Safety of noninvasive brain stimulation in children.


Journal

Current opinion in psychiatry
ISSN: 1473-6578
Titre abrégé: Curr Opin Psychiatry
Pays: United States
ID NLM: 8809880

Informations de publication

Date de publication:
04 Jan 2024
Historique:
medline: 16 1 2024
pubmed: 16 1 2024
entrez: 16 1 2024
Statut: aheadofprint

Résumé

Noninvasive brain stimulation (NIBS) is a promising method for altering cortical excitability with clinical implications. It has been increasingly used in children, especially in neurodevelopmental disorders. Yet, its safety and applications in the developing brain require further investigation. This review aims to provide an overview of the safety of commonly used NIBS techniques in children, including transcranial electrical stimulation (tES) and transcranial magnetic stimulation (TMS). Safety data for other NIBS methods is not reported in this review. In line with studies from the last decade, findings in the last 2 years (2022-2023) support the safety of NIBS in children and adolescents within the currently applied protocols. Both tES and TMS are well tolerated, if safety rules, including exclusion criteria, are applied. We briefly discussed developmental aspects of stimulation parameters that need to be considered in the developing brain and provided an up-to-date overview of tES/TMS applications in children and adolescents. Overall, the safety profile of tES/TMS in children is good. For both the tES and TMS applications, epilepsy and active seizure disorder should be exclusion criteria to prevent potential seizures. Using child-sized earplugs is required for TMS applications. We lack large randomized double-blind trialsand longitudinal studies to establish the safety of NIBS in children. http://links.lww.com/YCO/A78.

Identifiants

pubmed: 38226535
doi: 10.1097/YCO.0000000000000923
pii: 00001504-990000000-00104
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Références

