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Painful Petechiae Emerging During Electroconvulsive Therapy.

A 64-year-old woman underwent a first treatment of unilateral electroconvulsive therapy (ECT) for severe depressive disorder without psychotic features. Daily medication consisted of olanzapine 10mg, trazodone 100mg, and occasionally lorazepam 1 mg. During the first ECT session, she developed painful petechiae on her right arm to which the cuff had been placed (Fig. 1). Pressure in the cuff had been 300 mmHg to prevent succinylcholine