preview

Synthesis Of RTMS

Decent Essays

In posttraumatic stress disorder (PTSD), a prototypical anxiety disorder, the trauma can be considered an unconditioned stimulus, and the continued fear response in PTSD patients can be considered a conditioned response. PTSD has in fact been associated with enhanced acquisition and slower extinction of fear responses (1). Extensive neuroimaging studies on the brains of PTSD patients show that several regions differ structurally and functionally from those of healthy individuals. The amygdala, the hippocampus, and the ventromedial prefrontal cortex play a role in triggering the typical symptoms of PTSD. These regions collectively impact the stress response mechanism in humans, so the PTSD victim, even long after his experiences, continues …show more content…

rTMS has also been proposed to relieve depression in an animal model (4). However, neither the precise pattern of brain activation nor the molecular mechanisms underlying the behavioral effects of rTMS are known. It has been recently reported that rTMS induces transcription of the glial fibrillary acidic protein (GFAP) in the murine brain. GFAP transcription is up-regulated in astrocytes of the dentate gyrus, and the magnitude of the response depends on the number of stimulus trains (5). Whether rTMS induces GFAP transcription in astrocytes directly or indirectly through neural activation remains to be determined. Repetitive TMS (rTMS), involves repeated application of TMS pulses, may facilitate or suppress brain activity with variable behavioral effects. Research generally shows that the functional effects of rTMS on cortical excitability depend on stimulation intensity, frequency and the overall stimulation pattern. It appears that rTMS repeated at fixed high-frequency intervals (> 4 Hz) increase cortical excitability, while stimuli repeated at low-frequency (~ 1Hz) decrease it. The possibility of varying rTMS parameters (intensity, pattern, duration) makes the potential effects and therapeutic outcomes even more unpredictable (6). Furthermore, the effectiveness of rTMS may be influenced by the nature of the underlying pathological

Get Access