Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives

Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives

Ana Lusicic,1 Koen RJ Schruers,2 Stefano Pallanti,3,4 David J Castle5,6 1PACE Clinic, Orygen Youth Health, Melbourne, VIC, Australia; 2Research Institute for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands; 3Institute of Neurosciences, Florence, Italy; 4Stanford U...

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Autores principales: Lusicic A, Schruers KRJ, Pallanti S, Castle DJ
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
repetitive Transcranial Magnetic Stimulation (rTMS)
deep TMS
Obsessive Compulsive Disorder (OCD)
non-invasive neurostimulation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/5e36be1a4b9e458ab07e2c864acb6898
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spelling oai:doaj.org-article:5e36be1a4b9e458ab07e2c864acb68982021-12-02T01:35:16ZTranscranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives1178-2021https://doaj.org/article/5e36be1a4b9e458ab07e2c864acb68982018-06-01T00:00:00Zhttps://www.dovepress.com/transcranial-magnetic-stimulation-in-the-treatment-of-obsessive-compul-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ana Lusicic,1 Koen RJ Schruers,2 Stefano Pallanti,3,4 David J Castle5,6 1PACE Clinic, Orygen Youth Health, Melbourne, VIC, Australia; 2Research Institute for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands; 3Institute of Neurosciences, Florence, Italy; 4Stanford University, Palo Alto, CA, USA; 5St Vincent’s Hospital, 6University of Melbourne, Melbourne, VIC, Australia Abstract: Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive neurostimulation technique receiving increasing attention in the treatment of different psychiatric disorders. Evidence for rTMS use in obsessive–compulsive disorder (OCD) is accumulating and informing further developments in the neurostimulation field, the latest being deep transcranial magnetic stimulation (dTMS). dTMS allows direct stimulation of deeper subcortical structures and larger brain volume than conventional rTMS. Underlying neurobiological mechanisms related to transcranial magnetic stimulation are still under evaluation, but appear to offer a novel “third” way of addressing symptoms via localized electrical stimulation compared to pharmacotherapy and psychotherapy approaches. This systematic review focuses on the effects of rTMS and dTMS stimulation on different brain targets in OCD. Brain areas included are the dorsolateral prefrontal cortex, supplementary motor area, orbitofrontal cortex/medial prefrontal cortex, and anterior cingulate cortex (ACC). Improved understanding of the therapeutic effects of rTMS in OCD will support fine-tuning of the method and help determine how we can best optimize the approach via rTMS or dTMS to achieve clinically relevant results. Keywords: repetitive transcranial magnetic stimulation, rTMS, deep TMS, obsessive–compulsive disorder, OCD, noninvasive neurostimulationLusicic ASchruers KRJPallanti SCastle DJDove Medical Pressarticlerepetitive Transcranial Magnetic Stimulation (rTMS)deep TMSObsessive Compulsive Disorder (OCD)non-invasive neurostimulationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1721-1736 (2018)
institution DOAJ
collection DOAJ
language EN
topic repetitive Transcranial Magnetic Stimulation (rTMS)
deep TMS
Obsessive Compulsive Disorder (OCD)
non-invasive neurostimulation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle repetitive Transcranial Magnetic Stimulation (rTMS)
deep TMS
Obsessive Compulsive Disorder (OCD)
non-invasive neurostimulation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Lusicic A
Schruers KRJ
Pallanti S
Castle DJ
Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
description Ana Lusicic,1 Koen RJ Schruers,2 Stefano Pallanti,3,4 David J Castle5,6 1PACE Clinic, Orygen Youth Health, Melbourne, VIC, Australia; 2Research Institute for Mental Health and Neuroscience, Maastricht University, Maastricht, the Netherlands; 3Institute of Neurosciences, Florence, Italy; 4Stanford University, Palo Alto, CA, USA; 5St Vincent’s Hospital, 6University of Melbourne, Melbourne, VIC, Australia Abstract: Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive neurostimulation technique receiving increasing attention in the treatment of different psychiatric disorders. Evidence for rTMS use in obsessive–compulsive disorder (OCD) is accumulating and informing further developments in the neurostimulation field, the latest being deep transcranial magnetic stimulation (dTMS). dTMS allows direct stimulation of deeper subcortical structures and larger brain volume than conventional rTMS. Underlying neurobiological mechanisms related to transcranial magnetic stimulation are still under evaluation, but appear to offer a novel “third” way of addressing symptoms via localized electrical stimulation compared to pharmacotherapy and psychotherapy approaches. This systematic review focuses on the effects of rTMS and dTMS stimulation on different brain targets in OCD. Brain areas included are the dorsolateral prefrontal cortex, supplementary motor area, orbitofrontal cortex/medial prefrontal cortex, and anterior cingulate cortex (ACC). Improved understanding of the therapeutic effects of rTMS in OCD will support fine-tuning of the method and help determine how we can best optimize the approach via rTMS or dTMS to achieve clinically relevant results. Keywords: repetitive transcranial magnetic stimulation, rTMS, deep TMS, obsessive–compulsive disorder, OCD, noninvasive neurostimulation
format article
author Lusicic A
Schruers KRJ
Pallanti S
Castle DJ
author_facet Lusicic A
Schruers KRJ
Pallanti S
Castle DJ
author_sort Lusicic A
title Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
title_short Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
title_full Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
title_fullStr Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
title_full_unstemmed Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
title_sort transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: current perspectives
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/5e36be1a4b9e458ab07e2c864acb6898
work_keys_str_mv AT lusicica transcranialmagneticstimulationinthetreatmentofobsessivendashcompulsivedisordercurrentperspectives
AT schruerskrj transcranialmagneticstimulationinthetreatmentofobsessivendashcompulsivedisordercurrentperspectives
AT pallantis transcranialmagneticstimulationinthetreatmentofobsessivendashcompulsivedisordercurrentperspectives
AT castledj transcranialmagneticstimulationinthetreatmentofobsessivendashcompulsivedisordercurrentperspectives
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