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rTMS 降低阿尔茨海默病中的 δ 波并增加 θ 波振荡:一项视觉诱发电位和事件相关电位研究。

rTMS reduces delta and increases theta oscillations in Alzheimer's disease: A visual-evoked and event-related potentials study.

机构信息

Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, New York, USA.

Functional Imaging and Cognitive-Affective Neuroscience Lab (fINCAN), Health Sciences and Technology Research Institute (SABITA), Istanbul Medipol University, Istanbul, Turkey.

出版信息

CNS Neurosci Ther. 2024 Jan;30(1):e14564. doi: 10.1111/cns.14564.

DOI:10.1111/cns.14564
PMID:38287520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10805393/
Abstract

BACKGROUND

Repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising alternative therapy for Alzheimer's disease (AD) due to its ability to modulate neural networks and enhance cognitive function. This treatment offers the unique advantage of enabling real-time monitoring of immediate cognitive effects and dynamic brain changes through electroencephalography (EEG).

OBJECTIVE

This study focused on exploring the effects of left parietal rTMS stimulation on visual-evoked potentials (VEP) and visual event-related potentials (VERP) in AD patients.

METHODS

Sixteen AD patients were recruited for this longitudinal study. EEG data were collected within a Faraday cage both pre- and post-rTMS to evaluate its impact on potentials.

RESULTS

Significant alterations were found in both VEP and VERP oscillations. Specifically, delta power in VEP decreased, while theta power in VERP increased post-rTMS, indicating a modulation of brain activities.

DISCUSSION

These findings confirm the positive modulatory impact of rTMS on brain activities in AD, evidenced by improved cognitive scores. They align with previous studies highlighting the potential of rTMS in managing hyperexcitability and oscillatory disturbances in the AD cortex.

CONCLUSION

Cognitive improvements post-rTMS endorse its potential as a promising neuromodulatory treatment for cognitive enhancement in AD, thereby providing critical insights into the neurophysiological anomalies in AD and possible therapeutic avenues.

摘要

背景

重复经颅磁刺激(rTMS)因其能够调节神经网络和增强认知功能,已成为治疗阿尔茨海默病(AD)的一种很有前途的替代疗法。这种治疗方法通过脑电图(EEG)提供了实时监测即时认知效果和大脑动态变化的独特优势。

目的

本研究旨在探讨左顶叶 rTMS 刺激对 AD 患者视觉诱发电位(VEP)和视觉事件相关电位(VERP)的影响。

方法

这项纵向研究共招募了 16 名 AD 患者。在 rTMS 前后在法拉第笼内采集 EEG 数据,以评估其对电位的影响。

结果

发现 VEP 和 VERP 振荡都有明显的变化。具体来说,VEP 中的 delta 功率降低,而 VERP 中的 theta 功率增加,表明大脑活动的调节。

讨论

这些发现证实了 rTMS 对 AD 大脑活动的积极调节作用,这可从认知评分的提高中得到证明。它们与先前的研究一致,强调了 rTMS 在管理 AD 皮层过度兴奋和振荡障碍方面的潜力。

结论

rTMS 后认知能力的提高支持了其作为增强 AD 认知的有前途的神经调节治疗方法的潜力,从而为 AD 中的神经生理异常和可能的治疗途径提供了关键的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/adb9e4ac5ce8/CNS-30-e14564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/201c87851937/CNS-30-e14564-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/6f30e76a67d0/CNS-30-e14564-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/01ece4c0912c/CNS-30-e14564-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/0d237706921f/CNS-30-e14564-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/adb9e4ac5ce8/CNS-30-e14564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/201c87851937/CNS-30-e14564-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/6f30e76a67d0/CNS-30-e14564-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/01ece4c0912c/CNS-30-e14564-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/0d237706921f/CNS-30-e14564-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1d/10805393/adb9e4ac5ce8/CNS-30-e14564-g002.jpg

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