Influencing negative symptoms of schizophrenia with repetitive transcranial magnetic stimulation: a case study

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Authors

PŘIKRYL Radovan SKOTÁKOVÁ Simona KAŠPÁREK Tomáš ČEŠKOVÁ Eva KUČEROVÁ Hana USTOHAL Libor

Year of publication 2007
Type Article in Periodical
Magazine / Source Acta Neuropsychiatrica
MU Faculty or unit

Faculty of Medicine

Citation
Field Psychiatry, sexuology
Keywords negative symptoms; schizophrenia; rTMS
Description Background: The present trial was designed to investigate the influence of repetitive transcranial magnetic stimulation (rTMS) on negative schizophrenic symptoms using high frequency stimulation of the left dorsolateral prefrontal cortex in a simple blind randomised design. Methods: The study was carried out on a 42-year-old schizophrenic patient (paranoid subtype) with prominent negative symptoms who was firstly treated with sham rTMS during the first three weeks and then with real high frequency during the following three weeks. He was rated before and after the sham and after the real rTMS therapy for positive, negative and depressive symptoms. Results: rTMS was superior to sham treatment in reduction of negative and depressive symptoms. Conclusion: High frequency rTMS applied over the left dorsolateral prefrontal cortex led to a reduction of severity of negative symptoms in a patient with chronic schizophrenia and may be beneficial as an augmentation option to antipsychotics in the treatment of negative symptoms of schizophrenia.
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