Somaa Fahad A, de Graaf Tom A, Sack Alexander T
Department of Occupational Therapy, Faculty of Medical Rehabilitation, King Abdulaziz University, Jeddah, Saudi Arabia.
Section Brain Stimulation and Cognition, Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands.
Front Neurol. 2022 May 20;13:793253. doi: 10.3389/fneur.2022.793253. eCollection 2022.
Transcranial Magnetic Stimulation (TMS) has widespread use in research and clinical application. For psychiatric applications, such as depression or OCD, repetitive TMS protocols (rTMS) are an established and globally applied treatment option. While promising, rTMS is not yet as common in treating neurological diseases, except for neurorehabilitation after (motor) stroke and neuropathic pain treatment. This may soon change. New clinical studies testing the potential of rTMS in various other neurological conditions appear at a rapid pace. This can prove challenging for both practitioners and clinical researchers. Although most of these neurological applications have not yet received the same level of scientific/empirical scrutiny as motor stroke and neuropathic pain, the results are encouraging, opening new doors for TMS in neurology. We here review the latest clinical evidence for rTMS in pioneering neurological applications including movement disorders, Alzheimer's disease/mild cognitive impairment, epilepsy, multiple sclerosis, and disorders of consciousness.
经颅磁刺激(TMS)在研究和临床应用中有着广泛的用途。在精神疾病应用方面,如抑郁症或强迫症,重复经颅磁刺激方案(rTMS)是一种既定的且在全球范围内应用的治疗选择。尽管前景广阔,但rTMS在治疗神经系统疾病方面尚未像在(运动)中风后的神经康复和神经性疼痛治疗中那样普遍。这种情况可能很快就会改变。测试rTMS在各种其他神经系统疾病中潜力的新临床研究正迅速涌现。这对从业者和临床研究人员来说都可能具有挑战性。尽管这些神经系统应用中的大多数尚未像运动中风和神经性疼痛那样接受同等程度的科学/实证审查,但结果令人鼓舞,为TMS在神经病学领域打开了新的大门。我们在此回顾rTMS在开创性神经系统应用中的最新临床证据,这些应用包括运动障碍、阿尔茨海默病/轻度认知障碍、癫痫、多发性硬化症和意识障碍。