Conca A, Hrubos W, Di Pauli J, König P, Hausmann A
Department of Psychiatry I, Regional Hospital of Rankweil, LKH Rankweil, Valunastr. 16, Rankweil 6830, Austria.
Eur Psychiatry. 2004 Apr;19(2):118-9. doi: 10.1016/j.eurpsy.2003.07.012.
Research on repetitive transcranial magnetic stimulation (rTMS) indicates that the treatment of non-psychotic depression is comparable to electroconvulsive therapy (ECT) in terms of short-term outcome. We report on a woman who exerted a recurrent moderate major depressive episode, 6 months after discontinuation of maintenance ECT. She responded to acute rTMS treatment which was followed by the rTMS maintenance-protocol. Within 2 months of continuation rTMS she relapsed suffering from a severe non psychotic depressive episode and had to be switched to a successful ECT. In this patient rTMS had a good clinical impact as an acute treatment strategy, but failed to prevent relapse as the continuation ECT previously did in the same patient.
重复经颅磁刺激（rTMS）的研究表明，在短期疗效方面，非精神病性抑郁症的治疗与电休克疗法（ECT）相当。我们报告了一名女性，在维持性ECT停止6个月后，出现了复发性中度重度抑郁发作。她对急性rTMS治疗有反应，随后采用了rTMS维持方案。在继续进行rTMS的2个月内，她复发，患上了严重的非精神病性抑郁发作，不得不改用成功的ECT治疗。在该患者中，rTMS作为一种急性治疗策略产生了良好的临床效果，但未能像之前同一患者的维持性ECT那样预防复发。
