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Case ReportCASE REPORTS AND CLINICAL OBSERVATIONS

Repetitive Transcranial Magnetic Stimulation for Treatment of Depression in a Patient With Severe Traumatic Brain Injury

Alessandro Iliceto, Rachel L Seiler and Korak Sarkar
Ochsner Journal September 2018, 18 (3) 264-267; DOI: https://doi.org/10.31486/toj.17.0075
Alessandro Iliceto
1The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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Rachel L Seiler
1The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
MD, MPH
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Korak Sarkar
1The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
2Department of Neurology, Ochsner Clinic Foundation, New Orleans, LA
MD
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  • For correspondence: korak.sarkar@ochsner.org
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    Figure. Gradient recalled echo sequence shows hemosiderin deposition consistent with mild diffuse axonal injury (arrows).

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    Table. Patient Health Questionnaire-9 Assessments During 6-Week Repetitive Transcranial Magnetic Stimulation Treatment
    Over the last 2 weeks, how often have you been bothered by any of the following problems?aWeek 1Week 2Week 3Week 5Week 6
    Little interest or pleasure in doing things33211
    Feeling down, depressed, or hopeless32211
    Trouble falling or staying asleep, or sleeping too much32311
    Feeling tired or having little energy32211
    Poor appetite or overeating10100
    Feeling bad about yourself—or that you are a failure or have let yourself or your family down32211
    Trouble concentrating on things, such as reading the newspaper or watching television33221
    Moving or speaking so slowly that other people could have noticed? Or the opposite—being so fidgety or restless that you have been moving around a lot more than usual21110
    Thoughts that you would be better off dead or of hurting yourself in some way31111
    Total Score24161697
    • ↵a Numerical scoring system: 0 = not at all; 1 = several days; 2 = more than half the days; 3 = nearly every day.

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Ochsner Journal: 18 (3)
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Vol. 18, Issue 3
Sep 2018
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Repetitive Transcranial Magnetic Stimulation for Treatment of Depression in a Patient With Severe Traumatic Brain Injury
Alessandro Iliceto, Rachel L Seiler, Korak Sarkar
Ochsner Journal Sep 2018, 18 (3) 264-267; DOI: 10.31486/toj.17.0075

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Repetitive Transcranial Magnetic Stimulation for Treatment of Depression in a Patient With Severe Traumatic Brain Injury
Alessandro Iliceto, Rachel L Seiler, Korak Sarkar
Ochsner Journal Sep 2018, 18 (3) 264-267; DOI: 10.31486/toj.17.0075
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Keywords

  • Brain injuries–traumatic
  • depression
  • repetitive transcranial magnetic stimulation

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