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[重复经颅磁刺激在神经病学和精神病学中的应用]

[Repetitive transcranial magnetic stimulation in neurology and psychiatry].

作者信息

Chervyakov A V, Poydasheva A G, Korzhova J E, Suponeva N A, Chernikova L A, Piradov M A

机构信息

Research Center of Neurology, Moscow.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2015;115(12):7-18. doi: 10.17116/jnevro20151151127-18.

DOI:10.17116/jnevro20151151127-18
PMID:26978489
Abstract

Transcranial magnetic stimulation (TMS) is a method based on the excitation of neurons in the brain cortex by an alternating magnetic field. Repetitive TMS (rTMS) is a kind of stimulation, in which a series of pulses are generated. rTMS can modulate different cortical area's activity and change their interactions using different protocols. The review shows the application of rTMS in treatment of various neurological (stroke, Parkinson's disease, dystonia, chronic pain syndromes, tinnitus, epilepsy, spasticity syndrome) and psychiatric (depression and anxiety) disorders. Authors collected all the main protocols, and gave recommendations for their use in clinical practice according to principles of evidence medicine.

摘要

经颅磁刺激(TMS)是一种基于交变磁场激发大脑皮层神经元的方法。重复经颅磁刺激(rTMS)是一种能产生一系列脉冲的刺激方式。rTMS可通过不同方案调节不同皮层区域的活动并改变它们之间的相互作用。这篇综述展示了rTMS在治疗各种神经疾病(中风、帕金森病、肌张力障碍、慢性疼痛综合征、耳鸣、癫痫、痉挛综合征)和精神疾病(抑郁症和焦虑症)中的应用。作者收集了所有主要方案,并根据循证医学原则给出了在临床实践中使用这些方案的建议。

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