Navigated transcranial magnetic stimulation in rehabilitation of traumatic frontal lobes injury

Abstract

Traumatic injury of frontal lobes has severe impact on social adaptation due to alterations in cognitive function and behavior. Considering the low efficacy of conventional rehabilitation methods, the development of complementary approaches is needed. Rhythmic transcranial magnetic stimulation (rTMS) is known to improve short and long-term memory, processing speed, problem solving in dementia. However, the trials show conflicting results that might be caused by lack of individualization as the target of stimulation is defined exclusively on the base of anatomy. We used fMRI-guided rTMS of the left dorsolateral prefrontal area to ameliorate consequences of traumatic injury of the frontal lobes. Case report demonstrating the efficacy of this method is presented. Significant improvement was observedafter 15 sessions of rTMS in patient with severe traumatic brain injury who gained an increase in cognitive speed, development of ability to summarize and acquire experience, improvement in planning, control and error correction.

About the authors

O. R. Dobrushina

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

I. V. Sidyakina

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

K. V. Lyadov

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

T. V. Shapovalenko

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

V. E. Sinitsin

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

E. A. Mershina

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

E. V. Pechenkova

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

S. A. Kazymaev

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

A. D. Румшиская

Treatment and rehabilitation Center of the Ministry of Health (Moscow)

Email: platonova@neurology.ru
Russian Federation

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Copyright (c) 2017 Dobrushina O.R., Sidyakina I.V., Lyadov K.V., Shapovalenko T.V., Sinitsin V.E., Mershina E.A., Pechenkova E.V., Kazymaev S.A., Румшиская A.D.

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