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Treatment of Chronic Fatigue Syndrome (CFS) in Post-SARS-CoV-2 Infection through combined outpatient Neuromodulation Therapy with Repetitive Transcranial Magnetic Stimulation (rTMS) and Ketamine IV Therapy - A Case Series

Chiara Rolle, Mario H W Scheib, Anja Frank, Isabella Russ

preprint DOI: 10.31219/osf.io/qzgc9 1 citation

Summary

Four patients with post-COVID syndrome and chronic fatigue syndrome were treated with a combination of low-frequency repetitive transcranial magnetic stimulation and ketamine intravenous infusion over two to three weeks. Three patients experienced significant improvement. The authors indicate further research is needed.

Study at a glance

Design case series
Sample size 4
Population patients with post-COVID syndrome and chronic fatigue syndrome
Key finding Three of four patients with post-COVID syndrome and chronic fatigue syndrome experienced significant improvement after treatment with low-frequency rTMS and ketamine IV infusion.

Abstract

The most reported symptom of post-COVID syndrome is pronounced fatigue (Malik et al., 2021; Venkatesan, 2021). In this case series, we present the treatment of four patients suffering from Post-COVID syndrome after more than 3 months since infection, presented diagnostically within the framework of chronic fatigue syndrome (CFS). They were treated with a combination of Low-frequency (1 Hz) repetitive transcranial magnetic stimulation (rTMS) and ketamine intravenous (IV) infusion therapy for a period of 2 to 3 weeks. Three patients experienced significant improvement. Given the promising results further research is indicated.

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