Polanía R, Nitsche MA, Ruff CC. Studying and modifying brain function with noninvasive brain stimulation. Nat Neurosci 2018; 21:174–187.
Fregni F, Pascual-Leone A. Technology insight: noninvasive brain stimulation in neurology –perspectives on the therapeutic potential of rTMS and tDCS. Nat Clin Pract Neuro 2007; 3:383–393.
Fregni F, El-Hagrassy MM, Pacheco-Barrios K, et al. Neuromodulation Center Working Group Evidence-based guidelines and secondary meta-analysis for the use of transcranial direct current stimulation in neurological and psychiatric disorders. Int J Neuropsychopharmacol 2020; 24:256–313.
Lefaucheur J-P, Aleman A, Baeken C, et al. Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): An update (2014–2018). Clin Neurophysiol 2020; 131:474–528.
Licht C, Weirich S, Reis O, et al. Electroconvulsive therapy in children and adolescents in Europe-a systematic review of the literature complemented by expert information and guideline recommendations. Eur Child Adolesc Psychiatry 2023; doi: 10.1007/s00787-023-02248-y. [Online ahead of print].
doi: 10.1007/s00787-023-02248-y.
Zaehle T, Krauel K. Kadosh RC, Zaehle T, Krauel K. Chapter 7 - Transcutaneous vagus nerve stimulation in patients with attention-deficit/hyperactivity disorder: a viable option? Progress in brain research. Amsterdam, Netherlands:Elsevier; 2021. 171–190.
Loo SK, Salgari GC, Ellis A, et al. Trigeminal nerve stimulation for attention-deficit/hyperactivity disorder: cognitive and electroencephalographic predictors of treatment response. J Am Acad Child Adolesc Psychiatry 2021; 60:856.e1–864.e1.
Zewdie E, Kirton A. Kirton A, Gilbert DL. Single and paired pulse neurophysiology. Pediatric brain stimulation. Oxford:Academic Press; 2016. 3–22.
Fitzgerald PB, Fountain S, Daskalakis ZJ. A comprehensive review of the effects of rTMS on motor cortical excitability and inhibition. Clin Neurophysiol 2006; 117:2584–2596.
Suppa A, Huang YZ, Funke K, et al. Ten years of theta burst stimulation in humans: established knowledge, unknowns and prospects. Brain Stimul 2016; 9:323–335.
Nitsche M, Paulus W. Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation. J Physiol 2000; 527 (Pt 3):633–639.
Salehinejad MA, Ghanavati E. Complexity of cathodal tDCS: relevance of stimulation repetition, interval, and intensity. J Physiol 2020; 598:1127–1129.
Wischnewski M, Alekseichuk I, Opitz A. Neurocognitive, physiological, and biophysical effects of transcranial alternating current stimulation. Trends Cogn Sci 2023; 27:189–205.
van der Groen O, Potok W, Wenderoth N, et al. Using noise for the better: the effects of transcranial random noise stimulation on the brain and behavior. Neurosci Biobehav Rev 2022; 138:104702.
Salehinejad MA, Wischnewski M, Ghanavati E, et al. Cognitive functions and underlying parameters of human brain physiology are associated with chronotype. Nat Commun 2021; 12:4672.
Stagg CJ, Nitsche MA. Physiological basis of transcranial direct current stimulation. Neuroscientist 2011; 17:37–53.
Johnston MV. Plasticity in the developing brain: implications for rehabilitation. Dev Disabil Res Rev 2009; 15:94–101.
Hameed MQ, Oberman LM, Enticott PG. The developing brain—relevance to pediatric neurotechnology, in neurotechnology and brain stimulation. Pediatric psychiatric and neurodevelopmental disorders. Cambridge, Massachusetts:Academic Press; 2019. 9–30.
Kessler SK, Minhas P, Woods AJ, et al. dosage considerations for transcranial direct current stimulation in children: a computational modeling study. PLoS One 2013; 8:e76112.
Salehinejad MA, Nejati V, Mosayebi-Samani M, et al. Transcranial direct current stimulation in ADHD: a systematic review of efficacy, safety, and protocol-induced electrical field modeling results. Neurosci Bull 2020; 36:1191–1212.
Alawi M, Lee PF, Deng ZD, et al. Modelling the differential effects of age on transcranial magnetic stimulation induced electric fields. J Neural Eng 2023; 20:026016.
Deng Z-D, Robins PL, Dannhauer M, et al. Optimizing TMS coil placement approaches for targeting the dorsolateral prefrontal cortex in depressed adolescents: an electric field modeling study. Biomedicines 2023; 11:2320.
Moliadze V, Lyzhko E, Schmanke T, et al. 1 mA cathodal tDCS shows excitatory effects in children and adolescents: insights from TMS evoked N100 potential. Brain Res Bull 2018; 140:43–51.
Moliadze V, Schmanke T, Andreas S, et al. Stimulation intensities of transcranial direct current stimulation have to be adjusted in children and adolescents. Clin Neurophysiol 2015; 126:1392–1399.
