Transcranial magnetic stimulation: Benefits and specific characteristics in the treatment of depression in the elderly Volume 98, issue 10, Décembre 2022
- Key words: transcranial magnetic stimulation, depression, mood disorder, elderly, therapeutic indication, neurostimulation, care protocol, effectiveness, contraindication, pain
- DOI : 10.1684/ipe.2022.2521
- Page(s) : 815-20
- Published in: 2022
Following the increasing awareness of the reality of mood disorders in the elderly, with all their specific characteristics, psychiatrists have been looking for the most suitable therapeutic responses. Among the innovative techniques at their disposal, repetitive transcranial magnetic stimulation (rTMS) seems to be a good option: Its effectiveness, which has been demonstrated in the treatment of depression in the general population, is particularly marked in the elderly. In addition, its excellent tolerance profile appears to be well suited to a geriatric population that is sensitive to adverse pharmacological effects. An ideal treatment for depression in the elderly? We will show that rTMS also has limitations in this context. For example, physiological or pathological aging processes, such as neurodegenerative diseases and strokes, impose constraints on the use of rTMS.