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Gorban C, Zhang Z, Mensen A, Khatami R. The Comparison of Early Hemodynamic Response to Single-Pulse Transcranial Magnetic Stimulation following Inhibitory or Excitatory Theta Burst Stimulation on Motor Cortex. Brain Sci 2023; 13:1609. [PMID: 38002568 PMCID: PMC10670137 DOI: 10.3390/brainsci13111609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 11/14/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023] Open
Abstract
We present a new study design aiming to enhance the understanding of the mechanism by which continuous theta burst stimulation (cTBS) or intermittent theta burst stimulation (iTBS) paradigms elicit cortical modulation. Using near-infrared spectroscopy (NIRS), we compared the cortical hemodynamics of the previously inhibited (after cTBS) or excited (after iTBS) left primary motor cortex (M1) as elicited by single-pulse TMS (spTMS) in a cross-over design. Mean relative changes in hemodynamics within 6 s of the stimulus were compared using a two-sample t-test (p < 0.05) and linear mixed model between real and sham stimuli and between stimuli after cTBS and iTBS. Only spTMS after cTBS resulted in a significant increase (p = 0.04) in blood volume (BV) compared to baseline. There were no significant changes in other hemodynamic parameters (oxygenated/deoxygenated hemoglobin). spTMS after cTBS induced a larger increase in BV than spTMS after iTBS (p = 0.021) and sham stimulus after cTBS (p = 0.009). BV showed no significant difference between real and sham stimuli after iTBS (p = 0.37). The greater hemodynamic changes suggest increased vasomotor reactivity after cTBS compared to iTBS. In addition, cTBS could decrease lateral inhibition, allowing activation of surrounding areas after cTBS.
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Affiliation(s)
- Corina Gorban
- Center for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid, 5017 Barmelweid, Switzerland; (C.G.); (A.M.); (R.K.)
- Department of Neurology, Bern University Hospital, University of Bern, 3012 Bern, Switzerland
| | - Zhongxing Zhang
- Center for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid, 5017 Barmelweid, Switzerland; (C.G.); (A.M.); (R.K.)
| | - Armand Mensen
- Center for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid, 5017 Barmelweid, Switzerland; (C.G.); (A.M.); (R.K.)
| | - Ramin Khatami
- Center for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid, 5017 Barmelweid, Switzerland; (C.G.); (A.M.); (R.K.)
- Department of Neurology, Bern University Hospital, University of Bern, 3012 Bern, Switzerland
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2
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DiNuzzo M, Mangia S, Giove F. Manipulations of sleep‐like slow‐wave activity by noninvasive brain stimulation. J Neurosci Res 2022; 100:1218-1225. [DOI: 10.1002/jnr.25029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 01/18/2022] [Accepted: 01/29/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Mauro DiNuzzo
- Magnetic Resonance for Brain Investigation Laboratory Museo Storico della Fisica e Centro di Studi e Ricerche Enrico Fermi Rome Italy
| | - Silvia Mangia
- Center for Magnetic Resonance Research, Department of Radiology University of Minnesota Minneapolis Minnesota USA
| | - Federico Giove
- Magnetic Resonance for Brain Investigation Laboratory Museo Storico della Fisica e Centro di Studi e Ricerche Enrico Fermi Rome Italy
- Laboratory of Neurophysics and Neuroimaging Fondazione Santa Lucia IRCCS Rome Italy
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Wei X, Wang M, Ma X, Tang T, Shi J, Zhao D, Yuan T, Xie Z, Shen Y. Treatment of postoperative delirium with continuous theta burst stimulation: study protocol for a randomised controlled trial. BMJ Open 2021; 11:e048093. [PMID: 34400453 PMCID: PMC8370542 DOI: 10.1136/bmjopen-2020-048093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Postoperative delirium is one of the most common postoperative complications among elderly patients (65 years old or older). However, there are no effective treatments for this condition. Recent research suggests that continuous theta burst stimulation (cTBS), a non-invasive brain stimulation, can reduce pain level, improve cognitive function and affective symptoms in multiple diseases or dysfunctions, including anxiety disorders, major depressive disorder, sleep disorders and pain. But the potential benefits of cTBS in reducing postoperative delirium have not been investigated. Therefore, we propose determining whether cTBS can prevent and/or treat postoperative delirium in senior patients. METHODS AND ANALYSIS The study will be a double-blind, randomised controlled trial. Participants (65 years old or older) undergoing scheduled orthopaedic surgery (≥2 hours, general