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Volume 360:2791-2792 June 25, 2009 Number 26
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Medical Evaluation before Electroconvulsive Therapy

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by Tess, A. V.
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To the Editor: Tess and Smetana (April 2 issue)1 do not include neuroimaging in their routine evaluation of patients before electroconvulsive therapy (ECT). However, in areas where the parasite is endemic, silent, undetected neurocysticercosis is a good reason for mandatory neuroimaging before ECT. In Brazil, with the use of computed tomography (CT), magnetic resonance imaging, or both, we prospectively evaluated 91 consecutive psychiatric outpatients who were candidates for ECT. We identified hidden neurocysticercosis in six patients (7%). We detected active, multiple cystic neurocysticercosis in one patient; inactive, multiple neurocysticercosis in two patients; and a single lesion of probable inactive neurocysticercosis . . . [Full Text of this Article]



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