May 25, 2012

Treatment of post-electroconvulsive therapy headache with topical methyl salicylate

The Journal of ECT
Christopher J Logan, Jonathan T Stewart


Headache after administration of electroconvulsive therapy (ECT) is common, affecting approximately half of patients treated. Post-ECT headache is typically treated with acetaminophen or nonsteroidal anti-inflammatory drugs but occasionally requires agents such as sumatriptan, opioids, or β-blockers. We report on a patient whose severe post-ECT headaches responded completely to methyl salicylate ointment, applied to the area of his temporalis and masseter muscles. Topical methyl salicylate is generally well tolerated and may be a viable option for some patients with post-ECT headache.

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Mentioned in this Paper

Involutional Paraphrenia
Analgesics, Anti-Inflammatory
Methyl salicylate
Anti-Inflammatory Agents, Non-Steroidal
Administration, Topical
Structure of Temporalis Muscle
Opioid analgesics

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