PMC3505636_01
Pre-ECT cranial magnetic resonance imaging with contrast done to rule out organic causes of depression showing normal study.
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fig1
In view of presence of chronic severe depression with recent suicidal ideations, poor response to treatment with antidepressants, and absence of psychosocial stressors, patient underwent magnetic resonance imaging (MRI) brain screening to rule out organic causes for depression (Figure 1), prior to the consideration of ECT.
Post-ECT cranial noncontrast magnetic resonance imaging showing bilateral asymmetric extensive acute subdural hematoma extending over right frontoparietal and left parietal areas with mass effect and midline shift to left.
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fig2
A cranial MRI reported bilateral asymmetric (right more than left side) extensive acute subdural hematoma over right frontoparietal and left parietal areas with mass effect and midline shift to left side (Figure 2).