Chen Wan-Ting, Yeh Yi-Wei, Kuo Shin-Chang, Shiao Yi-Chih, Huang Chih-Chung, Wang Yi-Guang, Chen Chun-Yen
Department of Psychiatry, Tri-Service General Hospital and School of Medicine, National Defense Medical Center, Taipei, Taiwan.
Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital and School of Medicine, National Defense Medical Center, Taipei, Taiwan.
Clin Psychopharmacol Neurosci. 2025 Feb 28;23(1):161-165. doi: 10.9758/cpn.24.1193. Epub 2024 Oct 10.
This case report explores the therapeutic potential of theta burst stimulation (TBS) for cognitive enhancement in individuals with brain injuries. The study presents a 38-year-old male suffering from an organic mental disorder attributed to a traumatic brain injury (TBI), who demonstrated notable cognitive improvements following an intensive TBS protocol targeting the left dorsal lateral prefrontal cortex. The treatment led to significant enhancements in impulse control, irritability, and verbal comprehension without adverse effects. Neuropsychological assessments and brain imaging post-intervention revealed improvements in short-term memory, abstract reasoning, list-generating fluency, and increased cerebral blood flow in the prefrontal cortex. These findings suggest that TBS, by promoting neural plasticity and reconfiguring neural networks, offers a promising avenue for cognitive rehabilitation in TBI patients. Further research is warranted to optimize TBS protocols and understand the mechanisms underlying its cognitive benefits.
本病例报告探讨了θ波爆发刺激(TBS)对脑损伤个体认知增强的治疗潜力。该研究介绍了一名38岁男性,患有因创伤性脑损伤(TBI)导致的器质性精神障碍,在针对左背外侧前额叶皮层进行强化TBS治疗方案后,其认知有显著改善。治疗使冲动控制、易怒情绪和语言理解能力得到显著提高,且无不良反应。干预后的神经心理学评估和脑成像显示,短期记忆、抽象推理、列表生成流畅性有所改善,前额叶皮层的脑血流量增加。这些发现表明,TBS通过促进神经可塑性和重新配置神经网络,为TBI患者的认知康复提供了一条有前景的途径。有必要进一步研究以优化TBS治疗方案,并了解其认知益处背后的机制。