Estimulação magnética transcraniana de repetição como estratégia de manutenção terapêutica após eletroconvulsoterapia: uma revisão conceitual

Mercedes Jurema Oliveira Alves

doi:10.25118/2236-918X-6-4-1

Autores/as

Mercedes Jurema Oliveira Alves Especialista em Psiquiatria pela Associação Médica Brasileira e ABP. Professora assistente de Psiquiatria (1976-2006), Faculdade de Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte, MG. Secretária, Associação Brasileira de Estimulação Cerebral (ABECer). Sócia proprietária, Stimulus – Clínica de Estimulação Cerebral de Belo Horizonte, Belo Horizonte, MG. Comissão de Defesa Profissional, ABP.

DOI:

https://doi.org/10.25118/2236-918X-6-4-1

Palabras clave:

Eletroconvulsoterapia, estimulação magnética transcraniana, remissão e manutenção

Resumen

O presente texto faz uma revisão das bases teóricas e dos estudos empíricos disponíveis sobre o uso da estimulação magnética transcraniana de repetição como estratégia terapêutica de manutenção após eletroconvulsoterapia. Há quadros psiquiátricos pouco responsivos a quaisquer tipos de tratamentos, inclusive à eletroconvulsoterapia. O texto mostra que a combinação das técnicas é promissora, porém mais estudos são necessários para se definir as indicações precisas e a eficácia em termos de sustentação da resposta terapêutica.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Citas

Berlin MT, Turecki G. Definition, assessment and staging of treatment-resistant refractory major depression a review of current concepts and methods. Can J Psychiatry. 2007;52:46-54.

Sistonen J, Sajantila A, Lao O, Corander J, Barbujani G, Fuselli S. CYP2D6 worldwide genetic variation shows high frequency of altered activity variants and no continental structure. Pharmacogenet Genomics. 2007;17:93-101.

Treatment-resistant depression: no panacea, many uncertainties. Adverse effects are a major factor in treatment choice. Prescrire Int. 2011;20:128-33.

Barker AT, Jalinous R, Freeston IL. Non-invasive magnetic stimulation of human motor cortex (letter). Lancet. 1985;1:1106-7.

Rossi S, Hallett M, Rossini PM, Pascual-Leone A; Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clin Neurophysiol. 2009;120:2008-39.

Fleischmann A, Prolov K, Abarbanel J, Belmaker RH. The effect of transcranial magnetic stimulation of rat brain on behavioral models of depression. Brain Res. 1995;699:130-2.

Eranti S, Mogg A, Pluck G, Landau S, Purvis R, Brown RG, et al. A randomized, controlled trial with 6-month follow-up of repetitive transcranial magnetic stimulation and electroconvulsive therapy for severe depression. Am J Psychiatry. 2007;164:73-81.

Dumas R, Padovani R, Richieri R, Lancon C. [Repetitive transcranial magnetic stimulation in major depression: response factor]. Encephale. 2012;38:360-8.

Koerselman F, Laman DM, van Duijn H, van Duijn MA, Willems MA. A 3-month, followup, randomized, placebo-controlled study of repetitive transcranial magnetic stimulation in depression. J Clin Psychiatry. 2004;65:1323-8.

Lefaucheur JP, André-Obadia N, Poulet E, Devanne H, Haffen E, Londero A, et al. [French guidelines on the use of repetitive transcranial magnetic stimulation (rTMS): safety and therapeutic indications]. Neurophysiol Clin. 2011;41:221-95.

Associação Brasileira de Psiquiatria (ABP). Diretrizes ABP/AMB/CFM/Fenam. Diretrizes para um modelo de Assistência Integral em Saúde Mental no Brasil [Internet]. [cited 2016 Jun 29]. abp.org.br/portal/diretrizes/

American Psychiatric Association. The practice of electroconvulsive therapy: recommendations for treatment, training and privileging. Washington: American Psychiatric Association Press; 2001.

