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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: andreas.conca@lkhr.at (A. Conca).
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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

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References

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