J 2021

Diagnostic contribution and therapeutic perspectives of transcranial magnetic stimulation in dementia

DI LAZZARO, Vincenzo, Rita BELLA, Alberto BENUSSI, Matteo BOLOGNA, Barbara BORRONI et. al.

Základní údaje

Originální název

Diagnostic contribution and therapeutic perspectives of transcranial magnetic stimulation in dementia

Autoři

DI LAZZARO, Vincenzo (garant), Rita BELLA, Alberto BENUSSI, Matteo BOLOGNA, Barbara BORRONI, Fioravante CAPONE, Kai-Hsiang S. CHEN, Robert CHEN, Andrei CHISTYAKOV, Joseph CLASSEN, Matthew C. KIERNAN, Giacomo KOCH, Giuseppe LANZA, Jean-Pascal LEFAUCHEUR, Hideyuki MATSUMOTO, Jean-Paul NGUYEN, Michael ORTH, Alvaro PASCUAL-LEONE, Irena REKTOROVÁ (203 Česká republika, domácí), Patrik ŠIMKO (703 Slovensko, domácí), John-Paul TAYLOR, Sara TREMBLAY, Yoshikazu UGAWA, Raffaele DUBBIOSO a Federico RANIERI

Vydání

Clinical Neurophysiology, Clare, Elsevier Ireland, 2021, 1388-2457

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.861

Kód RIV

RIV/00216224:14110/21:00120154

Organizační jednotka

Lékařská fakulta

UT WoS

000704914800030

Klíčová slova anglicky

Brain stimulationCortical excitabilityPlasticityBiomarkerConnectivityPrecision medicine

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 5. 11. 2021 10:36, Mgr. Tereza Miškechová

Anotace

V originále

Transcranial magnetic stimulation (TMS) is a powerful tool to probe in vivo brain circuits, as it allows to assess several cortical properties such as excitability, plasticity and connectivity in humans. In the last 20 years, TMS has been applied to patients with dementia, enabling the identification of potential markers of the pathophysiology and predictors of cognitive decline; moreover, applied repetitively, TMS holds promise as a potential therapeutic intervention. The objective of this paper is to present a comprehensive review of studies that have employed TMS in dementia and to discuss potential clinical applications, from the diagnosis to the treatment. To provide a technical and theoretical framework, we first present an overview of the basic physiological mechanisms of the application of TMS to assess cortical excitability, excitation and inhibition balance, mechanisms of plasticity and cortico-cortical connectivity in the human brain. We then review the insights gained by TMS techniques into the pathophysiology and predictors of progression and response to treatment in dementias, including Alzheimer's disease (AD)-related dementias and secondary dementias. We show that while a single TMS measure offers low specificity, the use of a panel of measures and/or neurophysiological index can support the clinical diagnosis and predict progression. In the last part of the article, we discuss the therapeutic uses of TMS. So far, only repetitive TMS (rTMS) over the left dorsolateral prefrontal cortex and multisite rTMS associated with cognitive training have been shown to be, respectively, possibly (Level C of evidence) and probably (Level B of evidence) effective to improve cognition, apathy, memory, and language in AD patients, especially at a mild/early stage of the disease. The clinical use of this type of treatment warrants the combination of brain imaging techniques and/or electrophysiological tools to elucidate neurobiological effects of neurostimulation and to optimally tailor rTMS treatment protocols in individual patients or specific patient subgroups with dementia or mild cognitive impairment. (c) 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

Návaznosti

NV18-04-00256, projekt VaV
Název: Efekt transkraniální stimulace tDCS na zrakovou pozornost u pacientů s mírnou kognitivní poruchou - studie kombinující MRI a neinvazivní mozkovou stimulaci
Investor: Ministerstvo zdravotnictví ČR, The effect of transcranial direct current stimulation on visual attention in mild cognitive impairment – a combined fMRI and non-invasive brain stimulation study