to a psychiatric facility in March 2001 after a 9-month history of depression. A screening computed tomography (CT) of the head, performed on 7 May, was normal. Following an unsuccessful course of medication therapy the patient received seven right unilateral ECT from 6–22 June. Her mood improved but she became more confused and after repeated falls an enhanced CT scan, on 29 June, showed a tumor of the corpus callosum. She was discharged home but declined and was admitted to a downtown teaching hospital on 18 July 2001. She was seen by the consultation-liaison service who felt she was both demented and depressed. Paroxetine was started with good effect. Repeat CT was done on 18 July and an MRI, done on 20 July, confirmed the presence of a corpus callosum lesion. A brain biopsy in early August was positive for glioblastoma multiforme. Glioblastoma multiforme is a rapidly progressive tumor with an average life expectancy of 6–12 months.1 The use of ECT in the presence of an intracranial mass is controversial.2 Case reports have shown significant morbidity and mortality associated with the use of ECT in brain tumors, including a review by Maltbie who examined 35 cases and concluded a 74% morbidity rate and 28% 1-year mortality rate post-ECT.3 Successful use of ECT in patients with non-invasive brain tumors has been documented, including a prospective review by Mattingly of 10 patients.4 ECT was used successfully to treat a 61-year-old man with a malignant left temporal anaplastic astrocytoma, although the procedure was modified to reduce adverse effects.5 In this case the patient's mood improved briefly but it was not sustained. Furthermore, there was significant post-treatment confusion and her neurologic state declined rapidly. This case illustrates that patients with malignant brain tumors may do poorly with ECT, reinforcing the importance of excluding these lesions.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,002 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».