Long-lasting repetitive transcranial magnetic stimulation modulates electroencephalography oscillation in patients with disorders of consciousness

被引:41
作者
Xia, Xiaoyu [1 ,2 ]
Liu, Yang [3 ]
Bai, Yang [6 ]
Liu, Ziyuan [3 ]
Yang, Yi [2 ]
Guo, Yongkun [7 ]
Xu, Ruxiang [2 ]
Gao, Xiaorong [1 ]
Li, Xiaoli [4 ,5 ]
He, Jianghong [2 ]
机构
[1] Tsinghua Univ, Sch Med, Dept Biomed Engn, Beijing, Peoples R China
[2] PLA Army Gen Hosp, Dept Neurosurg, Beijing, Peoples R China
[3] Chinese Acad Med Sci, Peking Union Med Coll, Dept Clin Med, Beijing, Peoples R China
[4] IDG McGovern Inst Brain Res, State Key Lab Cognit Neurosci & Learning, Beijing, Peoples R China
[5] Beijing Normal Univ, Ctr Collaborat & Innovat Brain & Learning Sci, Beijing, Peoples R China
[6] Yanshan Univ, Inst Elect Engn, Qinhuangdao, Peoples R China
[7] Zhengzhou Cent Hosp, Dept Neurosurg, Zhengzhou, Henan, Peoples R China
关键词
disorder of consciousness; electroencephalography; repetitive transcranial magnetic stimulation; DORSOLATERAL PREFRONTAL CORTEX; VEGETATIVE STATE; COGNITIVE IMPAIRMENT; BRAIN-FUNCTION; COMA RECOVERY; EEG; POWER; CONNECTIVITY; DISEASE; INJURY;
D O I
10.1097/WNR.0000000000000886
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Repetitive transcranial magnetic stimulation (rTMS) has been applied for the treatment of patients with disorders of consciousness (DOC). Timely and accurate assessments of its modulation effects are very useful. This study evaluated rTMS modulation effects on electroencephalography (EEG) oscillation in patients with chronic DOC. Eighteen patients with a diagnosis of DOC lasting more than 3 months were recruited. All patients received one session of 10-Hz rTMS at the left dorsolateral prefrontal cortex and then 12 of them received consecutive rTMS treatment everyday for 20 consecutive days. Resting-state EEGs were recorded before the experiment (T0) after one session of rTMS (T1) and after the entire treatment (T2). The JFK Coma Recovery Scale-Revised scale scores were also recorded at the time points. Our data showed that application of 10-Hz rTMS to the left dorsolateral prefrontal cortex decreased low-frequency band power and increased high-frequency band power in DOC patients, especially in minimal conscious state patients. Considering the correlation of the EEG spectrum with the consciousness level of patients with DOC, quantitative EEG might be useful for assessment of the effect of rTMS in DOC patients. NeuroReport 28: 1022-1029 Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:1022 / 1029
页数:8
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