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高清经颅直流电刺激治疗精神分裂症持续性幻觉的可行性及临床应用价值

Feasibility and Clinical Utility of High-definition Transcranial Direct Current Stimulation in the Treatment of Persistent Hallucinations in Schizophrenia.

作者信息

Bose A, Shivakumar V, Chhabra H, Parlikar R, Sreeraj V S, Dinakaran D, Narayanaswamy J C, Venkatasubramanian G

机构信息

WISER Program, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.

出版信息

East Asian Arch Psychiatry. 2017 Dec;27(4):162-4.

Abstract

Persistent auditory verbal hallucination is a clinically significant problem in schizophrenia. Recent studies suggest a promising role for add-on transcranial direct current stimulation (tDCS) in treatment. An optimised version of tDCS, namely high-definition tDCS (HD-tDCS), uses smaller electrodes arranged in a 4x1 ring configuration and may offer more focal and predictable neuromodulation than conventional tDCS. This case report illustrates the feasibility and clinical utility of add-on HD-tDCS over the left temporoparietal junction in a 4x1 ring configuration to treat persistent auditory verbal hallucination in schizophrenia.

摘要

持续性听幻觉是精神分裂症中一个具有临床意义的问题。最近的研究表明,辅助经颅直流电刺激(tDCS)在治疗中具有广阔前景。tDCS的优化版本,即高清tDCS(HD-tDCS),使用以4x1环形配置排列的较小电极,与传统tDCS相比,可能提供更具针对性和可预测性的神经调节。本病例报告说明了采用4x1环形配置在左颞顶交界处进行辅助HD-tDCS治疗精神分裂症持续性听幻觉的可行性和临床实用性。

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