Application of rTMS to the Motor Cortex in a Patient with Startle Reaction: A Case Report

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dc.contributor.authorIris, Merve Setenay
dc.contributor.authorDemirbag, Bahar Bengi
dc.contributor.authorBektas, Fulya
dc.contributor.authorKirbas, Dursun
dc.date.accessioned2024-05-19T14:45:51Z
dc.date.available2024-05-19T14:45:51Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractStartle reaction is a physiological muscle reaction that occurs to protect against an unexpected, sudden stimulus. In this case, we wanted to discuss the response after the rTMS protocol, which we applied to our patient who had startle reactions that severely impair functionality and who did not meet the PTSD criteria or have a major brain lesion after a traffic accident. A 30-year-old single female patient who works as a stewardess in an airline company with no known history of physical or psychological illness but lost consciousness for about three hours after an in-vehicle traffic accident a week ago was admitted to our clinic. The patient had a history of having difficulty in doing her daily work due to the splashing movements that started in her body. No major brain lesion was detected in imaging studies. She did not meet the criteria for post -traumatic stress disorder and her EEG results were normal. Medication did not help with the symptoms, so, rTMS was planned. After 6 sessions of rTMS, her movements had stopped completely. Our patient, who did not fully meet the criteria for Post-Traumatic Stress Disorder and whose imaging and EEG results did not reveal any pathological findings had developed severe onset startle reactions after an in-vehicle traffic accident, fully responded to rTMS treatment and improved her functionality quickly and effectively. Thus, we think that rTMS should be investigated as an effective treatment method in such patients.en_US
dc.identifier.doi10.29399/npa.28229
dc.identifier.endpage386en_US
dc.identifier.issn1300-0667
dc.identifier.issn1309-4866
dc.identifier.issue4en_US
dc.identifier.pmid38077835en_US
dc.identifier.scopus2-s2.0-85178885576en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage385en_US
dc.identifier.trdizinid1228816en_US
dc.identifier.urihttps://doi.org10.29399/npa.28229
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1228816
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5372
dc.identifier.volume60en_US
dc.identifier.wosWOS:001146676000028en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkish Neuropsychiatry Assoc-Turk Noropsikiyatri Dernegien_US
dc.relation.ispartofNoropsikiyatri Arsivi-Archives of Neuropsychiatryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectMotor Cortexen_US
dc.subjectRtmsen_US
dc.subjectStartle Reactionen_US
dc.titleApplication of rTMS to the Motor Cortex in a Patient with Startle Reaction: A Case Reporten_US
dc.typeArticleen_US

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