Deep transcranial magnetic stimulation as a treatment for psychiatric disorders: A comprehensive review

被引:136
作者
Bersani, Francesco Saverio [1 ]
Minichino, A. [1 ]
Enticott, P. G. [2 ]
Mazzarini, L. [4 ,5 ]
Khan, N. [1 ]
Antonacci, G. [6 ]
Raccah, R. N. [7 ]
Salviati, M. [1 ]
Delle Chiaie, R. [1 ]
Bersani, G. [3 ]
Fitzgerald, P. B. [2 ]
Biondi, M. [1 ]
机构
[1] Univ Roma La Sapienza, Dept Neurol & Psychiat, Rome, Italy
[2] Monash Univ, Alfred & Cent Clin Sch, Monash Alfred Psychiat Res Ctr, Melbourne, Vic 3004, Australia
[3] Univ Roma La Sapienza, Dept Med Surg Sci & Biotechnol, Rome, Italy
[4] Univ Roma La Sapienza, Neurosci Mental Hlth & Sensory Organs Dept, Rome, Italy
[5] Suore Hosp Sacred Heart Jesus, Dept Neuropsychiat, Viterbo, Italy
[6] Univ London Imperial Coll Sci Technol & Med, Dept Phys, Photon Grp, London, England
[7] ATID Ltd Adv Technol Innovat Distribut, Rome, Italy
基金
澳大利亚国家健康与医学研究理事会;
关键词
Deep transcranial magnetic stimulation; Transcranial magnetic stimulation; H-coil; Major depression; Autism; Bipolar disorder; Auditory hallucinations; Negative symptoms; Schizophrenia; LEFT TEMPOROPARIETAL CORTEX; MAJOR DEPRESSIVE DISORDER; NEGATIVE SYMPTOMS; AUDITORY HALLUCINATIONS; PREFRONTAL CORTEX; COIL DESIGN; GLUCOCORTICOID-RECEPTOR; CORTICAL EXCITABILITY; BIPOLAR DEPRESSION; ASPERGER-SYNDROME;
D O I
10.1016/j.eurpsy.2012.02.006
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
摘要
Deep transcranial magnetic stimulation (TMS) is a technique of neuromodulation and neurostimulation based on the principle of electromagnetic induction of an electric field in the brain. The coil (H-coil) used in deep TMS is able to modulate cortical excitability up to a maximum depth of 6 cm and is therefore able not only to modulate the activity of the cerebral cortex but also the activity of deeper neural circuits. Deep TMS is largely used for the treatment of drug-resistant major depressive disorder (MDD) and is being tested to treat a very wide range of neurological, psychiatric and medical conditions. The aim of this review is to illustrate the biophysical principles of deep TMS, to explain the pathophysiological basis for its utilization in each psychiatric disorder (major depression, autism, bipolar depression, auditory hallucinations, negative symptoms of schizophrenia), to summarize the results presented thus far in the international scientific literature regarding the use of deep TMS in psychiatry, its side effects and its effects on cognitive functions. (C) 2012 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:30 / 39
页数:10
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