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惊恐障碍及高频 rTMS 可能的治疗方法:病例报告。

Panic disorder and a possible treatment approach by means of high-frequency rTMS: a case report.

机构信息

Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Wuerzburg, Germany.

出版信息

World J Biol Psychiatry. 2009;10(4 Pt 3):991-7. doi: 10.1080/15622970902898147.

Abstract

Panic disorder still remains a pervasive, life quality impairing disorder requiring adequate treatment options. In this case report we present the data of a patient with panic disorder and comorbid depression who was treated with high-frequency repetitive transcranial magnetic stimulation (rTMS) applied to the left prefrontal cortex over a course of 3 weeks. Measurements of the cerebral oxygenation with near-infrared spectroscopy (NIRS) during an emotional Stroop task before and after the rTMS treatment suggests that rTMS may modulate panic-related prefrontal brain dysfunctions in panic patients and that it may serve as a possible treatment option for anxiety disorders.

摘要

惊恐障碍仍然是一种普遍存在的、会降低生活质量的疾病,需要有足够的治疗选择。在本病例报告中,我们介绍了一位患有惊恐障碍和共病抑郁症的患者的数据,该患者接受了高频重复经颅磁刺激(rTMS)治疗,刺激部位为左前额叶皮层,疗程为 3 周。在 rTMS 治疗前后,通过近红外光谱(NIRS)测量情绪 Stroop 任务期间的大脑氧合情况,提示 rTMS 可能调节惊恐障碍患者与惊恐相关的前额叶脑功能障碍,并且可能成为焦虑障碍的一种可能治疗选择。

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