A practical guide to diagnostic transcranial magnetic stimulation: report of an IFCN committee.
A practical guide to diagnostic transcranial magnetic stimulation: report of an IFCN committee.
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DOI：
10.1016/j.clinph.2012.01.010
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发表时间：
2012-05
期刊：
影响因子：
--
通讯作者：
Siebner HR
中科院分区：
文献类型：
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作者：
Groppa S;Oliviero A;Eisen A;Quartarone A;Cohen LG;Mall V;Kaelin-Lang A;Mima T;Rossi S;Thickbroom GW;Rossini PM;Ziemann U;Valls-Solé J;Siebner HR
经颅磁刺激（TMS）是一种成熟的神经生理学工具，用于检查与运动功能障碍相关的各种疾病中快速传导的皮质运动通路的完整性。这包括但不限于患有多发性硬化症、肌萎缩性侧索硬化症、中风、运动障碍、影响脊髓、面部和其他颅神经的疾病的患者。这些指南涵盖了TMS在临床环境中的实践方面。我们首先讨论的技术和生理方面的经颅磁刺激的诊断使用相关的。然后，我们列出了一般原则，适用于一个标准化的临床检查的快速传导皮质运动通路与单脉冲TMS。随后详细描述了如何检查患者的手、腿、躯干和面部肌肉的皮质运动传导。其他章节涵盖了TMS的安全性问题、三重刺激技术和神经儿科方面。
Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS.