The value of neuronavigated rTMS for the treatment of depression

被引:56
作者
Schoenfeldt-Lecuona, C. [1 ]
Lefaucheur, J. -P. [2 ]
Cardenas-Morales, L. [1 ]
Wolf, R. C. [1 ]
Kammer, T. [1 ]
Herwig, U. [1 ,3 ]
机构
[1] Univ Clin Ulm, Dept Psychiat & Psychotherapy 3, D-98075 Ulm, Germany
[2] Henri Mondor Univ Hosp, Dept Physiol, Creteil, France
[3] Univ Zurich, Dept Psychiat & Psychotherapy, Zurich, Switzerland
来源
NEUROPHYSIOLOGIE CLINIQUE-CLINICAL NEUROPHYSIOLOGY | 2010年 / 40卷 / 01期
关键词
Coil positioning; Depression; Magnetic resonance imaging; Neuronavigation; Repetitive transcranial magnetic stimulation; Targeting; Treatment; TRANSCRANIAL MAGNETIC STIMULATION; DORSOLATERAL PREFRONTAL CORTEX; MAJOR DEPRESSION; MOTOR CORTEX; NAVIGATION; EFFICACY; MOOD; POTENTIALS; SAFETY; AREAS;
D O I
10.1016/j.neucli.2009.06.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Repetitive transcranial magnetic stimulation (rTMS) has been increasingly evaluated as a therapeutic tool for the treatment of depression, using various stimulation parameters and protocols. Heterogeneous results have been reported with regard to clinical outcome, at least partly due to the variety of procedures for coil placement above the desired site of stimulation. This article reviews the strategies for coil positioning in the treatment of depression. Considering preliminary clinical evidence, neuronavigated rTMS appears desirable to treat depression, compared to the standard targeting procedure (5 cm anterior to the motor cortex). Coil positioning strategy might improve in the future by taking into consideration the individual abnormalities revealed by functional neuroimaging data. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:37 / 43
页数:7
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