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

Journal: Neurocase 1-7(2012)

Authors: :F.S Bersani, N Girardi, L Sanna, L Mazzarini, C Santucci, G.D Kotzalidis, G Sani, P De Rossi, R.N Raccah, S.S Caltagirone, M Battipaglia, S Capezzuto, G Bersani, P Girardi

Background:

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.

Objective:

This report aimed to assess efficacy and safety of daily add-on dTMS in relieving drug-resistant bipolar depression, and its ability to protect from episodes of either polarity during a 3-month maintenance period, with fortnightly sessions, and during another 3-month period, with no dTMS sessions and only continuation drug treatment.

Methods:

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.

Results:

Depressive symptoms improved rapidly and response was maintainedduring the next 6 months. Cognitive performances also improved.

Conclusions:

This report suggests that add-on dTMS may help overcoming drug-resistance in bipolar depression and protect from subsequent bipolar episodes of any polarity.

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