期刊
JOURNAL OF THE NEUROLOGICAL SCIENCES
卷 393, 期 -, 页码 88-99出版社
ELSEVIER
DOI: 10.1016/j.jns.2018.08.014
关键词
Brain stimulation; Repetitive transcranial magnetic stimulation; rTMS; Parkinson's disease; Dorsolateral prefrontal cortex; Depression; Cognition
资金
- University of Tartu Doctoral stipend
The rapid methodological development and growing availability of neuromodulation techniques have spurred myriad studies investigating their clinical effectiveness. Repetitive transcranial magnetic stimulation (rTMS) of the dorsolateral prefrontal cortex (DLPFC) has in many instances been proven to exert antidepressant-like effects superior to placebo and equivalent to standard psychopharmacological treatment. Due to the similar neuroanatomy and neurophysiology of executive and affective control processes, rTMS to the DLPFC may be able to address multiple issues simultaneously. This review pools available literature on the therapeutic usage of rTMS on non-motor symptoms of Parkinson's disease associated with the DLPFC (i.e. mood disturbance and cognitive impairment). To the best of the author's knowledge, it is one of the few available of its' kind, up to this date. Most studies included in the review found beneficial effects of high frequency prefrontal rTMS on PD-related depression. In regard to the usability of rTMS to alleviate cognitive impairment associated with PD, definitive claims are yet to be established.
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