Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Eur Psychiatry. 2013 Jan;28(1):30-9. doi: 10.1016/j.eurpsy.2012.02.006. Epub 2012 May 3.
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.
深度经颅磁刺激(TMS)是一种基于电磁场在大脑中感应原理的神经调节和神经刺激技术。在深度 TMS 中使用的线圈(H 线圈)能够调节皮质兴奋性,最大深度可达 6 厘米,因此不仅能够调节大脑皮层的活动,还能够调节更深层的神经回路的活动。深度 TMS 主要用于治疗耐药性重度抑郁症(MDD),并且正在测试用于治疗非常广泛的神经、精神和医疗状况。本综述的目的是说明深度 TMS 的生物物理原理,解释其在每种精神障碍(重度抑郁症、自闭症、双相抑郁、幻听、精神分裂症的阴性症状)中的利用的病理生理学基础,总结目前在国际科学文献中关于在精神病学中使用深度 TMS 的结果,及其副作用和对认知功能的影响。
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