Zusammenfassung
Eine 24-jährige anorektische Patientin mit komorbider depressiver Symptomatik wurde wegen ihres schlechten körperlichen Zustandes nicht mit Psychopharmaka, sondern mit repetitiver transkranieller Magnetstimulation (rTMS) antidepressiv behandelt. Die depressive Symptomatik besserte sich in zeitlichem Zusammenhang mit zwei Behandlungsserien, trat aber jeweils innerhalb von zwei Wochen wieder auf. Nach einer dritten Behandlung wurde eine Erhaltungs-rTMS angeschlossen, unter der die Patientin remittierte. Dieser Fallbericht illustriert, dass rTMS eine sinnvolle Therapieoption für eine komorbide Depression bei schwerer Anorexie darstellen könnte.
Abstract
A 24-year-old anorexic patient with cormobid symptoms of depression was treated for depression with repetitive transcranial magnetic stimulation (rTMS) rather than with psychopharmacotherapy, due to her poor physical condition. The depressive symptomatology significantly improved in correlation with two rTMS cycles but occurred again within 2 weeks. A third successful cycle was then followed by a maintenance rTMS protocol with the patient going into remission from depression. This case illustrates that rTMS may be considered as a therapeutic option for comorbid depression in anorectic patients.
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Kamolz, S., Richter, M., Schmidtke, A. et al. Transkranielle Magnetstimulation gegen komorbide Depression bei Anorexie. Nervenarzt 79, 1071–1073 (2008). https://doi.org/10.1007/s00115-008-2537-8
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DOI: https://doi.org/10.1007/s00115-008-2537-8