Bikson M, Grossman P, Thomas C, et al. Safety of transcranial direct current stimulation: evidence based update. Brain Stimul 2016; 9:641–661.
Salehinejad MA, Brunoni AR, Nitsche MA, Loo CK. Safety and tolerability in transcranial direct current stimulation. Neuropsychiatric disorders: clinical principles and management. Cham:Springer International Publishing; 2021. 667–676.
Zewdie E, Ciechanski P, Kuo HC, et al. Safety and tolerability of transcranial magnetic and direct current stimulation in children: prospective single center evidence from 3.5 million stimulations. Brain Stimul 2020; 13:565–575.
Rossi S, Antal A, Bestmann S, et al. basis of this article began with a Consensus Statement from the IFCN Workshop on “Present, Future of TMS: Safety, Ethical Guidelines”, Siena, October 17-20, 2018, updating through April 2020. Safety and recommendations for TMS use in healthy subjects and patient populations, with updates on training, ethical and regulatory issues: Expert Guidelines Safety and recommendations for TMS use in healthy subjects and patient populations, with updates on training, ethical and regulatory issues: expert guidelines. Clin Neurophysiol 2021; 132:269–306.
Kukke SN, Brewer CC, Zalewski C, et al. Hearing safety from single- and double-pulse transcranial magnetic stimulation in children and young adults. J Clin Neurophysiol 2017; 34:340–347.
Brunoni AR, Amadera J, Berbel B, et al. A systematic review on reporting and assessment of adverse effects associated with transcranial direct current stimulation. Int J Neuropsychopharmacol 2011; 14:1133–1145.
Allen CH, Kluger BM, Buard I. Safety of transcranial magnetic stimulation in children: a systematic review of the literature. Pediatr Neurol 2017; 68:3–17.
Kallel L, Brunelin J. A case report of transcranial magnetic stimulation–related seizure in a young patient with major depressive disorder receiving accelerated transcranial magnetic stimulation. J ECT 2020; 36:e31–e32.
Purushotham A, Sinha VK, Goyal N, Tikka SK. Intermittent theta burst stimulation induced seizure in a child with schizophrenia: a case report. Brain Stimulation 2018; 11:1415–1416.
Wang T, Huang L, Xu H, et al. Seizure induced by repetitive transcranial magnetic stimulation in an adolescent with migraine with aura. Brain Stimul 2018; 11:1380–1381.
Ekici B. Transcranial direct current stimulation-induced seizure: analysis of a case. Clin EEG Neurosci 2015; 46:169.
Splittgerber M, Japaridze N, Sierawska A, et al. First generalized tonic clonic seizure in the context of pediatric tDCS – a case report. Neurophysiol Clin 2019; 50:69–72.
Salehinejad MA, Ghanavati E, Glinski B, et al. A systematic review of randomized controlled trials on efficacy and safety of transcranial direct current stimulation in major neurodevelopmental disorders: ADHD, autism, and dyslexia. Brain Behav 2022; 12:e2724.
Smith JR, DiSalvo M, Green A, et al. Treatment response of transcranial magnetic stimulation in intellectually capable youth and young adults with autism spectrum disorder: a systematic review and meta-analysis. Neuropsychol Rev 2022.
Elmaghraby R, Sun Q, Ozger C, et al. A systematic review of the safety and tolerability of theta burst stimulation in children and adolescents. Neuromodulation 2022; 25:494–503.
Cao P, Li Y, An B, et al. Efficacy and safety of repetitive transcranial magnetic stimulation combined with antidepressants in children and adolescents with depression: a systematic review and meta-analysis. J Affect Disord 2023; 336:25–34.
Zheng W, Lan XJ, Qin ZJ, et al. Low-frequency repetitive transcranial magnetic stimulation for children and adolescents with first-episode and drug-naïve major depressive disorder: a systematic review. Front Psychiatry 2023; 14:1111754.
Metelski N, Gu Y, Quinn L, et al. Safety and efficacy of noninvasive brain stimulation for the upper extremities in children with cerebral palsy: a systematic review. Dev Med Child Neurol 2023.
Vicario C, Nitsche M. Noninvasive brain stimulation for the treatment of brain diseases in childhood and adolescence: state of the art, current limits and future challenges. Front Syst Neurosci 2013; 7:94.
Krishnan C, Santos L, Peterson MD, Ehinger M. Safety of noninvasive brain stimulation in children and adolescents. Brain Stimul 2015; 8:76–87.
Muszkat D, Polanczyk GV, Dias TG, Brunoni AR. Transcranial direct current stimulation in child and adolescent psychiatry. J Child Adolesc Psychopharmacol 2016; 26:590–597.
