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Letters   |    
Repetitive Transcranial Magnetic Stimulation for the Treatment of Catatonia: an Alternative Treatment to Electroconvulsive Therapy?
Benoit Trojak, M.D., Ph.D.; Vincent Meille, M.D.; Bernard Bonin, M.D., Ph.D.; Jean-Christophe Chauvet-Geliner, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E42-E43. doi:10.1176/appi.neuropsych.13050102
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The authors report no financial relationships with commercial interests.

Dept. of Psychiatry and Addictology, University Hospital of Dijon, Dijon, France
EA 4452, Laboratory of Psychopathology and Medical Psychology, University of Burgundy, Dijon, France

Dept. of Psychiatry and Addictology, University Hospital of Dijon, France

Dept. of Psychiatry and Addictology, University Hospital of Dijon, Dijon, France
EA 4452, Laboratory of Psychopathology and Medical Psychology, University of Burgundy, Dijon, France

Send correspondence to Dr. Trojak; e-mail: benoit.trojak@chu-dijon.fr

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Four catatonic patients have been successfully treated with repetitive transcranial magnetic stimulation (rTMS) (Table 1).14 In each of these patients, the authors reported that stimulation of the dorso-lateral prefrontal cortex (DLPFC) led to a spectacular improvement after only seven to 10 high-frequency sessions. It has, therefore, been suggested that rTMS may be a therapeutic alternative for the treatment of catatonic disorders.2

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TABLE 1.Case Reports of Catatonic Patients Treated With Repetitive Transcranial Magnetic Stimulation14
Table Footer Note

p/s: pulses per session; MT: motor threshold; DLPFC: dorsolateral prefrontal cortex; L: left; R: right; OFC: orbitofrontal cortex.

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References

Grisaru  N;  Chudakov  B;  Yaroslavsky  Y  et al:  Catatonia treated with transcranial magnetic stimulation.  Am J Psychiatry 1998; 155:1630
[PubMed]
 
Saba  G;  Rocamora  JF;  Kalalou  K  et al:  Catatonia and transcranial magnetic stimulation.  Am J Psychiatry 2002; 159:1794
[CrossRef] | [PubMed]
 
Di Michele  V;  Bolino  F:  A novel treatment option of bipolar depression with psychotic and catatonic features.  Gen Hosp Psychiatry 2006; 28:364–365
[CrossRef] | [PubMed]
 
Kate  MP;  Raju  D;  Vishwanathan  V  et al:  Successful treatment of refractory organic catatonic disorder with repetitive transcranial magnetic stimulation (rTMS) therapy.  J Neuropsychiatry Clin Neurosci 2011; 23:E2–E3
[CrossRef] | [PubMed]
 
Daniels  J:  Catatonia: clinical aspects and neurobiological correlates.  J Neuropsychiatry Clin Neurosci 2009; 21:371–380
[CrossRef] | [PubMed]
 
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