anaesthesia) will be randomised to receive either cTBS or sham stimulation with a focal figure-of-eight coil over the right dorsolateral prefrontal cortex at 80% of the resting motor threshold. Every patient will receive 2-3 sets of stimulations during postoperative days (40 s per session, 3 sessions per set, 1 set per day). Participants will be assessed twice daily by a research assistant blinded to allocation. The primary outcome will be the incidence of postoperative delirium measured by the Confusion Assessment Method on postoperative days 1, 2 and 3. The secondary outcomes will be the severity and duration of postoperative delirium, cognitive function, pain, sleep quality, activities of daily living, length of hospital stay, discharge-to-facility or home, and rate of complication and mortality during the hospital stay. ETHICS AND DISSEMINATION Ethical approval has been obtained from the ethics committee of Shanghai 10th People's Hospital. The principal investigator will submit a research progress report to the ethics committee regularly. All participants will provide written informed consent. Study results will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER NCT04661904.
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Affiliation(s)
- Xiaoyi Wei
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
- Anesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China
| | - Meijuan Wang
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
| | - Xin Ma
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
- Anesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China
| | - Tianyi Tang
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
- Anesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China
| | - Jingqing Shi
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
| | - Di Zhao
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Tifei Yuan
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Zhongcong Xie
- Geriatric Anesthesia Research Unit, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA
| | - Yuan Shen
- Department of Psychiatry, Shanghai Tenth People's Hospital, Shanghai, China
- Anesthesia and Brain Research Institute, Tongji University School of Medicine, Shanghai, China
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4
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Balasubramani PP, Ojeda A, Grennan G, Maric V, Le H, Alim F, Zafar-Khan M, Diaz-Delgado J, Silveira S, Ramanathan D, Mishra J. Mapping cognitive brain functions at scale. Neuroimage 2021; 231:117641. [PMID: 33338609 PMCID: PMC8221518 DOI: 10.1016/j.neuroimage.2020.117641] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 10/31/2020] [Accepted: 12/08/2020] [Indexed: 12/30/2022] Open
Abstract
A fundamental set of cognitive abilities enable humans to efficiently process goal-relevant information, suppress irrelevant distractions, maintain information in working memory, and act flexibly in different behavioral contexts. Yet, studies of human cognition and their underlying neural mechanisms usually evaluate these cognitive constructs in silos, instead of comprehensively in-tandem within the same individual. Here, we developed a scalable, mobile platform, "BrainE" (short for Brain Engagement), to rapidly assay several essential aspects of cognition simultaneous with wireless electroencephalography (EEG) recordings. Using BrainE, we rapidly assessed five aspects of cognition including (1) selective attention, (2) response inhibition, (3) working memory, (4) flanker interference and (5) emotion interference processing, in 102 healthy young adults. We evaluated stimulus encoding in all tasks using the EEG neural recordings, and isolated the cortical sources of the spectrotemporal EEG dynamics. Additionally, we used BrainE in a two-visit study in 24 young adults to investigate the reliability of the neuro-cognitive data as well as its plasticity to transcranial magnetic stimulation (TMS). We found that stimulus encoding on multiple cognitive tasks could be rapidly assessed, identifying common as well as distinct task processes in both sensory and cognitive control brain regions. Event related synchronization (ERS) in the theta (3-7 Hz) and alpha (8-12 Hz) frequencies as well as event related desynchronization (ERD) in the beta frequencies (13-30 Hz) were distinctly observed in each task. The observed ERS/ERD effects were overall anticorrelated. The two-visit study confirmed high test-retest reliability for both cognitive and neural data, and neural responses showed specific TMS protocol driven modulation. We also show that the global cognitive neural responses are sensitive to mental health symptom self-reports. This first study with the BrainE platform showcases its utility in studying neuro-cognitive dynamics in a rapid and scalable fashion.
