Repetitive Transcranial Magnetic Stimulation for Maintenance Treatment of Depression: A Case Report

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Sir: Repetitive transcranial magnetic stimulation (rTMS) has been proposed as a new and innovative method for treating neuropsychiatric diseases. Whereas acute antidepressant effects of prefrontal rTMS have been demonstrated in numerous studies,^1,2 there is almost no reported experience in using rTMS as a maintenance therapy in affective disorders. One session of rTMS per week has been proposed as a treatment schedule for maintenance therapy, and successful outcome results with this treatment schedule were reported in a patient with recurrent depression³ and in 3 patients with bipolar depression.⁴' ‹