Lowering the seizure threshold in electroconvulsive therapy using transcranial magnetic stimulation: A case report |
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| Authors: | J. Albrecht J. Buday T. Mareš L. Kališová J. Raboch M. Anders |
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| Affiliation: | Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia |
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| Abstract: | We demonstrate the feasibility of lowering the seizure threshold using a combined approach of electroconvulsive therapy and transcranial magnetic stimulation. High-frequency transcranial magnetic stimulation of the supplementary motor area shortly before each electroconvulsive treatment session resulted in a reduction of the seizure threshold by half in a male patient with a severe psychotic depressive episode of bipolar affective disorder. |
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| Keywords: | RUL ECT Ultra-brief pulse Adverse effect Lowering seizure threshold TMS pre-stimulation |
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