Alves M. EMT como manutenção da ECT. In: XXXIII Congresso Brasileiro de Psiquiatria, Associação Brasileira de Psiquiatria; 2015; Florianópolis, Brasil.

Estevão G, Porto JES. Teorias sobre o mecanismo de ação In: Rosa MA, Rosa M. Fundamentos da eletroconvulsoterapia. Porto Alegre: Artmed: 2015. p. 157-70.

Lefaucheur JP, André-Obadia N, Antal A, Ayache SS, Baeken C, Benninger DH, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS). Clin Neurophysiol. 2014;125:2150-206.

Janicak PG, Dowd S, Rado J, Welch MJ, Fogg L, O’Reardon J, et al. Repetitive transcranial magnetic stimulation versus electroconvulsivetherapy: effi cacy of treatment in nonpsychoti c pati ents with depression. Am J Psychiatry. 2007l; 164:1118; author reply 1118-9.

Sienaert P, Lambrichts L, Dols A, De Fruyt J. Evidence-based treatment strategies for treatment-resistant bipolar depression: a systemati c review. Bipolar Disord. 2013;15:61-9.

Philip NS, Dunner DL, Dowd SM, Aaronson ST, Brock DG, Carpenter LL, et al. Can medicati on free, treatment-resistant, depressed pati ents who initi ally respond to tms be maintained off medicati ons? A prospecti ve, 12-month multi site randomized pilot study. Brain Sti mul. 2016:9:251-7.

Dunner DL, Aaronson ST, Sackeim HA, Janicak PG, Carpenter LL, Boyadjis T, et al. A multi site, naturalisti c, observati onal study of transcranial magneti c sti mulati on for pati ents with pharmacoresistant major depressive disorder: durability of benefi t over a 1-year follow-up period. J Clin Psychiatry. 2014;75:1394-401.

Marti s B, Alam D, Dowd SM, Hill SK, Sharma RP, Rosen C, et al. Neurocogniti ve eff ects of repeti ti ve transcranial magneti c sti mulati on in severe major depression. Clin Neurophysiol. 2003;114:1125-32.

Januel D, Dumorti er G, Verdon CM, Stamati adis L, Saba G, Cabaret W, et al. A double-blind sham controlled study of right prefrontal repeti ti ve transcranial magneti c sti mulati on (rTMS): therapeuti c and cogniti ve eff ect in medicati on free unipolar depression during 4 weeks. Prog Neuropsychopharmacol Biol Psychiatry. 2006;30:126-30.

Takano H, Kato M, Inagaki A, Watanabe K, Kashima H. Time course of cerebral blood fl ow changes following electroconvulsive therapy in depressive pati ents--measured at 3 ti me points using single photon emission computed tomography. Keio J Med. 2006;55:153-60.

Loo CK, Sachdev PS, Haindl W, Wen W, Mitchell PB, Croker VM, et al. High (15 Hz) and low (1 Hz) frequency transcranial magneti c sti mulati on have diff erent acute eff ects on regional cerebral blood fl ow in depressed pati ents. Psychol Med. 2003;33:997-1006.

Kranaster L, Janke C, Lewien A, Hoyer C, Lederbogen F, Sartorius A. Rethinking resti mulati on: a case report. J ECT. 2012;28:248-9.

Cristancho MA, Helmer A, Connolly R, Cristancho P, O’Reardon JP. Transcranial magneti c sti mulati on maintenance as a substi tute for maintenance electroconvulsive therapy: a case series. J ECT. 2013;29:106-8.

Rosa MA, Abdo GL, Rosa MO, Lisanby SH, Peterchev AV. Frontomedial electrode placement with low current amplitude: a case report. J ECT. 2012;28:146.

Bandeira M, Calzavara MGP, Costa CS, Cesari L. Avaliação de serviços de saúde mental: adaptaçãoo transcultural de uma medida de percepção dos usuários sobre resultados do tratamento. J Bras Psiquiatr. 2009;58:107-14.