ECT after cerebral aneurysm repair.

Cerebral aneurysms or recent surgical repair of aneurysms are relative contraindications for electroconvulsive therapy (ECT), yet the literature contains at least three cases in which ECT resulted in no known CNS complications. The following case describes a course of ECT in a patient 4 months after he had undergone surgical repair of a posterior cerebral artery aneurysm. Blood pressure control in patients with CNS aneurysms and repaired aneurysms can be achieved through choice of anesthetic agent, and intravenous antihypertensives, thus reducing the risk of cerebrovascular complications.