Neurostimulations

Question 1

several forms of neurostimulation

Answer 1

TMS
Deep brain stimulation
ECT

Question 2

what is TMS used for?

Answer 2

Rx resistant (20-40%) clinical depression

Question 3

The main indication for TMS treatment

Answer 3

• unipolar treatment-resistant depression without psychotic symptoms.
• ## It involves daily sessions 4 or 5 days a week for 4-5 weeks.

Question 4

TMS Contraindications

Answer 4

• Hx of epilepsy or brain pathology
  
  • Sleep Deprivation
  • Acute Alcohol dependence Syndrome
  • Drugs that reduced seizure thresh.
  • Severe or recent heart disease
  • Surgically prlaced ferromagnetic materials (pacemakers for instances)

Question 5

potential

S.E. of TMS?

Answer 5

• Seizure induction
• Transient acute hypomania
• Syncope
• Neck pain
• Transient hearing changes
• Transient cognitive changes

Question 6

Drugs that reduce Seizure thereshold:

Answer 6

• Antimicrobials (beta lactams)
• Isoniazid
• Antimalarials
• Analgesics
• Methylxantines
• Antipsychotics
• Antidepressants
• Bupriopion
• Antiepileptics