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Affiliation(s)
| | - Alejandro Ojeda
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Gillian Grennan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Vojislav Maric
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Hortense Le
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Fahad Alim
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Mariam Zafar-Khan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Juan Diaz-Delgado
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Sarita Silveira
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Dhakshin Ramanathan
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA; Department of Mental Health, VA San Diego Medical Center, San Diego, CA
| | - Jyoti Mishra
- Neural Engineering and Translation Labs, Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
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Abstract
Neuroplasticity is an area of expanding interest in psychiatry. Plasticity and metaplasticity are processes contributing to the scaling up and down of neuronal connections, and they are involved with changes in learning, memory, mood, and sleep. Effective mood treatments, including repetitive transcranial magnetic stimulation (rTMS), are reputed to work via changes in neuronal circuitry. This article explores the interrelatedness of sleep, plasticity, and rTMS treatment. A PubMed-based literature review was conducted to identify all available studies examining the relationship of rTMS, plasticity, and sleep. Key words used in this search included "TMS," "transcranial magnetic stimulation," "plasticity," "metaplasticity," "sleep," and "insomnia." Depressed mood tends to be associated with impaired neural plasticity, while antidepressant treatments can augment neural plasticity. rTMS impacts plasticity, yielding long-lasting effects, with differing impacts on the waking and sleeping brain. Higher quality sleep promotes plasticity and learning. Reports on the sleep impact of high-frequency and low-frequency rTMS are mixed. The efficacy of rTMS may rely on brain plasticity manipulation, enhanced via the stimulation of neural circuits. Total sleep time and sleep continuity are sleep qualities that are likely necessary but insufficient for the homeostatic plasticity driven by slow-wave sleep. Understanding the relationship between sleep and rTMS treatment is likely critical to enhancing outcomes.
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Snider SB, Hsu J, Darby RR, Cooke D, Fischer D, Cohen AL, Grafman JH, Fox MD. Cortical lesions causing loss of consciousness are anticorrelated with the dorsal brainstem. Hum Brain Mapp 2020. [DOI: 10.1002/hbm.24892#.xho8mgjbvfa.twitter] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Samuel B. Snider
- Departments of Neurology, Massachusetts General Hospital and Brigham and Women's HospitalHarvard Medical School Boston Massachusetts
| | - Joey Hsu
- Berenson‐Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of NeurologyBeth Israel Deaconess Medical Center Boston Massachusetts
| | - R. Ryan Darby
- Department of NeurologyVanderbilt University Medical Center Nashville Tennessee
| | - Danielle Cooke
- Berenson‐Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of NeurologyBeth Israel Deaconess Medical Center Boston Massachusetts
| | - David Fischer
- Departments of Neurology, Massachusetts General Hospital and Brigham and Women's HospitalHarvard Medical School Boston Massachusetts
| | - Alexander L. Cohen
- Berenson‐Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of NeurologyBeth Israel Deaconess Medical Center Boston Massachusetts
- Department of NeurologyBoston Children's Hospital, Harvard Medical School Boston Massachusetts
| | - Jordan H. Grafman
- Rehabilitation Institute of Chicago Chicago Illinois
- Department of Physical Medicine and Rehabilitation, Neurology, Cognitive Neurology and Alzheimer's Center, Department of Psychiatry, Feinberg School of Medicine and Department of Psychology, Weinberg College of Arts and SciencesNorthwestern University Chicago Illinois
| | - Michael D. Fox
- Berenson‐Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of NeurologyBeth Israel Deaconess Medical Center Boston Massachusetts
- Department of Neurology, Massachusetts General HospitalHarvard Medical School Boston Massachusetts
- Athinoula A. Martinos Center for Biomedical Imaging Charlestown Massachusetts
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7
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Snider SB, Hsu J, Darby RR, Cooke D, Fischer D, Cohen AL, Grafman JH, Fox MD. Cortical lesions causing loss of consciousness are anticorrelated with the dorsal brainstem. Hum Brain Mapp 2020; 41:1520-1531. [PMID: 31904898 PMCID: PMC7268053 DOI: 10.1002/hbm.24892] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 11/11/2019] [Accepted: 11/27/2019] [Indexed: 01/01/2023] Open
Abstract
Brain lesions can provide unique insight into the neuroanatomical substrate of human consciousness. For example, brainstem lesions causing coma map to a specific region of the tegmentum. Whether specific lesion locations outside the brainstem are associated with loss of consciousness (LOC) remains unclear. Here, we investigate the topography of cortical lesions causing prolonged LOC (N = 16), transient LOC (N = 91), or no LOC (N = 64). Using standard voxel lesion symptom mapping, no focus of brain damage was associated with LOC. Next, we computed the network of brain regions functionally connected to each lesion location using a large normative connectome dataset (N = 1,000). This technique, termed lesion network mapping, can test whether lesions causing LOC map to a connected brain circuit rather than one brain region. Connectivity between cortical lesion locations and an a priori coma-specific region of brainstem tegmentum was an independent predictor of LOC (B = 1.2, p = .004). Connectivity to the dorsal brainstem was the only predictor of LOC in a whole-brain voxel-wise analysis. This relationship was driven by anticorrelation (negative correlation) between lesion locations and the dorsal brainstem. The map of regions anticorrelated to the dorsal brainstem thus defines a distributed brain circuit that, when damaged, is most likely to cause LOC. This circuit showed a slight posterior predominance and had peaks in the bilateral claustrum. Our results suggest that cortical lesions causing LOC map to a connected brain circuit, linking cortical lesions that disrupt consciousness to brainstem sites that maintain arousal.
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Affiliation(s)
- Samuel B Snider
- Departments of Neurology, Massachusetts General Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Joey Hsu
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - R Ryan Darby
- Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Danielle Cooke
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - David Fischer
- Departments of Neurology, Massachusetts General Hospital and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Alexander L Cohen
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.,Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Jordan H Grafman
- Rehabilitation Institute of Chicago, Chicago, Illinois.,Department of Physical Medicine and Rehabilitation, Neurology, Cognitive Neurology and Alzheimer's Center, Department of Psychiatry, Feinberg School of Medicine and Department of Psychology, Weinberg College of Arts and Sciences, Northwestern University, Chicago, Illinois
| | - Michael D Fox
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.,Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.,Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, Massachusetts
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8
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Lin J, Liu X, Li H, Yu L, Shen M, Lou Y, Xie S, Chen J, Zhang R, Yuan TF. Chronic repetitive transcranial magnetic stimulation (rTMS) on sleeping quality and mood status in drug dependent male inpatients during abstinence. Sleep Med 2019; 58:7-12. [DOI: 10.1016/j.sleep.2019.01.052] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 01/04/2019] [Accepted: 01/31/2019] [Indexed: 11/30/2022]
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9
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D'Atri A, Scarpelli S, Gorgoni M, Alfonsi V, Annarumma L, Giannini AM, Ferrara M, Ferlazzo F, Rossini PM, De Gennaro L. Bilateral Theta Transcranial Alternating Current Stimulation (tACS) Modulates EEG Activity: When tACS Works Awake It Also Works Asleep. Nat Sci Sleep 2019; 11:343-356. [PMID: 31819688 PMCID: PMC6875492 DOI: 10.2147/nss.s229925] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 10/21/2019] [Indexed: 02/05/2023] Open
Abstract
PURPOSE Recent studies demonstrate that 5-Hz bilateral transcranial alternating current stimulation (θ-tACS) on fronto-temporal areas affects resting EEG enhancing cortical synchronization, but it does not affect subjective sleepiness. This dissociation raises questions on the resemblance of this effect to the physiological falling asleep process. The current study aimed to evaluate the ability of fronto-temporal θ-tACS to promote sleep. SUBJECTS AND METHODS Twenty subjects (10 F/10 M; mean age: 24.60 ± 2.9 y) participated in a single-blind study consisting of two within-subject sessions (active/sham), one week apart in counterbalanced order. Stimulation effects on EEG were assessed during wake and post-stimulation nap. The final sample included participants who fell asleep in both sessions (n=17). RESULTS Group analyses on the whole sample reported no θ-tACS effects on subjective sleepiness and sleep measures, while a different scenario came to light by analysing data of responders to the stimulation (ie, subjects actually showing the expected increase of theta activity in the wake EEG after the θ-tACS, n=7). Responders reported a significant increase in subjective sleepiness during wakefulness after the active stimulation as compared to the sham. Moreover, the sleep after the θ-tACS compared to sham in this sub-group showed: (1) greater slow-wave activity (SWA); (2) SWA time-course revealing increases much larger as closer to the sleep onset; (3) stimulation-induced changes in SWA during sleep topographically associated to those in theta activity during wake. CONCLUSION Subjects who show the expected changes during wake after the stimulation also had a consistent pattern of changes during sleep. The enhancement of cortical synchronization by θ-tACS during wakefulness actually corresponds to increased sleep pressure, but it occurs only in some individuals. Thus, θ-tACS can enhance sleep, although individual factors to be further investigated affect the actual responsiveness to this treatment.
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Affiliation(s)
- Aurora D'Atri
- Department of Psychology, University of Rome "Sapienza", Rome, Italy.,Area of Neuroscience, IRCCS San Raffaele Pisana, Rome, Italy
| | - Serena Scarpelli
- Department of Psychology, University of Rome "Sapienza", Rome, Italy
| | - Maurizio Gorgoni
- Department of Psychology, University of Rome "Sapienza", Rome, Italy
| | - Valentina Alfonsi
- Department of Psychology, University of Rome "Sapienza", Rome, Italy
| | | | | | - Michele Ferrara
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Fabio Ferlazzo
- Department of Psychology, University of Rome "Sapienza", Rome, Italy
| | - Paolo Maria Rossini
- Institute of Neurology, Catholic University of the Sacred Heart, Rome, Italy.,Department Geriatrics, Neuroscience & Orthopaedics, Policlinic A. Gemelli Foundation-IRCCS, Rome, Italy
| | - Luigi De Gennaro
- Department of Psychology, University of Rome "Sapienza", Rome, Italy.,Area of Neuroscience, IRCCS San Raffaele Pisana, Rome, Italy
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Du X, Xu W, Li X, Zhou D, Han C. Sleep Disorder in Drug Addiction: Treatment With Transcranial Magnetic Stimulation. Front Psychiatry 2019; 10:848. [PMID: 31798482 PMCID: PMC6878723 DOI: 10.3389/fpsyt.2019.00848] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Accepted: 10/28/2019] [Indexed: 11/24/2022] Open
Affiliation(s)
- Xiangju Du
- Psychiatry Department, Ningbo Kangning Hospital, Ningbo, China
| | - Weiqian Xu
- Center of Sleep Medicine, Taizhou 2nd People's Hospital, Taizhou, China
| | - Xingxing Li
- Psychiatry Department, Ningbo Kangning Hospital, Ningbo, China
| | - Dongsheng Zhou
- Psychiatry Department, Ningbo Kangning Hospital, Ningbo, China
| | - Cuilan Han
- Psychiatry Department, Ningbo Kangning Hospital, Ningbo, China
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11
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Han C, Chen Z, Liu L. Commentary: Effectiveness of theta burst vs. high-frequency repetitive transcranial magnetic stimulation in patients with depression (THREE-D): a randomized non-inferiority trial. Front Hum Neurosci 2018; 12:255. [PMID: 29988538 PMCID: PMC6026669 DOI: 10.3389/fnhum.2018.00255] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 06/04/2018] [Indexed: 11/25/2022] Open
Affiliation(s)
- Cuilan Han
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, China
| | - Zhongming Chen
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, China
| | - Lin Liu
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, China
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12
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Agnew ZK, Banissy MJ, McGettigan C, Walsh V, Scott SK. Investigating the Neural Basis of Theta Burst Stimulation to Premotor Cortex on Emotional Vocalization Perception: A Combined TMS-fMRI Study. Front Hum Neurosci 2018; 12:150. [PMID: 29867402 PMCID: PMC5962765 DOI: 10.3389/fnhum.2018.00150] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2017] [Accepted: 04/04/2018] [Indexed: 12/01/2022] Open
Abstract
Previous studies have established a role for premotor cortex in the processing of auditory emotional vocalizations. Inhibitory continuous theta burst transcranial magnetic stimulation (cTBS) applied to right premotor cortex selectively increases the reaction time to a same-different task, implying a causal role for right ventral premotor cortex (PMv) in the processing of emotional sounds. However, little is known about the functional networks to which PMv contribute across the cortical hemispheres. In light of these data, the present study aimed to investigate how and where in the brain cTBS affects activity during the processing of auditory emotional vocalizations. Using functional neuroimaging, we report that inhibitory cTBS applied to the right premotor cortex (compared to vertex control site) results in three distinct response profiles: following stimulation of PMv, widespread frontoparietal cortices, including a site close to the target site, and parahippocampal gyrus displayed an increase in activity, whereas the reverse response profile was apparent in a set of midline structures and right IFG. A third response profile was seen in left supramarginal gyrus in which activity was greater post-stimulation at both stimulation sites. Finally, whilst previous studies have shown a condition specific behavioral effect following cTBS to premotor cortex, we did not find a condition specific neural change in BOLD response. These data demonstrate a complex relationship between cTBS and activity in widespread neural networks and are discussed in relation to both emotional processing and the neural basis of cTBS.
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Affiliation(s)
- Zarinah K Agnew
- Institute of Cognitive Neuroscience, University College London, London, United Kingdom.,Otolaryngology-Head & Neck Surgery Clinic, University of California, San Francisco, San Francisco, CA, United States
| | - Michael J Banissy
- Institute of Cognitive Neuroscience, University College London, London, United Kingdom.,Department of Psychology, Goldsmiths, University of London, London, United Kingdom
| | | | - Vincent Walsh
- Institute of Cognitive Neuroscience, University College London, London, United Kingdom
| | - Sophie K Scott
- Institute of Cognitive Neuroscience, University College London, London, United Kingdom
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13
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D'Atri A, Romano C, Gorgoni M, Scarpelli S, Alfonsi V, Ferrara M, Ferlazzo F, Rossini PM, De Gennaro L. Bilateral 5 Hz transcranial alternating current stimulation on fronto-temporal areas modulates resting-state EEG. Sci Rep 2017; 7:15672. [PMID: 29142322 PMCID: PMC5688177 DOI: 10.1038/s41598-017-16003-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Accepted: 11/03/2017] [Indexed: 02/08/2023] Open
Abstract
Rhythmic non-invasive brain stimulations are promising tools to modulate brain activity by entraining neural oscillations in specific cortical networks. The aim of the study was to assess the possibility to influence the neural circuits of the wake-sleep transition in awake subjects via a bilateral transcranial alternating current stimulation at 5 Hz (θ-tACS) on fronto-temporal areas. 25 healthy volunteers participated in two within-subject sessions (θ-tACS and sham), one week apart and in counterbalanced order. We assessed the stimulation effects on cortical EEG activity (28 derivations) and self-reported sleepiness (Karolinska Sleepiness Scale). θ-tACS induced significant increases of the theta activity in temporo-parieto-occipital areas and centro-frontal increases in the alpha activity compared to sham but failed to induce any online effect on sleepiness. Since the total energy delivered in the sham condition was much less than in the active θ-tACS, the current data are unable to isolate the specific effect of entrained theta oscillatory activity per se on sleepiness scores. On this basis, we concluded that θ-tACS modulated theta and alpha EEG activity with a topography consistent with high sleep pressure conditions. However, no causal relation can be traced on the basis of the current results between these rhythms and changes on sleepiness.
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Affiliation(s)
- Aurora D'Atri
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
- IRCCS San Raffaele Pisana, Via della Pisana 235, 00163, Rome, Italy
| | - Claudia Romano
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
| | - Maurizio Gorgoni
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
| | - Serena Scarpelli
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
| | - Valentina Alfonsi
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
| | - Michele Ferrara
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio (Coppito 2), 67100 Coppito, L'Aquila, Italy
| | - Fabio Ferlazzo
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy
| | - Paolo Maria Rossini
- IRCCS San Raffaele Pisana, Via della Pisana 235, 00163, Rome, Italy
- Institute of Neurology, Catholic University of The Sacred Heart, Largo Agostino Gemelli 8, 00168, Rome, Italy
| | - Luigi De Gennaro
- Department of Psychology, University of Rome "Sapienza", Via dei Marsi 78, 00185, Rome, Italy.
