Hostname: page-component-6bf8c574d5-b4m5d Total loading time: 0 Render date: 2025-02-17T01:00:42.207Z Has data issue: false hasContentIssue false
  • English
  • Français

ECT response after relapse during continuation repetitive transcranial magnetic stimulation. A case report

Published online by Cambridge University Press:  16 April 2020

A. Conca ,
W. Hrubos ,
J. Di Pauli ,
P. König  and
A. Hausmann
A. Conca*
Affiliation:
Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria
W. Hrubos
Affiliation:
Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria
J. Di Pauli
Affiliation:
Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria
P. König
Affiliation:
Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria
A. Hausmann
Affiliation:
Department of General Psychiatry, University Hospital Innsbruck, Austria
*
*Corresponding author. E-mail address: [email protected] (A. Conca).
Get access

Abstract

Research on repetitive transcranial magnetic stimulation (rTMS) indicates that the treatment of non-psychotic depression is comparable to electroconvulsive therapy (ECT) in terms of short-term outcome. We report on a woman who exerted a recurrent moderate major depressive episode, 6 months after discontinuation of maintenance ECT. She responded to acute rTMS treatment which was followed by the rTMS maintenance-protocol. Within 2 months of continuation rTMS she relapsed suffering from a severe non psychotic depressive episode and had to be switched to a successful ECT. In this patient rTMS had a good clinical impact as an acute treatment strategy, but failed to prevent relapse as the continuation ECT previously did in the same patient.

Keywords

Repetitive transcranial magnetic stimulation (rTMS)Electroconvulsive therapy (ECT)Acute treatmentContinuation treatmentRecurrent major depressive disorder
Type
Case report
Information
European Psychiatry , Volume 19 , Issue 2 , April 2004 , pp. 118 - 119
Copyright
Copyright © 2004 European Psychiatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. The practice of ECT: recommendations for treatment, training and privileging. Washington (DC): American Psychiatric Press; 2001 Task force report on ECT.Google Scholar
Berman, RMNarasimhan, MSanacora, GMiano, APHoffman, REHu, XSet al.A randomized clinical trial of repetitive transcranial magnetic stimulation in the treatment of major depression. Biol Psychiatry 2000;15:332–7.CrossRefGoogle Scholar
Dannon, PNGrunhaus, LEffect of electroconvulsive therapy in repetitive transcranial magnetic stimulation non-responder MDD patients: a preliminary study. Int J Neuropsychopharmacol 2001;4(3):265–8.CrossRefGoogle ScholarPubMed
Eschweiler, GWPlewnia, CBartels, MWelche depressiven Patienten profitieren von präfrontaler repetitiver transkranieller Magnetstimula-tion (rTMS)? Fortschr Neurol Psychiat 2001;69:402–9.CrossRefGoogle Scholar
George, MLisanby, SSackeim, HTranscranial magnetic stimulation. Applications in neuropsychiatry. Arch Gen Psychiatry 1999;56:300–11.CrossRefGoogle ScholarPubMed
Janicak, PGDowd, SMMartis, BAlam, DBeedle, DKrasuski, Jet al.Repetitive transcranial magnetic stimulation versus electroconvulsive therapy for major depression: preliminary results of a randomized trial. Biol Psychiatry 2002;15(8):659–67.CrossRefGoogle Scholar
Klein, EKreinin, IChistyakov, AKoren, DMecz, LMarmur, Set al.Therapeutic efficacy of right prefrontal slow repetitive transcranial magnetic stimulation in major depression: a double-blind controlled study. Arch Gen Psychiatry 1999;56:315–20.CrossRefGoogle ScholarPubMed
Lisanby, SHMaddox, JHPrudic, JDevanand, DPSackeim, HAThe effects of electroconvulsive therapy on memory of autobiographical and public events. Arch Gen Psychiatry 2000;57(6):591–2.CrossRefGoogle ScholarPubMed
Pridmore, SBruno, RTurnier-SheaY, Reid, PRybak, MComparison of unlimited numbers of rTMS and ECT treatment sessions in major depressive episode. Int J Neuropsychopharmacol 2000;3:129–34.CrossRefGoogle ScholarPubMed
Smesny, SVolz, HPLiepert, JTauber, RHochstetter, ASauer, HRepetitive transcranial magnetic stimulation (rTMS) in the acute and long-term therapy of refractory depression—a case report. Nervenarzt 2001;72(9):734–8.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.