Noninvasive Cerebellar Stimulation as a Complement Tool to Pharmacotherapy.


Journal

Current neuropharmacology
ISSN: 1875-6190
Titre abrégé: Curr Neuropharmacol
Pays: United Arab Emirates
ID NLM: 101157239

Informations de publication

Date de publication:
2019
Historique:
received: 20 06 2017
revised: 09 10 2017
accepted: 06 11 2017
pubmed: 17 11 2017
medline: 11 4 2019
entrez: 17 11 2017
Statut: ppublish

Résumé

Cerebellar ataxias represent a wide and heterogeneous group of diseases characterized by balance and coordination disturbance, dysarthria, dyssynergia and adyadococinesia, caused by a dysfunction in the cerebellum. In recent years there has been growing interest in discovering therapeutical strategy for specific forms of cerebellar ataxia. Together with pharmacological studies, there has been growing interest in non-invasive cerebellar stimulation techniques to improve ataxia and limb coordination. Both transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are non-invasive techniques to modulate cerebro and cerebellar cortex excitability using magnetic or electric fields. Here we aim to review the most relevant studies regarding the application of TMS and tDCS for the treatment of cerebellar ataxia. As pharmacological strategies were shown to be effective in specific forms of cerebellar ataxia and are not devoid of collateral effects, non-invasive stimulation may represent a promising strategy to improve residual cerebellar circuits functioning and a complement tool to pharmacotherapy.

Sections du résumé

BACKGROUND BACKGROUND
Cerebellar ataxias represent a wide and heterogeneous group of diseases characterized by balance and coordination disturbance, dysarthria, dyssynergia and adyadococinesia, caused by a dysfunction in the cerebellum. In recent years there has been growing interest in discovering therapeutical strategy for specific forms of cerebellar ataxia. Together with pharmacological studies, there has been growing interest in non-invasive cerebellar stimulation techniques to improve ataxia and limb coordination. Both transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are non-invasive techniques to modulate cerebro and cerebellar cortex excitability using magnetic or electric fields.
METHODS METHODS
Here we aim to review the most relevant studies regarding the application of TMS and tDCS for the treatment of cerebellar ataxia.
CONCLUSION CONCLUSIONS
As pharmacological strategies were shown to be effective in specific forms of cerebellar ataxia and are not devoid of collateral effects, non-invasive stimulation may represent a promising strategy to improve residual cerebellar circuits functioning and a complement tool to pharmacotherapy.

Identifiants

pubmed: 29141551
pii: CN-EPUB-86862
doi: 10.2174/1570159X15666171114142422
pmc: PMC6341494
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

14-20

Informations de copyright

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

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Auteurs

Roberta Ferrucci (R)

Aldo Ravelli" Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan Medical School, Milan, Italy.
Ca' Granda IRCCS Foundation Hospital, Milan, Italy.
III Neurological Clinic San Paolo Hospital Milan, Italy.

Tommaso Bocci (T)

Ca' Granda IRCCS Foundation Hospital, Milan, Italy.
Department of Clinical and Experimental Medicine, Cisanello Neurology Unit, Pisa University Medical School, Pisa, Italy.

Francesca Cortese (F)

Ca' Granda IRCCS Foundation Hospital, Milan, Italy.
Fracastoro Hospital, San Bonifacio, Verona, Italy.
Department of Medico- Surgical Science and Biotechnologies, Sapienza University of Rome, Latina, Italy.

Fabiana Ruggiero (F)

Ca' Granda IRCCS Foundation Hospital, Milan, Italy.

Alberto Priori (A)

Aldo Ravelli" Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan Medical School, Milan, Italy.
Ca' Granda IRCCS Foundation Hospital, Milan, Italy.
III Neurological Clinic San Paolo Hospital Milan, Italy.

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