机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China,神经科系统神经内科首都医科大学宣武医院[2]Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen University, Shenzhen, China,深圳大学总医院深圳市康宁医院深圳医学信息中心[3]Beijing Key Laboratory of Neuromodulation, Beijing, China,[4]Center of Epilepsy, Beijing Institute for Brain Disorders, Capital Medical University, Ministry of Science and Technology, Beijing, China
Background: Traditional medical treatments are not effective for some patients with Tourette syndrome (TS). According to the literature, repetitive transcranial magnetic stimulation (rTMS) may be effective for the treatment of TS; however, different targets show different results. Objective: To assess the efficacy and safety of low-frequency rTMS in patients with TS, with the bilateral parietal cortex as the target. Methods: Thirty patients with TS were divided into two groups: active and sham groups. The active group was subjected to 0.5-Hz rTMS at 90% of resting motor threshold (RMT) with 1,200 stimuli/day/side, whereas the sham group was subjected to 0.5-Hz rTMS at 10% of RMT with 1,200 stimuli/day/side with changes in the coil direction. Both groups were bilaterally stimulated over the parietal cortex (P3 and P4 electrode sites) for 10 consecutive days. The symptoms of tics and premonitory urges were evaluated using the Yale Global Tic Severity Scale (YGTSS), Modified Scoring Method for the Rush Video-based Tic Rating Scale (MRVBTS), and Premonitory Urge for Tics Scale (PUTS) scores at baseline, the end of the 10-day treatment, 1 week after treatment, and 1 month after treatment. Results: At the end of the 10-day treatment, the YGTSS total, YGTSS motor tic, YGTSS phonic tic, MRVBTS, and PUTS scores in the active group significantly improved and improvements were maintained for at least 1 month. Conclusions: Low-frequency bilateral rTMS of the parietal cortex can markedly alleviate motor tics, phonic tics, and premonitory urges in patients with TS.
基金:
This work was supported by the Chinese Academy of Sciences –
Austrian International Cooperation Project (No. Y8662911ZX),
Sanming Project of Medicine in Shenzhen (SZSM202003006).
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China,[2]Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen University, Shenzhen, China,
通讯作者:
推荐引用方式(GB/T 7714):
Mengmeng Fu,Hua Wei,Xianghong Meng,et al.Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Bilateral Parietal Cortex in Patients With Tourette Syndrome[J].FRONTIERS IN NEUROLOGY.2021,12:doi:10.3389/fneur.2021.602830.
APA:
Mengmeng Fu,Hua Wei,Xianghong Meng,Hai Chen,Baoxiang Shang...&Yuping Wang.(2021).Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Bilateral Parietal Cortex in Patients With Tourette Syndrome.FRONTIERS IN NEUROLOGY,12,
MLA:
Mengmeng Fu,et al."Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation of the Bilateral Parietal Cortex in Patients With Tourette Syndrome".FRONTIERS IN NEUROLOGY 12.(2021)