Potential clinical targets of repetitive transcranial magnetic stimulation treatment in schizophrenia
| Autor: | Joachim Cordes, Peter Eichhammer, J. Kornischka, Marcus W. Agelink, M. Arends, Georg Winterer, Ansgar Klimke, A. Mobascher, Jürgen Brinkmeyer |
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| Rok vydání: | 2004 |
| Předmět: |
Psychosis
medicine.medical_specialty medicine.drug_class medicine.medical_treatment MEDLINE Atypical antipsychotic behavioral disciplines and activities Temporal lobe Physical medicine and rehabilitation Meta-Analysis as Topic mental disorders medicine Humans Psychiatry Prefrontal cortex Biological Psychiatry medicine.disease Transcranial Magnetic Stimulation Transcranial magnetic stimulation Psychiatry and Mental health Neuropsychology and Physiological Psychology Schizophrenia Psychology Psychopathology |
| Zdroj: | Neuropsychobiology. 54(2) |
| ISSN: | 0302-282X |
| Popis: | Despite the introduction of atypical antipsychotic drugs, treatment-resistant symptoms still represent a serious problem in schizophrenia. Currently, there is evidence from clinical studies suggesting that treatment with repetitive transcranial magnetic stimulation (rTMS) may improve schizophrenia symptoms. Our review provides an overview of clinical rTMS studies in schizophrenic patients. A systematic search of the literature (Cochrane and Medline databases up to December 2005) was conducted. Most studies showed methodological problems due to their explorative character and small sample sizes. In some studies, a treatment effect of high-frequency rTMS applied over the prefrontal cortex was seen with respect to negative symptoms. On the other hand, low-frequency rTMS in the temporal lobe area might lead to a suppression of auditory hallucinations. It is concluded that larger sham-controlled studies are required to allow an adequate assessment of the clinical and neurobiological effects of rTMS in schizophrenic patients. The currently available data provide insufficient evidence to support the use of rTMS as an adjuvant treatment for schizophrenic psychopathology, but encourage further investigation of rTMS as a novel treatment approach. |
| Databáze: | OpenAIRE |
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