- IRCCS San Raffaele Pisana, Via della Pisana 235, 00163, Rome, Italy.
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14
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Krone L, Frase L, Piosczyk H, Selhausen P, Zittel S, Jahn F, Kuhn M, Feige B, Mainberger F, Klöppel S, Riemann D, Spiegelhalder K, Baglioni C, Sterr A, Nissen C. Top-down control of arousal and sleep: Fundamentals and clinical implications. Sleep Med Rev 2016; 31:17-24. [PMID: 26883160 DOI: 10.1016/j.smrv.2015.12.005] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Revised: 12/14/2015] [Accepted: 12/15/2015] [Indexed: 01/07/2023]
Abstract
Mammalian sleep emerges from attenuated activity in the ascending reticular arousal system (ARAS), the main arousal network of the brain. This system originates in the brainstem and activates the thalamus and cortex during wakefulness via a well-characterized 'bottom-up' pathway. Recent studies propose that a less investigated cortico-thalamic 'top-down' pathway also regulates sleep. The present work integrates the current evidence on sleep regulation with a focus on the 'top-down' pathway and explores the potential to translate this information into clinically relevant interventions. Specifically, we elaborate the concept that arousal and sleep continuity in humans can be modulated by non-invasive brain stimulation (NIBS) techniques that increase or decrease cortical excitability. Based on preclinical studies, the modulatory effects of the stimulation are thought to extend to subcortical arousal networks. Further exploration of the 'top-down' regulation of sleep and its modulation through non-invasive brain stimulation techniques may contribute to the development of novel treatments for clinical conditions of disrupted arousal and sleep, which are among the major health problems worldwide.
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Affiliation(s)
- Lukas Krone
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Lukas Frase
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Hannah Piosczyk
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Peter Selhausen
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Sulamith Zittel
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Friederike Jahn
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Marion Kuhn
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Bernd Feige
- Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Florian Mainberger
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany
| | - Stefan Klöppel
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany
| | - Dieter Riemann
- Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Kai Spiegelhalder
- Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | - Chiara Baglioni
- Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany
| | | | - Christoph Nissen
- Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany; Department of Clinical Psychology and Psychophysiology/ Sleep Medicine, University of Freiburg Medical Center, Germany.
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15
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Cognitive Impairment After Sleep Deprivation Rescued by Transcranial Magnetic Stimulation Application in Octodon degus. Neurotox Res 2015; 28:361-71. [PMID: 26194615 DOI: 10.1007/s12640-015-9544-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Revised: 06/29/2015] [Accepted: 07/08/2015] [Indexed: 10/23/2022]
Abstract
Sleep is indispensable for maintaining regular daily life activities and is of fundamental physiological importance for cognitive performance. Sleep deprivation (SD) may affect learning capacity and the ability to form new memories, particularly with regard to hippocampus-dependent tasks. Transcranial magnetic stimulation (TMS) is a non-invasive procedure of electromagnetic induction that generates electric currents, activating nearby nerve cells in the stimulated cortical area. Several studies have looked into the potential therapeutic use of TMS. The present study was designed to evaluate how TMS could improve learning and memory functions following SD in Octodon degus. Thirty juvenile (18 months old) females were divided into three groups (control, acute, and chronic TMS treatment-with and without SD). TMS-treated groups were placed in plastic cylindrical cages designed to keep them immobile, while receiving head magnetic stimulation. SD was achieved by gently handling the animals to keep them awake during the night. Behavioral tests included radial arm maze (RAM), Barnes maze (BM), and novel object recognition. When TMS treatment was applied over several days, there was significant improvement of cognitive performance after SD, with no side effects. A single TMS session reduced the number of errors for the RAM test and improved latency and reduced errors for the BM test, which both evaluate spatial memory. Moreover, chronic TMS treatment brings about a significant improvement in both spatial and working memories.
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