Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review

After long-term use of levodopa, Parkinson's patients almost inevitably develop dyskinesia, a kind of drug side effect manifesting as uncontrollable choreic movements and dystonia, which could be crippling yet have limited therapeutic options. Transcranial magnetic stimulation is the most widel...

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Autores principales: Yi Wu, Xue-bing Cao, Wei-qi Zeng, Heng Zhai, Xiao-qian Zhang, Xiao-man Yang, Chi Cheng, Jia-ling Wang, Xiao-mei Yang, Yan Xu
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:31ad40fc43e04ca0be8c31318480693e2021-11-10T14:30:30ZTranscranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review1664-229510.3389/fneur.2021.758345https://doaj.org/article/31ad40fc43e04ca0be8c31318480693e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.758345/fullhttps://doaj.org/toc/1664-2295After long-term use of levodopa, Parkinson's patients almost inevitably develop dyskinesia, a kind of drug side effect manifesting as uncontrollable choreic movements and dystonia, which could be crippling yet have limited therapeutic options. Transcranial magnetic stimulation is the most widely studied non-invasive neuromodulation technology to treat levodopa-induced dyskinesia. Many studies have shown that transcranial magnetic stimulation has beneficial effects on levodopa-induced dyskinesia and is patient-tolerable, barely with reported adverse effects. Changes in brain connectivity, neuroplasticity, neurotransmitter, neurorestoration, and blood flow modulation could play crucial roles in the efficacy of transcranial magnetic stimulation for levodopa-induced dyskinesia. The appearance of new modes and application for emerging targets are possible solutions for transcranial magnetic stimulation to achieve sustained efficacy. Since the sample size in all available studies is small, more randomized double-blind controlled studies are needed to elucidate the specific treatment mechanisms and optimize treatment parameters.Yi WuXue-bing CaoWei-qi ZengHeng ZhaiXiao-qian ZhangXiao-man YangChi ChengJia-ling WangXiao-mei YangYan XuFrontiers Media S.A.articletranscranial magnetic stimulationParkinson's diseasedyskinesiamechanismtreatmentNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic transcranial magnetic stimulation
Parkinson's disease
dyskinesia
mechanism
treatment
Neurology. Diseases of the nervous system
RC346-429
spellingShingle transcranial magnetic stimulation
Parkinson's disease
dyskinesia
mechanism
treatment
Neurology. Diseases of the nervous system
RC346-429
Yi Wu
Xue-bing Cao
Wei-qi Zeng
Heng Zhai
Xiao-qian Zhang
Xiao-man Yang
Chi Cheng
Jia-ling Wang
Xiao-mei Yang
Yan Xu
Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
description After long-term use of levodopa, Parkinson's patients almost inevitably develop dyskinesia, a kind of drug side effect manifesting as uncontrollable choreic movements and dystonia, which could be crippling yet have limited therapeutic options. Transcranial magnetic stimulation is the most widely studied non-invasive neuromodulation technology to treat levodopa-induced dyskinesia. Many studies have shown that transcranial magnetic stimulation has beneficial effects on levodopa-induced dyskinesia and is patient-tolerable, barely with reported adverse effects. Changes in brain connectivity, neuroplasticity, neurotransmitter, neurorestoration, and blood flow modulation could play crucial roles in the efficacy of transcranial magnetic stimulation for levodopa-induced dyskinesia. The appearance of new modes and application for emerging targets are possible solutions for transcranial magnetic stimulation to achieve sustained efficacy. Since the sample size in all available studies is small, more randomized double-blind controlled studies are needed to elucidate the specific treatment mechanisms and optimize treatment parameters.
format article
author Yi Wu
Xue-bing Cao
Wei-qi Zeng
Heng Zhai
Xiao-qian Zhang
Xiao-man Yang
Chi Cheng
Jia-ling Wang
Xiao-mei Yang
Yan Xu
author_facet Yi Wu
Xue-bing Cao
Wei-qi Zeng
Heng Zhai
Xiao-qian Zhang
Xiao-man Yang
Chi Cheng
Jia-ling Wang
Xiao-mei Yang
Yan Xu
author_sort Yi Wu
title Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
title_short Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
title_full Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
title_fullStr Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
title_full_unstemmed Transcranial Magnetic Stimulation Alleviates Levodopa-Induced Dyskinesia in Parkinson's Disease and the Related Mechanisms: A Mini-Review
title_sort transcranial magnetic stimulation alleviates levodopa-induced dyskinesia in parkinson's disease and the related mechanisms: a mini-review
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/31ad40fc43e04ca0be8c31318480693e
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