Transcranial Direct Current Stimulation (tDCS) in a Patient with PRES and Bipolar Depression

Fortschr Neurol Psychiatr. 2015 Aug;83(8):e11-3. doi: 10.1055/s-0035-1553543. Epub 2015 Sep 1.

Abstract

Transcranial direct current stimulation (tDCS) is a non-invasive tool for brain stimulation and has proven efficacy in depressive disorders. Here, we report the case of a patient with recurrent bipolar depressive disorder and neurologic complications due to posterior reversible encephalopathy syndrome (PRES) due to parathyroid adenoma. During a long-term hospital stay, multiple drug regimens did not resolve depressive symptoms. Finally, an add-on therapy with tDCS brought improvement of symptoms. This case highlights the feasibility of tDCS in treatment-resistant depression and concomitant neurologic disorder.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications
  • Adenoma / pathology
  • Bipolar Disorder / psychology
  • Bipolar Disorder / therapy*
  • Depressive Disorder, Treatment-Resistant / psychology
  • Depressive Disorder, Treatment-Resistant / therapy*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Nervous System Diseases / etiology
  • Nervous System Diseases / psychology
  • Parathyroid Neoplasms / complications
  • Parathyroid Neoplasms / psychology
  • Posterior Leukoencephalopathy Syndrome / psychology
  • Posterior Leukoencephalopathy Syndrome / therapy*
  • Transcranial Direct Current Stimulation / methods*