Little has been written regarding the safety of electroconvulsive ther
apy (ECT) administered to patients with intracranial aneurysms. The li
terature is reviewed and we report two additional cases of ECT safely
and effectively employed to treat depressed patients with intracranial
aneurysms. We found no reported cases of aneurysm rupture associated
with ECT. We do not feel the presence of intracranial aneurysm is a co
ntraindication to ECT, in most patients, with appropriate monitoring a
nd control of arterial blood pressure.