Therapeutic efficacy of bilateral prefrontal slow repetitive transcranial magnetic stimulation in depressed patients with Parkinson's disease: An open study

Recent studies have suggested that both high‐ and low‐frequency repetitive transcranial magnetic stimulation (rTMS) have antidepressant effects in patients with major depression. We conducted an open study to assess the effects of slow rTMS on mood changes in patients with depression associated with...

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Veröffentlicht in:Movement disorders 2002-05, Vol.17 (3), p.528-532
Hauptverfasser: Dragaševic, Nataša, Potrebić, Aleksandra, Damjanović, Aleksandar, Stefanova, Elka, Kostić, Vladimir S.
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container_end_page 532
container_issue 3
container_start_page 528
container_title Movement disorders
container_volume 17
creator Dragaševic, Nataša
Potrebić, Aleksandra
Damjanović, Aleksandar
Stefanova, Elka
Kostić, Vladimir S.
description Recent studies have suggested that both high‐ and low‐frequency repetitive transcranial magnetic stimulation (rTMS) have antidepressant effects in patients with major depression. We conducted an open study to assess the effects of slow rTMS on mood changes in patients with depression associated with Parkinson's disease (PD). Ten depressed patients with PD (four with major depression and six with dysthymia) received daily sessions of rTMS (frequency, 0.5 Hz; pulse duration, 0.1 msec; field intensity, 10% above the motor threshold) over both prefrontal regions (a total of 100 stimuli per prefrontal region daily) over 10 consecutive days. This treatment resulted in a moderate but significant decrease in scores of the Hamilton Depression Rating Scale (33–37%) and the Beck Depression Inventory (24–34%), which persisted 20 days after finishing the stimulation. In parallel, we observed mild improvement (18–20%) of motor symptoms. No significant adverse effects were reported. These preliminary results suggest the therapeutic potential of daily prefrontal low‐frequency rTMS (0.5 Hz) in depression associated with PD. © 2002 Movement Disorder Society
doi_str_mv 10.1002/mds.10109
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Disord</addtitle><description>Recent studies have suggested that both high‐ and low‐frequency repetitive transcranial magnetic stimulation (rTMS) have antidepressant effects in patients with major depression. We conducted an open study to assess the effects of slow rTMS on mood changes in patients with depression associated with Parkinson's disease (PD). Ten depressed patients with PD (four with major depression and six with dysthymia) received daily sessions of rTMS (frequency, 0.5 Hz; pulse duration, 0.1 msec; field intensity, 10% above the motor threshold) over both prefrontal regions (a total of 100 stimuli per prefrontal region daily) over 10 consecutive days. This treatment resulted in a moderate but significant decrease in scores of the Hamilton Depression Rating Scale (33–37%) and the Beck Depression Inventory (24–34%), which persisted 20 days after finishing the stimulation. In parallel, we observed mild improvement (18–20%) of motor symptoms. 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subjects Aged
Biological and medical sciences
depression
Depressive Disorder - etiology
Depressive Disorder - therapy
Diseases of the nervous system
Female
Humans
Male
Medical sciences
Middle Aged
Parkinson Disease - complications
Parkinson Disease - psychology
Parkinson's disease
Physical Stimulation - methods
Prefrontal Cortex
Psychiatric Status Rating Scales
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
transcranial magnetic stimulation
Transcranial Magnetic Stimulation - therapeutic use
Treatment Outcome
title Therapeutic efficacy of bilateral prefrontal slow repetitive transcranial magnetic stimulation in depressed patients with Parkinson's disease: An open study
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