Left temporoparietal transcranial magnetic stimulation in treatment-resistant schizophrenia with verbal hallucinations
Abstract
Left temporoparietal repetitive transcranial magnetic stimulation (rTMS) reportedly diminishes verbal hallucinations. A 21-year-old schizophrenic man, who had killed his mother in the belief that she was a demon, failed to respond to combined treatment with a variety of antipsychotic agents. His persistent hallucinations consisted of two voices (God and the Devil). As an adjunct to continued antipsychotic medication, the patient received a course of rTMS: 10 sessions of 1-Hz stimulations near Wernicke's area. After rTMS, the patient's hallucinations grew less intrusive and he no longer required isolation. Although the improvement could be a delayed effect of medication, further trials of rTMS in cases of this type appear justified.
Keywords: Schizophrenia, Repetitive transmagnetic stimulation, Violence, Scale for the Assessment of Positive Symptoms
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PII: S0165-1781(03)00148-3
doi:10.1016/S0165-1781(03)00148-3
© 2003 Elsevier Science Ireland Ltd. All rights reserved.
