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Diagnostic contribution and therapeutic perspectives of transcranial magnetic stimulation in dementia
V. Di Lazzaro, R. Bella, A. Benussi, M. Bologna, B. Borroni, F. Capone, KS. Chen, R. Chen, AV. Chistyakov, J. Classen, MC. Kiernan, G. Koch, G. Lanza, JP. Lefaucheur, H. Matsumoto, JP. Nguyen, M. Orth, A. Pascual-Leone, I. Rektorova, P. Simko,...
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články, přehledy
- MeSH
- demence patofyziologie psychologie terapie MeSH
- elektroencefalografie metody trendy MeSH
- lidé MeSH
- mozek fyziologie MeSH
- neuroplasticita fyziologie MeSH
- transkraniální magnetická stimulace metody trendy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Transcranial magnetic stimulation (TMS) is a powerful tool to probe in vivo brain circuits, as it allows to assess several cortical properties such asexcitability, plasticity and connectivity in humans. In the last 20 years, TMS has been applied to patients with dementia, enabling the identification of potential markers of thepathophysiology and predictors of cognitive decline; moreover, applied repetitively, TMS holds promise as a potential therapeutic intervention. The objective of this paper is to present a comprehensive review of studies that have employed TMS in dementia and to discuss potential clinical applications, from the diagnosis to the treatment. To provide a technical and theoretical framework, we first present an overview of the basic physiological mechanisms of the application of TMS to assess cortical excitability, excitation and inhibition balance, mechanisms of plasticity and cortico-cortical connectivity in the human brain. We then review the insights gained by TMS techniques into the pathophysiology and predictors of progression and response to treatment in dementias, including Alzheimer's disease (AD)-related dementias and secondary dementias. We show that while a single TMS measure offers low specificity, the use of a panel of measures and/or neurophysiological index can support the clinical diagnosis and predict progression. In the last part of the article, we discuss the therapeutic uses of TMS. So far, only repetitive TMS (rTMS) over the left dorsolateral prefrontal cortex and multisite rTMS associated with cognitive training have been shown to be, respectively, possibly (Level C of evidence) and probably (Level B of evidence) effective to improve cognition, apathy, memory, and language in AD patients, especially at a mild/early stage of the disease. The clinical use of this type of treatment warrants the combination of brain imaging techniques and/or electrophysiological tools to elucidate neurobiological effects of neurostimulation and to optimally tailor rTMS treatment protocols in individual patients or specific patient subgroups with dementia or mild cognitive impairment.
Department of Cellular and Molecular Medicine Faculty of Medicine University of Ottawa ON Canada
Department of Human Neurophysiology School of Medicine Fukushima Medical University Fukushima Japan
Department of Human Neurosciences Sapienza University of Rome Italy
Department of Neurology Harvard Medical School Boston MA USA
Department of Neurology IC Oasi Research Institute IRCCS Troina Italy
Department of Neurology Mitsui Memorial Hospital Tokyo Japan
Department of Neurology National Taiwan University Hospital Hsin Chu Branch Hsin Chu Taiwan
Department of Neurology University Hospital Leipzig Leipzig University Medical Center Germany
Department of Neuroscience and Rehabilitation University of Ferrara Ferrara Italy
Department of Surgery and Medical Surgical Specialties University of Catania Catania Italy
Division of Brain Imaging and Behaviour Krembil Brain Institute Toronto Canada
Division of Neurology Department of Medicine University of Toronto Toronto Canada
ENT Team EA4391 Faculty of Medicine Paris Est Créteil University Créteil France
Faculty of Medicine Masaryk University Brno Czech Republic
Guttmann Brain Health Institute Universitat Autonoma Barcelona Spain
Hinda and Arthur Marcus Institute for Aging Research Center for Memory Health Hebrew SeniorLife USA
IRCCS Neuromed Pozzilli IS Italy
Laboratory of Clinical Neurosciences Rambam Medical Center Haifa Israel
Royal Ottawa Institute of Mental Health Research Ottawa ON Canada
Swiss Huntington's Disease Centre Siloah Bern Switzerland
Translational and Clinical Research Institute Newcastle University Newcastle upon Tyne UK
University Hospital of Old Age Psychiatry and Psychotherapy University of Bern Bern Switzerland
Citace poskytuje Crossref.org
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