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Updated: Jan 29, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Lowering the seizure threshold in electroconvulsive therapy using transcranial magnetic stimulation: A case report
J Albrecht1, J Buday1, T Mareš1
1Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia.
Abstract:
We demonstrate the feasibility of lowering the seizure threshold using a combined approach of electroconvulsive therapy and transcranial magnetic stimulation. High-frequency transcranial magnetic stimulation of the supplementary motor area shortly before each electroconvulsive treatment session resulted in a reduction of the seizure threshold by half in a male patient with a severe psychotic depressive episode of bipolar affective disorder.
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