잠시만 기다려 주세요. 로딩중입니다.

Safety Review for Clinical Application of Repetitive Transcranial Magnetic Stimulation

Brain & NeuroRehabilitation 2021년 14권 1호 p.6 ~ 6
김원석, 백남종,
소속 상세정보
김원석 ( Kim Won-Seok ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Rehabilitation Medicine
백남종 ( Paik Nam-Jong ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Rehabilitation Medicine

Abstract


Studies using repetitive transcranial magnetic stimulation (rTMS) in healthy individuals and those with neuropsychiatric diseases have rapidly increased since the 1990s, due to the potential of rTMS to modulate the cortical excitability in the brain depending on the stimulation parameters; therefore, the safety considerations for rTMS use are expected to become more important. Wassermann published the first safety guidelines for rTMS from the consensus conference held in 1996, and Rossi and colleague then published the second safety guidelines from the multidisciplinary consensus meeting held in Siena, Italy in 2008, on behalf of the International Federation of Clinical Neurophysiology. More than 10 years after the second guidelines, the updated third safety guidelines were recently published in 2021. The general safety guidelines for conventional rTMS have not substantially changed. Because the most frequently used rTMS protocol is conventional (low- and high-frequency) rTMS in research and clinical settings, we focus on reviewing safety issues when applying conventional rTMS with a focal cortical stimulation coil. The following issues will be covered: 1) possible adverse events induced by rTMS; 2) checklists to screen for any precautions and risks before rTMS; 3) safety considerations for dosing conventional rTMS; and 4) safety considerations for using rTMS in stroke and traumatic brain injury.

키워드

Repetitive Transcranial Magnetic Stimulation; Safety; Seizures; Stroke; Traumatic brain injury

원문 및 링크아웃 정보

등재저널 정보