South Florida Psychiatrist, Dr. Gregory Marsella at Chrysalis TMS Institute using Advanced TMS and rTMS Technology as an Alternative Treatment for many Psychiatric and Neurological Disorders

News Wire

Call Us Today at 561-394-2532 to begin your transformation

Euphoric Mania Alternative Treatment with Rapid Transcranial Magnetic Stimulation (rTMS) in South Florida with Dr. Gregory Marsella

TMS treatment as an alternative treatment for Bipolar Depression and Mania with South Florida Psychiatrist, Dr. Gregory Marsella at Chrysalis TMS Institute in Boca Raton

ANdrEAS ERFURTH, M.D.; NIKOLAUS MICHAEL, M.D.; CHRISTIAN MOSTERT, M.D.; VOLKER AROLT, M.D.

Grisaru et al. reported antimanic effects from rapid transcranial magnetic stimulation (rTMS) of the right prefrontal cortex. In a 14-day double-blind trial, right and left prefrontal stimulations were compared in patients receiving repeated rapid transcranial magnetic stimulation (rTMS) in addition to antimanic drug treatment. We report here on a patient with euphoric mania that was refractory to treatment with sulthiame who experienced marked improvement during monotreatment with right prefrontal rapid transcranial magnetic stimulation (rTMS).

Ms. A was a 59-year-old woman with a diagnosis of bipolar I disorder. After her first and only depressive episode, which developed postpartum at age 35, she experienced at least four severe manic episodes. Eight weeks before hospital admission she developed euphoric mania despite lithium treatment. Lithium treatment was discontinued, and a trial with the antiepileptic drug sulthiame was initiated—unfortunately, with no effect after 3 weeks of treatment. Sulthiame treatment was tapered off, and monotreatment with rapid transcranial magnetic stimulation (rTMS) was begun.

Her sleep disturbance and thought disorder seemed to respond particularly well to rapid transcranial magnetic stimulation (rTMS). Ms. A was dismissed from the hospital ward.

Although new strategies in the treatment of acute mania are clearly needed, Grisaru et al.'s observation that add-on treatment with right prefrontal rapid transcranial magnetic stimulation (rTMS) is effective in treating mania (showing laterality opposite to the proposed effect of rapid transcranial magnetic stimulation (rTMS) in depression) deserves particular interest. In this case, repeated monotreatment with right prefrontal rapid transcranial magnetic stimulation (rTMS) was effective and well tolerated in a patient with euphoric mania.

Page 2 of 212