Vanneste, Sven and Ost, Jan and Langguth, Berthold and De Ridder, Dirk (2014) TMS by double-cone coil prefrontal stimulation for medication resistant chronic depression: A case report. NEUROCASE, 20 (1). pp. 61-68. ISSN 1355-4794, 1465-3656
Full text not available from this repository. (Request a copy)Abstract
A double-cone coil with large angled windings has been developed to modulate deeper brain areas such as the anterior cingulate cortex (ACC). Abnormal resting state activity in the pregenual ACC (pgACC), dorsal ACC (dACC) and subgenual ACC (sgACC) has been observed in depression. A patient with medication resistant chronic depression received ten sessions of transcranial magnetic stimulation (TMS) (10 Hz, 2000 stimuli/session) using a double-cone coil placed over the supplementary motor area, targeting the anterior cingulate. Source localized EEG recordings were conducted pre- and post-TMS. The Beck Depression Inventory (BDI-II) improved by 27%, and the two subscales of the Hospital Anxiety Depression Scale (HADS), namely depression (40%) and anxiety (33%) improved as well. Along with the clinical improvement eletrophysiological resting state activity changed in the dACC and sgACC in this patient in comparison to a normative group. The results of this case report further support the involvement of pgACC, dACC and sgACC activity in the pathophysiology of depression and indicate that modulation of neural activity in this area by high frequency TMS with a double-cone coil might represent a new promising approach in the treatment of medication resistant chronic depression.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TRANSCRANIAL MAGNETIC STIMULATION; ANTERIOR CINGULATE CORTEX; DEEP-BRAIN-STIMULATION; POSTTRAUMATIC-STRESS-DISORDER; MAJOR DEPRESSION; ELECTROMAGNETIC TOMOGRAPHY; PSYCHOLOGICAL DISTRESS; TREATMENT RESPONSE; HOSPITAL ANXIETY; HEALTHY-SUBJECTS; Depression; Double-cone coil; TMS; Source localization |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Nov 2019 10:44 |
| Last Modified: | 28 Nov 2019 10:44 |
| URI: | https://pred.uni-regensburg.de/id/eprint/10838 |
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