Effectiveness of antidepressant repetitive transcranial magnetic stimulation in a patient with refractory psychogenic dysphagia:A case report and review of literature
作者机构：Department of PathologyChungbuk National University HospitalChungbuk National University College of MedicineCheongju 28644South Korea Department of Internal MedicineChungbuk National University HospitalChungbuk National University College of MedicineCheongju 28644South Korea Department of PsychiatryChungbuk National University HospitalChungbuk National University College of MedicineCheongju 28644South Korea Department of Rehabilitation MedicineChungbuk National University HospitalChungbuk National University College of MedicineCheongju 28644South Korea
出 版 物：《世界临床病例杂志》 (World Journal of Clinical Cases)
年 卷 期：2023年第11卷第28期
页 面：6850-6856页
核心收录：
学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学]
主 题：Deglutition disorder Depression Health Rehabilitation Transcranial magnetic stimulation Case report
摘 要：BACKGROUND Dysphagia is a common condition in older as well as young patients,and a variety of treatments have been reported depending on the ***,clinicians are challenged when the cause is *** is the case with psychogenic dysphagia,which has typically been treated with supportive psychotherapy,medi-cation,swallowing exercise,and dysphagia rehabilitation ***,we aimed to relieve the symptoms of a patient with refractory psychogenic dysphagia,who was unresponsive to conventional swallowing therapy,with repetitive transcranial magnetic stimulation(rTMS).CASE SUMMARY A relatively calm-looking 35-year-old female patient presented with a 2-year history of *** showed little improvement with conventional swallowing treatments over the past 2 *** was relatively compliant with inhospital dysphagia therapy,but uncooperative with home exercise and *** particular,since she was resistant to drug treatment,we had to take a different approach than the treatment she had been receiving for the past 2 *** much deliberation,we decided to initiate antidepressant rTMS treatment with her consent(IRB No.2023-05-021).Antidepressant rTMS treatment was performed twice weekly for a total of 20 sessions over 10 *** results showed improvement in subjective symptoms and video fluoroscopic swallowing study *** the best of our knowledge,this is the first report of symptomatic improvement using antidepressant rTMS protocol for refractory psychogenic *** This case demonstrates that rTMS with antidepressant protocol can be used to improve swallowing in patients with refractory psychogenic dysphagia.
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