Intensive HF-rTMS treatment in an ECT resistant bipolar I patient with mixed episode
Received 23 September 2009; received in revised form 14 December 2009; accepted 13 January 2010. published online 11 February 2010. Uncorrected Proof
Although electroconvulsive shock therapy (ECT) remains a successful treatment strategy in medication-resistant bipolar disorder, not all patients respond well. Here, we report on a successful high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) therapy in a highly treatment-resistant bipolar I patient during a mixed episode. This case illustrates that “combative” HF-rTMS therapy could be a safe and valid treatment alternative for refractory bipolar I patients with mixed episodes.
aDepartment of Psychiatry, University Hospital, Free University of Brussels, UZBrussel, Brussels, Belgium
bDepartment of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
Correspondence: Chris Baeken. Department of Psychiatry, University Hospital (UZBrussel), Free University of Brussels (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
ABSTRACT