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Brain Stimul. 2014 Nov-Dec;7(6):849-54. doi: 10.1016/j.brs.2014.09.014. Epub 2014 Oct 16.

Non-invasive brain stimulation therapy in multiple sclerosis: a review of tDCS, rTMS and ECT results.

Author information

1
Department of Physiology, Henri Mondor Hospital, Assistance Publique - Hôpitaux de Paris, Créteil, France; Department of Psychiatry, Psychotherapy and Psychosomatics, Ludwig-Maximilian University Munich, Munich, Germany. Electronic address: Ulrich.palm@med.uni-muenchen.de.
2
Department of Physiology, Henri Mondor Hospital, Assistance Publique - Hôpitaux de Paris, Créteil, France; EA 4391, Nerve Excitability and Therapeutic Team, Faculty of Medicine, Paris Est Créteil University, Créteil, France.
3
Department of Psychiatry, Psychotherapy and Psychosomatics, Ludwig-Maximilian University Munich, Munich, Germany.

Abstract

BACKGROUND:

Multiple sclerosis (MS) is a disabling neurological disorder presenting a variety of symptoms which are hard to control by actual drug regimens. Non-invasive brain stimulation (NIBS) techniques have been investigated in the past years for the improvement of several neurologic and psychiatric disorders.

OBJECTIVE:

Here, we review the application of transcranial direct current stimulation (tDCS), transcranial magnetic stimulation (rTMS, iTBS) and electroconvulsive therapy (ECT) in MS patients.

METHODS:

Articles were searched in common literature databases. Crosslinks were reviewed.

RESULTS:

ECT was shown to be efficacious for the treatment of severe psychiatric disorders in 21 case reports. The results of tDCS and TMS for the treatment of depressive symptoms, fatigue, tactile sensory deficit, pain, motor performance, and spasticity were assessed in several studies and showed mixed results.

CONCLUSIONS:

Overall, data for the treatment of MS with NIBS is sparse regarding TMS and tDCS. Treatment of severe psychiatric disorders with ECT is only reported in single cases. More studies are needed to elucidate the potential role of NIBS in MS treatment.

KEYWORDS:

Electroconvulsive therapy; Multiple sclerosis; Non-invasive brain stimulation; Repetitive transcranial magnetic stimulation; Theta burst stimulation; Transcranial direct current stimulation; Treatment

PMID:
25359259
DOI:
10.1016/j.brs.2014.09.014
[Indexed for MEDLINE]

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