Transcranial Magnetic Stimulation in the Reversal of Motor Conversion DisorderSchönfeldt-Lecuona C. · Connemann B.J. · Spitzer M. · Herwig U.
Department of Psychiatry, University of Ulm, Germany
Background: There is no agreement on the most effective therapy for motor conversion symptoms. Functional electric stimulation has been successfully used to reverse conversion paralysis. We tested the therapeutic potential of high-frequency repetitive transcranial magnetic stimulation (rTMS) in a 20-year-old patient suffering from a conversion paralysis of the right arm. Method: rTMS was applied to the contralateral motor cortex. Stimulations were performed on working days at a frequency of 15 Hz (train length 2 s; inter-train interval 4 s) yielding 4,000 pulses/day. Results: Within 12 weeks, motor function, hyposensibility and muscle bulk were completely restored. Conclusions: The patient recovered completely during rTMS treatment. In addition to possible psychological effects, rTMS may have had a causal therapeutic effect by strengthening corticocortical connections and thereby priming voluntary movements. Further controlled studies are needed.
Dr. med. Carlos Schönfeldt-Lecuona, MD
Department of Psychiatry III, University of Ulm
Leimgrubenweg 12–14, DE–89075 Ulm (Germany)
Tel. +49 731 50021499, Fax +49 731 50026751
Number of Print Pages : 3
Number of Figures : 1, Number of Tables : 0, Number of References : 12
Psychotherapy and Psychosomatics
Founded 1953 as ‘Acta Psychotherapeutica et Psychosomatica’ by E.A.D.E. Carp and B. Stokvis, continued by Th. Spoerri (1964–1974) and P.E. Sifneos (1974–1991)
Official Journal of the International College of Psychosomatic Medicine (ICPM)
Vol. 72, No. 5, Year 2003 (Cover Date: September-October 2003)
Journal Editor: G.A. Fava, Bologna
ISSN: 0033–3190 (print), 1423–0348 (Online)
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