rTMS of supplementary motor area modulates therapy-induced dyskinesias in Parkinson disease

被引:127
作者
Koch, G
Brusa, L
Caltagirone, C
Peppe, A
Oliveri, M
Stanzione, P
Centonze, D
机构
[1] Fdn Santa Lucia, IRCCS, Lab Neurol Clin & Comportamentale, I-00179 Rome, Italy
[2] Univ Roma Tor Vergata, Dipartimento Neurosci, Rome, Italy
[3] Univ Palermo, Dipartimento Psicol, Palermo, Italy
关键词
D O I
10.1212/01.wnl.0000172861.36430.95
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The neural mechanisms and circuitry involved in levodopa-induced dyskinesia are unclear. Using repetitive transcranial magnetic stimulation (rTMS) over the supplementary motor area (SMA) in a group of patients with advanced Parkinson disease, the authors investigated whether modulation of SMA excitability may result in a modification of a dyskinetic state induced by continuous apomorphine infusion. rTMS at 1 Hz was observed to markedly reduce drug-induced dyskinesias, whereas 5-Hz rTMS induced a slight but not significant increase.
引用
收藏
页码:623 / 625
页数:3
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