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Pharmacopsychiatry 2012; 45(02): 79-80
DOI: 10.1055/s-0031-1297936
Letter
© Georg Thieme Verlag KG Stuttgart · New York

Successful Treatment of Major Depression with Electroconvulsive Therapy in a Pregnant Patient with Previous Non-Response to Prefrontal rTMS

M. Gahr
1   Department of Psychiatry, University of Ulm, Ulm, Germany
,
C. Blacha
1   Department of Psychiatry, University of Ulm, Ulm, Germany
,
B. J. Connemann
1   Department of Psychiatry, University of Ulm, Ulm, Germany
,
R. W. Freudenmann
1   Department of Psychiatry, University of Ulm, Ulm, Germany
,
C. Schönfeldt-Lecuona
1   Department of Psychiatry, University of Ulm, Ulm, Germany
› Author Affiliations
Further Information

Publication History

received 19 September 2011
revised 29 October 2011

accepted 31 October 2011

Publication Date:
15 December 2011 (online)

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Abstract

The treatment of psychiatric disorders during pregnancy poses a challenge particularly regarding limited pharmacological possibilities. Repetitive transcranial magnetic stimulation (rTMS) and electroconvulsive therapy (ECT) have been described to be successful in single cases, however, guidelines are lacking. In order to contribute to the pool of empirical data that is necessary to create evidenced-based recommendations we present a case of successful treatment of major depression with ECT in a pregnant patient with previous non-response to rTMS.

Key words

electroconvulsive therapy (ECT) - pregnancy and lactation - repetitive transcranial magnetic stimulation (rTMS) - antidepressants - depression treatment
 

  • References

  • 1 Zhang D, Hu Z. RTMS may be a good choice for pregnant women with depression. Arch Women Ment Health 2009; 12: 189-190
    CrossrefPubMedGoogle Scholar
  • 2 Klirova M, Novak T, Kopecek M et al. Repetitive transcranial magnetic stimulation (rTMS) in major depressive disorder during pregnancy. Neuro Endocrin Lett 2008; 29: 69-70
    PubMedGoogle Scholar
  • 3 Nahas Z, Bohning D, Molloy M et al. Safety and feasibility of repetitive transcranial magnetic stimulation in the treatment of anxious depression in pregnancy: a case report. J Clin Psychiatry 1999; 60: 50-52
    CrossrefPubMedGoogle Scholar
  • 4 Anderson E, Reti I. ECT in pregnagncy: a review of the literature from 1941 to 2007. Psychosomatic Med 2009; 71: 235-242
    CrossrefPubMedGoogle Scholar
  • 5 American Psychiatric Association . The practice of electroconvulsive therapy: recommendations for treatment, training, and privileging: a task force report of the American Psychiatric Association. 2nd edition Washington, DC: American Psychiatric Press; 2001
    Google Scholar
  • 6 Chambers C, Hernandez-Diaz S, Van Marter L et al. Selective serotonin-reuptake inhibitos and risk of persitent pulmonary hypertension of the newborn. N Engl J Med 2006; 9: 579-587
    PubMedGoogle Scholar
  • 7 Alwan S, Friedman J. Safety of selective serotonine reuptake inhibitos in pregnancy. CNS Drugs 2009; 23: 493-509
    CrossrefPubMedGoogle Scholar
  • 8 APA . Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000
    Google Scholar
  • 9 Herwig U, Padberg F, Unger J et al. Transcranial magnetic stimulation in therapy studies: examination of the reliability of "standard" coil positioning by neuronavigation. Biol Psychiatry 2001; 50: 58-61
    CrossrefPubMedGoogle Scholar
  • 10 Hautzinger M, Keller F, Kühner C. BDI-II. Beck-Depressions-Inventar. Revision. 2. Auflage. Pearson Assessment; Frankfurt: 2009
    Google Scholar
  • 11 Herwig U, Fallgatter A, Höppner J et al. Antidepressant effects of augmentative transcranial magnetic stimulation: randomised multicentre trial. Br J Psychiatry 2007; 191: 441-448
    CrossrefPubMedGoogle Scholar