Rubio B, Boes AD, Laganiere S, et al. Noninvasive brain stimulation in pediatric attention-deficit hyperactivity disorder (ADHD): a review. J Child Neurol 2016; 31:784–796.
Palm U, Segmiller FM, Epple AN, et al. Transcranial direct current stimulation in children and adolescents: a comprehensive review. J Neural Transm (Vienna) 2016; 123:1219–1234.
Matsumoto H, Ugawa Y. Adverse events of tDCS and tACS: a review. Clin Neurophysiol Pract 2017; 2:19–25.
Osório AAC, Brunoni AR. Transcranial direct current stimulation in children with autism spectrum disorder: a systematic scoping review. Dev Med Child Neurol 2019; 61:298–304.
Salehinejad MA, Wischnewski M, Nejati V, et al. Transcranial direct current stimulation in attention-deficit hyperactivity disorder: a meta-analysis of neuropsychological deficits. PLoS One 2019; 14:e0215095.
Finisguerra A, Borgatti R, Urgesi C. Noninvasive brain stimulation for the rehabilitation of children and adolescents with neurodevelopmental disorders: a systematic review. Front Psychol 2019; 10:135.
Lee JC, Polanczyk GV, Dias TG, Brunoni AR. Transcranial direct current stimulation in child and adolescent psychiatric disorders. Child Adolesc Psychiatr Clin North Am 2019; 28:61–78.
Hett D, Rogers J, Humpston C, Marwaha S. Repetitive transcranial magnetic stimulation (rTMS) for the treatment of depression in adolescence: a systematic review. J Affect Disord 2021; 278:460–469.
Dakwar-Kawar O, Mairon N, Hochman S, et al. Transcranial random noise stimulation combined with cognitive training for treating ADHD: a randomized, sham-controlled clinical trial. Transl Psychiatry 2023; 13:271.
Dakwar-Kawar O, Berger I, Barzilay S, et al. Examining the effect of transcranial electrical stimulation and cognitive training on processing speed in pediatric attention deficit hyperactivity disorder: a pilot study. Front Hum Neurosci 2022; 16:791478.
Dagnino PC, Braboszcz C, Kroupi E, et al. Stratification of responses to tDCS intervention in a healthy pediatric population based on resting-state EEG profiles. Sci Rep 2023; 13:8438.
Kaye HL, San-Juan D, Salvador R, et al. Personalized, multisession, multichannel transcranial direct current stimulation in medication-refractory focal epilepsy: an open-label study. J Clin Neurophysiol 2023; 40:53–62.
Auvichayapat P, Intayot K, Udomchat C, et al. Long-term effects of transcranial direct current stimulation in the treatment of autism spectrum disorder: a randomized controlled trial. Dev Med Child Neurol 2023; 65:811–820.
Zemestani M, Hoseinpanahi O, Salehinejad MA, et al. The impact of prefrontal transcranial direct current stimulation (tDCS) on theory of mind, emotion regulation and emotional-behavioral functions in children with autism disorder: A randomized, sham-controlled, and parallel-group study. Autism Res. 2022.
Schertz M, Karni-Visel Y, Genizi J, et al. Transcranial Direct Current Stimulation (tDCS) in children with ADHD: a randomized, sham-controlled pilot study. J Psychiatr Res 2022; 155:302–312.
Nemanich ST, Lench DH, Sutter EN, et al. Safety and feasibility of transcranial direct current stimulation stratified by corticospinal organization in children with hemiparesis. Eur J Paediatr Neurol 2023; 43:27–35.
Ashrafzadeh F, Akhondian J, Hashemi N, et al. Therapeutical impacts of transcranial direct current stimulation on drug-resistant epilepsy in pediatric patients: a double-blind parallel-group randomized clinical trial. Epilepsy Res 2023; 190:107074.
Kang J, Li X, Casanova MF, et al. Impact of repetitive transcranial magnetic stimulation on the directed connectivity of autism EEG signals: a pilot study. Med Biol Eng Comput 2022; 60:3655–3664.
Kang J, Zhang Z, Wan L, et al. Effects of 1 Hz repetitive transcranial magnetic stimulation on autism with intellectual disability: a pilot study. Comput Biol Med 2022; 141:105167.
Ni HC, Chen YL, Chao YP, et al. A lack of efficacy of continuous theta burst stimulation over the left dorsolateral prefrontal cortex in autism: a double blind randomized sham-controlled trial. Autism Res 2023; 16:1247–1262.
Gupta J, Gulati S, Singh UP, et al. Brain stimulation and constraint induced movement therapy in children with unilateral cerebral palsy: a randomized controlled trial. Neurorehabil Neural Repair 2023; 37:266–276.

Auteurs

Mohammad Ali Salehinejad (MA)

Neuromdulation Group, Department of Psychology and Neurosciences, Leibniz-Institut für Arbeitsforschung an der TU Dortmund, Dortmund.

Michael Siniatchkin (M)

Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Medical Faculty, RWTH Aachen University, Aachen, Germany.

Classifications MeSH