scholarly journals Transcranial magnetic stimulation–associated mania with psychosis: A case report

2021 ◽  
Vol 11 (6) ◽  
pp. 373-375
Author(s):  
Erin D. Knox ◽  
Robert G. Bota

Abstract Transcranial magnetic stimulation (TMS) is a noninvasive procedure used in the treatment of depression. We observed TMS-associated mania with psychotic symptoms in a 55-year-old male diagnosed with MDD and generalized anxiety disorder without history of psychosis or mania. Owing to poor pharmacotherapeutic response and worsening symptomatology, TMS was introduced while continuing phenelzine; this was initially successful in demonstrating positive effects on mood. However, the patient began to develop symptoms consistent with mania with psychosis and was hospitalized. Both TMS and phenelzine were discontinued, leading to significant improvement of the symptoms of mania and psychosis. Phenelzine was later reintroduced for maintenance treatment of depression and anxiety, with no recurrence of mania or psychosis. This case report implicates TMS as a possible cause of mania and psychosis symptoms.

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 284 ◽  
Author(s):  
Noah S. Philip ◽  
S. Louisa Carpenter

Repetitive transcranial magnetic stimulation (rTMS) is a comparatively novel option for the treatment of major depressive disorder (MDD) and other psychiatric illnesses. Previous research has shown rTMS to be safe and without significant side effects compared to pharmacologic options. However, rare cases of rTMS-induced mania have been reported. This case report describes such an affective switch in a 52 year old female veteran with treatment-resistant MDD and a history of electroconvulsive therapy (ECT)-induced mania. Six treatments of rTMS were administered at 5 Hz for a total of 3000 pulses per day, when the patient began to display multiple hypomanic symptoms. These symptoms decreased after the termination of treatment and abated within a couple of days. In conclusion, caution should be used when administering rTMS to patients with a history of ECT-induced mania.


2016 ◽  
Vol 9 (1) ◽  
pp. 141-143
Author(s):  
James K. Rustad ◽  
Mark Weisman ◽  
Kimberly Van Trees ◽  
Jaffrey Hashimie ◽  
Anjali Nirmalani-Gandhy ◽  
...  

CNS Spectrums ◽  
2004 ◽  
Vol 9 (5) ◽  
pp. 375-376 ◽  
Author(s):  
Alejandro M. Jiménez-Genchi

AbstractDepersonalization disorder is a poorly understood and treatment-resistant condition. This report describes a patient with depersonalization disorder who underwent six sessions of repetitive transcranial magnetic stimulation on the left dorsolateral prefrontal cortex. Repetitive transcranial magnetic stimulation produced a 28% reduction on depersonalization scores.


Neurology ◽  
2017 ◽  
Vol 89 (20) ◽  
pp. 2115-2117 ◽  
Author(s):  
Shalini Narayana ◽  
Basanagoud Mudigoudar ◽  
Abbas Babajani-Feremi ◽  
Asim F. Choudhri ◽  
Frederick A. Boop

2016 ◽  
Vol 263 (4) ◽  
pp. 816-817 ◽  
Author(s):  
Cecilia Bonnet ◽  
Francine Mesrati ◽  
Emmanuel Roze ◽  
Cécile Hubsch ◽  
Bertrand Degos

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