Therapeutic effect of repetitive transcranial magnetic stimulation in Parkinson's disease: Analysis of [11C] raclopride PET study
Identifieur interne : 002567 ( Main/Exploration ); précédent : 002566; suivant : 002568Therapeutic effect of repetitive transcranial magnetic stimulation in Parkinson's disease: Analysis of [11C] raclopride PET study
Auteurs : Ji Youn Kim [Corée du Sud] ; Eun Joo Chung [Corée du Sud] ; Won Yong Lee [Corée du Sud] ; Hee Young Shin [Corée du Sud] ; Gyeong Han Lee [Corée du Sud] ; Yearn-Seong Choe [Corée du Sud] ; Yong Choi [Corée du Sud] ; Byeong Joon Kim [Corée du Sud]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-01-30.
English descriptors
- KwdEn :
- Adult, Aged, Electric Stimulation (methods), Female, Humans, Male, Middle Aged, Parkinson Disease (radionuclide imaging), Parkinson Disease (therapy), Parkinson's disease, Positron-Emission Tomography, Raclopride (metabolism), Severity of Illness Index, Transcranial Magnetic Stimulation (methods), Tritium (diagnostic use), [11C] raclopride PET, placebo effect, repetitive transcranial magnetic stimulation.
- MESH :
- chemical , diagnostic use : Tritium.
- chemical , metabolism : Raclopride.
- methods : Electric Stimulation, Transcranial Magnetic Stimulation.
- radionuclide imaging : Parkinson Disease.
- therapy : Parkinson Disease.
- Adult, Aged, Female, Humans, Male, Middle Aged, Positron-Emission Tomography, Severity of Illness Index.
Abstract
Repetitive transcranial magnetic stimulation (rTMS) has been used as a potential therapeutic tool in Parkinson's disease (PD). However, the therapeutic value and/or the placebo effect of rTMS on PD remain to be elucidated. To investigate the therapeutic value and/or placebo effect of rTMS in PD, we compared the motor section of unified PD rating scale (UPDRS III) and the amount of extracellular dopamine concentration using [11C] raclopride PET before and after two sessions of rTMS in 9 PD patients. During a consecutive 2 days while off‐medication, two series of 15 trains of 5 Hz‐frequency rTMS (intensity, 90% of the resting motor threshold) were applied to the hand area of more severely symptomatic motor cortex (MC). After unilateral rTMS of MC, mean raclopride binding potentials (BPs) were reduced not only in putaminal and caudate areas on the stimulated side (−4.9% and −6.5%, respectively) (P > 0.05) but also in putaminal and caudate areas of nonstimulated hemispheres (−6.6%, P > 0.05 and −12.1%, P = 0.049, respectively). UPDRS III scores were significantly decreased (35.0 ± 14.1 to 32.0 ± 13.4, P = 0.049). A reduction of raclopride BP in nonstimulated ventral striatum by unilateral rTMS supports the placebo response during rTMS. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21787
Affiliations:
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<front><div type="abstract" xml:lang="en">Repetitive transcranial magnetic stimulation (rTMS) has been used as a potential therapeutic tool in Parkinson's disease (PD). However, the therapeutic value and/or the placebo effect of rTMS on PD remain to be elucidated. To investigate the therapeutic value and/or placebo effect of rTMS in PD, we compared the motor section of unified PD rating scale (UPDRS III) and the amount of extracellular dopamine concentration using [11C] raclopride PET before and after two sessions of rTMS in 9 PD patients. During a consecutive 2 days while off‐medication, two series of 15 trains of 5 Hz‐frequency rTMS (intensity, 90% of the resting motor threshold) were applied to the hand area of more severely symptomatic motor cortex (MC). After unilateral rTMS of MC, mean raclopride binding potentials (BPs) were reduced not only in putaminal and caudate areas on the stimulated side (−4.9% and −6.5%, respectively) (P > 0.05) but also in putaminal and caudate areas of nonstimulated hemispheres (−6.6%, P > 0.05 and −12.1%, P = 0.049, respectively). UPDRS III scores were significantly decreased (35.0 ± 14.1 to 32.0 ± 13.4, P = 0.049). A reduction of raclopride BP in nonstimulated ventral striatum by unilateral rTMS supports the placebo response during rTMS. © 2007 Movement Disorder Society</div>
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