title: Exacerbation of auditory verbal hallucinations with adjunctive high-frequency cerebellar vermal repetitive transcranial magnetic stimulation in schizophrenia: a case report.
abstract: In schizophrenia, novel target sites for repetitive transcranial magnetic stimulation (rTMS), such as the cerebellum, are proposed to have a putative therapeutic role in treatment-resistant cases. We present a case of treatment-resistant schizophrenia that showed worsening of auditory verbal hallucinations after receiving high-frequency cerebellar vermal rTMS. We propose that cerebellar vermal rTMS modulates neuronal networks, causing activation in temporoparietal areas, which results in worsening of auditory verbal hallucinations.
authors.affiliation: Centre for Cognitive Neurosciences and Department of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India. shobit.garg@gmail.com
authors.forename: Shobit
authors.initials: S
authors.lastname: Garg
authors.forename: Nishant
authors.initials: N
authors.lastname: Goyal
authors.forename: Sai Krishna
authors.initials: SK
authors.lastname: Tikka
authors.forename: Vinod Kumar
authors.initials: VK
authors.lastname: Sinha
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D002531:Cerebellum / Q000502:physiology; D004351:Drug Resistance; D006212:Hallucinations / Q000209:etiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009415:Nerve Net / Q000502:physiology; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D050781:Transcranial Magnetic Stimulation / Q000009:adverse effects*
chemical_list: D014150:Antipsychotic Agents