Seizure with single-pulse transcranial magnetic stimulation in a 35-year-old otherwise-healthy patient with bipolar disorder.
This case report describes a patient who developed a seizure with single-pulse transcranial magnetic stimulation during motor threshold estimation. The patient had no history of seizures in the past and no gross neurologic deficits. The only possible seizure-provoking factors were modest doses of lithium and chlorpromazine, which the patient was on, and family history of seizure in a brother. This report aims to highlight the fact that single-pulse transcranial magnetic stimulation may provoke a seizure even in the absence of gross neurologic abnormality.
Tharayil
Biju Sunny
BS
National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Gangadhar
B N
BN
Thirthalli
Jagadisha
J
Anand
L
L
D000328:Adult; D001714:Bipolar Disorder / Q000188:drug therapy / Q000628:therapy*; D002746:Chlorpromazine / Q000008:administration & dosage; D004574:Electromagnetic Fields / Q000009:adverse effects*; D006801:Humans; D018021:Lithium Chloride / Q000008:administration & dosage; D008297:Male; D012640:Seizures / Q000209:etiology*
D018021:Lithium Chloride; D002746:Chlorpromazine