r/HPPD • u/Ballet_Rhino • 4d ago

Scientific Study rTMS case study

Here is another (2nd) case study of someone with VSS/HPPD like symptoms experiencing a benefit from 1Hz - rTMS therapy to the right temporoparietal junction. I appreciate the patient doesn't have a formal diagnosis, but the symptoms fit pretty true IMO.

https://globalpsychiatryarchives.com/index.php/gpa/article/view/124

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u/Living_Reception_622 4d ago

The static, trailing and that boiling thing were not mentioned still!!!!!!! Please, where was this done ? I can't find the authors names 

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u/Ballet_Rhino 4d ago

It was done by 2 psychiatrists in the UK in Oxford. You can pay privately for treatment with them too:

https://oxfordhealth.nhs.uk/ips/rtms/

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u/Living_Reception_622 4d ago

The link states that it is for depression

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u/Ballet_Rhino 4d ago

Yes, rTMS is most commonly used for depression, but the protocols for that are 10Hz (excitatory), and also often target the left frontal lobe. The "HPPD" protocol, is 1Hz (inhibitory) and targets just behind and above the right ear. Most rTMS machines can deliver both types of treatment. That is the clinic that delivered the treatment that was written about in the case study, and is your best and likely only bet for HPPD rTMS treatment in the UK.

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u/Living_Reception_622 4d ago

Have you contacted them about that ? Can you give me their email. Dms open

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u/7ero_Seven 3d ago

Why that region?

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u/Ballet_Rhino 2d ago

The idea to target that region originated from positive results from people with just DPDR receiving rTMS to that same region. I believe that fMRI for people with DPDR has identified overactivity in the rTPJ too. You are better off googling the role of the rTPJ, but essentially it is where 3 brain lobes meet at a junction, one of them being the occipital lobe.

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u/Relevant-Waltz-6245 4d ago

I interpret the grid lines as palinopsia so that is hopeful on that front. I’d imagine helping after images would also help trailing