Deep Transcranial Magnetic Stimulation for treatment-resistant bipolar depression: A case report of acute and maintenance efficacy

被引:31
作者
Bersani, Francesco Saverio [1 ]
Girardi, Nicoletta [1 ]
Sanna, Livia [2 ]
Mazzarini, Lorenzo [2 ,3 ]
Santucci, Chiara [2 ]
Kotzalidis, Giorgio D. [2 ]
Sani, Gabriele [2 ]
De Rossi, Pietro [2 ,6 ]
Raccah, Ruggero N. [4 ]
Caltagirone, Saverio Simone [2 ]
Battipaglia, Mariella [2 ]
Capezzuto, Silvia [3 ]
Bersani, Giuseppe [5 ]
Girardi, Paolo [2 ,3 ]
机构
[1] Univ Roma La Sapienza, Dept Neurol & Psychiat, I-00185 Rome, Italy
[2] Univ Roma La Sapienza, NESMOS Dept Neurosci Mental Hlth & Sensory Organs, Sch Med & Psychol, St Andrea Hosp, I-00185 Rome, Italy
[3] Suore Hosp Sacred Heart Jesus, Dept Neuropsychiat, Viterbo, Italy
[4] ATID Ltd Adv Technol Innovat Distribut, Rome, Italy
[5] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy
[6] NIMH, Bethesda, MD 20892 USA
关键词
Deep Transcranial Magnetic Stimulation; Treatment-resistant bipolar disorder; Bipolar depression; Prefrontal cortex; Maintenance treatment of bipolar disorder; BRAIN-REGIONS; RATING-SCALE; H-COIL; ADD-ON; DISORDER; FEASIBILITY; ECT; DEFINITION; IMPAIRMENT; SYMPTOMS;
D O I
10.1080/13554794.2012.690429
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Deep Transcranial Magnetic Stimulation (dTMS) is currently being evaluated as a possible treatment for several neuropsychiatric disorders and has been demonstrated as a safe and effective procedure. This case presents a patient with bipolar depression that has been treated with 20 daily consecutive dTMS sessions and with one dTMS session every 2 weeks for the following 3 months. Depressive symptoms improved rapidly and response was maintained during the next 6 months; cognitive performances also improved. This report suggests that add-on dTMS may help overcoming drug-resistance in bipolar depression and protect from subsequent bipolar episodes of any polarity.
引用
收藏
页码:451 / 457
页数:7
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