Encephale 2021 Jun 4. Epub 2021 Jun 4.
Sorbonne University, Department of Psychiatry, Pitié-Salpêtrière hospital, DMU Neuroscience, Assistance Publique-Hôpitaux de Paris (AP-HP), 47, boulevard de l'Hôpital, 75013 Paris, France; Paris Brain Institute-Institut du Cerveau (ICM), UMR 7225/UMRS 1127, Sorbonne University/CNRS/INSERM, 47, boulevard de l'Hôpital, 75013 Paris, France.
Background: We report the observation of a 47-year-old woman with functional neurological disorder (tetraparesis, mixed tremors and non-epileptic seizures) treated with a protocol of augmented psychotherapy in combination with repeated transcranial magnetic stimulation (rTMS).
Intervention: We carried out a biofeedback psychotherapy protocol with rTMS (twenty sessions, two sessions per day for ten days; 1Hz, 150% of the motor threshold, twenty minute sessions, 300 pulses per session) in which the patient visualized the motor activity of her upper limbs during stimulation of the primary motor area (PMA). The evolution of neurological symptoms was assessed using the Medical Research Council Scale for Muscle Strength (MRC). Read More