Repetitive Transcranial Magnetic Stimulation (rTMS) to Treat Refractory Panic Disorder Patient: A Case Report
Sergio Machado, Veruska Santos, Flavia Paes, Oscar Arias-Carrion, Mauro G. Carta, Adriana C. Silva and Antonio E. Nardi
Affiliation: Laboratory of Panic and Respiration. Institute of Psychiatry – Federal University of Rio de Janeiro, Brazil.
Panic disorder (PD) is an anxiety disorder that is highly disruptive to the patient’s life and needs new options
for effective treatments. In this case report, we present an application of repetitive transcranial magnetic stimulation
(rTMS) in a refractory patient resistant to cognitive behavior therapy (CBT) and pharmacotherapy who was treated with a
combined protocol of rTMS with a sequential stimulation of right and left dorsolateral prefrontal cortex (DLPFC). The
protocol was conducted 3 times per week during 4 weeks, with one month follow-up. The fact that the patient showed
improvement suggests that rTMS can be an effective option of treatment.
Keywords: Dorsolateral prefrontal cortex, panic disorder, repetitive transcranial magnetic stimulation, rTMS.
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