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Updated: Oct 1, 2026

MRI-guided dmPFC-rTMS as a Treatment for Treatment-resistant Major Depressive Disorder
Published on: August 11, 2015
Magnetic seizure therapy for severe depressive episodes: An open-label case series
Aromal Shibu1, Harsh Pathak1, Vanteemar S Sreeraj2
1Department of Psychiatry, Centre for Brain and Mind, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Background:
Magnetic seizure therapy (MST) is a potential alternative to electroconvulsive therapy (ECT) with a favorable cognitive adverse effect profile.
Cases:
We present the first report of MST administration in India on six patients with severe depressive episodes referred for convulsive therapy. MST was administered thrice weekly under general anesthesia. Four of six patients achieved remission following MST (mean 8.5 sessions per patient, range 7-13). No clinically meaningful cognitive decline occurred; reorientation was consistently rapid with mild self-limiting adverse effects.
Conclusion:
MST was feasible and safe within the existing ECT infrastructure, with meaningful clinical effectiveness, and preserved cognitive function.
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