ECT response after relapse during continuation repetitive transcranial magnetic stimulation. A case report. |
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Authors: | A Conca W Hrubos J Di Pauli P K?nig A Hausmann |
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Affiliation: | Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria. andreas.conca@lkhr.at |
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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. |
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