Valentí Marc, Morer Astrid, Lázaro María Luisa, Bernardo Miquel, Castro-Fornieles Josefina
Hospital Clinic i Provincial de Barcelona, 08036 Barcelona, Espana.
Rev Neurol. 2010;50(4):230-4.
To gather the knowledge that currently exist on transcranial magnetic stimulation applied in children and adolescents, as well as its possible future therapeutic applications in disorders that have so far shown more chances of being effective.
First, we provide a general review of the history of the technique, from its early days until the present day, and we also highlight the studies in the literature that refer to the harmlessness of the technique by referring to histological studies where no pathological changes were found. We then focus on the repeated mode, which is the technique that is most widely used for therapeutic purposes, both in adults and in children and adolescents, despite the fact that its frequency of use is clearly lower than that of other modes. We centre our attention on the disorders in which the technique has been applied, the ones that to date have been most successful (therapeutically speaking), the subjective experiences of the patients themselves and the side effects that they have suffered.
Further studies need to be conducted on the use of repeated transcranial magnetic stimulation to treat different neurological and psychiatric disorders in children and adolescents, especially in diseases like depression and obsessive-compulsive disorder.
收集目前有关经颅磁刺激在儿童和青少年中的应用知识,以及其未来在迄今为止显示出更有效可能性的疾病中的潜在治疗应用。
首先,我们对该技术的历史进行了全面回顾,从其早期发展至今,并通过引用未发现病理变化的组织学研究,强调了文献中提及该技术无害性的研究。然后,我们重点关注重复模式,这是在成人以及儿童和青少年中最广泛用于治疗目的的技术模式,尽管其使用频率明显低于其他模式。我们将注意力集中在该技术已应用的疾病、迄今为止(从治疗角度而言)最成功的疾病、患者自身的主观体验以及他们所遭受的副作用上。
需要进一步开展关于重复经颅磁刺激治疗儿童和青少年不同神经和精神疾病的研究,尤其是在抑郁症和强迫症等疾病方面。