J 2018

Efficacy and Safety of Intensive Transcranial Magnetic Stimulation

SVĚRÁK, Tomáš a Libor USTOHAL

Základní údaje

Originální název

Efficacy and Safety of Intensive Transcranial Magnetic Stimulation

Autoři

SVĚRÁK, Tomáš (203 Česká republika, garant, domácí) a Libor USTOHAL (203 Česká republika, domácí)

Vydání

Harvard Review of Psychiatry, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2018, 1067-3229

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30215 Psychiatry

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.507

Kód RIV

RIV/00216224:14110/18:00102192

Organizační jednotka

Lékařská fakulta

UT WoS

000422646900003

Klíčová slova anglicky

efficacy; intensive treatment; nomenclature; repetitive transcranial magnetic stimulation; safety

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 12. 3. 2019 10:07, Mgr. Pavla Foltynová, Ph.D.

Anotace

V originále

Repetitive transcranial magnetic stimulation (rTMS) is customarily applied on a daily basis for prolonged periods of time for the treatment of psychiatric diseases. The process is demanding in terms of staff and patient time, and the onset of the effect is slow. Recently, intensive rTMS protocols have been introduced in which stimulation is applied to the same area more than once a day with a higher than standard number of pulses. This article reviews 16 articles to determine the safety and efficacy of such protocols. Intensive rTMS seems to be effective in various mental disorders. It appears to have, in general, the same adverse events as classic, long-term, daily rTMS, and it is largely well tolerated by the patients. One episode of depersonalization, one of increased suicidal thoughts, and two of induced mania were observed in the 16 studies reviewed. The advantages of intensive rTMS are in the possible acute effect of the stimulation and in the possible reduction in the time required to achieve remission in depression (and potentially other disorders). It remains uncertain whether intensive rTMS is more effective than sham stimulation or once-daily, long-term rTMS.