Detailed Information on Publication Record
2018
Efficacy and Safety of Intensive Transcranial Magnetic Stimulation
SVĚRÁK, Tomáš and Libor USTOHALBasic information
Original name
Efficacy and Safety of Intensive Transcranial Magnetic Stimulation
Authors
SVĚRÁK, Tomáš (203 Czech Republic, guarantor, belonging to the institution) and Libor USTOHAL (203 Czech Republic, belonging to the institution)
Edition
Harvard Review of Psychiatry, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2018, 1067-3229
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30215 Psychiatry
Country of publisher
Czech Republic
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 2.507
RIV identification code
RIV/00216224:14110/18:00102192
Organization unit
Faculty of Medicine
UT WoS
000422646900003
Keywords in English
efficacy; intensive treatment; nomenclature; repetitive transcranial magnetic stimulation; safety
Tags
International impact, Reviewed
Změněno: 12/3/2019 10:07, Mgr. Pavla Foltynová, Ph.D.
Abstract
V originále
Repetitive transcranial magnetic stimulation (rTMS) is customarily applied on a daily basis for prolonged periods of time for the treatment of psychiatric diseases. The process is demanding in terms of staff and patient time, and the onset of the effect is slow. Recently, intensive rTMS protocols have been introduced in which stimulation is applied to the same area more than once a day with a higher than standard number of pulses. This article reviews 16 articles to determine the safety and efficacy of such protocols. Intensive rTMS seems to be effective in various mental disorders. It appears to have, in general, the same adverse events as classic, long-term, daily rTMS, and it is largely well tolerated by the patients. One episode of depersonalization, one of increased suicidal thoughts, and two of induced mania were observed in the 16 studies reviewed. The advantages of intensive rTMS are in the possible acute effect of the stimulation and in the possible reduction in the time required to achieve remission in depression (and potentially other disorders). It remains uncertain whether intensive rTMS is more effective than sham stimulation or once-daily, long-term rTMS.