Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report
Introduction: The coil handle orientation plays a pivotal role in the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS). However, there is currently no consensus on the optimal individualized coil handle orientation, especially for non-motor areas. Case presentation: The pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Clinical Neurophysiology Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2467981X23000252 |
| _version_ | 1797387856052748288 |
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| author | Zi-Jian Feng Qiu-Ying Song Yu Han Zi-Yu Wei Cong Fu Yu-Feng Zang |
| author_facet | Zi-Jian Feng Qiu-Ying Song Yu Han Zi-Yu Wei Cong Fu Yu-Feng Zang |
| author_sort | Zi-Jian Feng |
| collection | DOAJ |
| description | Introduction: The coil handle orientation plays a pivotal role in the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS). However, there is currently no consensus on the optimal individualized coil handle orientation, especially for non-motor areas. Case presentation: The present case reported a short-term effect of functional connectivity (FC)-guided rTMS with coil handle posterior-anterior 45° (PA45°) and posterior-anterior 135° (PA135°) on a patient with insomnia. Notably, in this case, the PA45° orientation was nearly perpendicular to the adjacent sulcus, while the PA135° orientation was almost parallel to it. Local brain activity and functional connectivity were assessed using resting-state functional magnetic resonance imaging (RS-fMRI). Additionally, motor evoked potentials (MEPs) were captured both pre and post-rTMS sessions. Findings: The coil handle orientation PA45° outperformed the PA135° in both RS-fMRI and MEP outcomes. Moreover, a 9-day rTMS treatment led to discernible improvements in symptoms of depression and anxiety, complemented by a modest enhancement in sleep quality. |
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| format | Article |
| id | doaj.art-319f5410c8ac43a5b446af587aa2daeb |
| institution | Directory Open Access Journal |
| issn | 2467-981X |
| language | English |
| last_indexed | 2024-03-08T22:31:07Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Neurophysiology Practice |
| spelling | doaj.art-319f5410c8ac43a5b446af587aa2daeb2023-12-18T04:24:35ZengElsevierClinical Neurophysiology Practice2467-981X2023-01-018194196Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case reportZi-Jian Feng0Qiu-Ying Song1Yu Han2Zi-Yu Wei3Cong Fu4Yu-Feng Zang5TMS Center, Deqing Hospital of Hangzhou Normal University, Deqing, China; Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, ChinaDepartment of Neurology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, ChinaCenter for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, ChinaCenter for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, ChinaTMS Center, Deqing Hospital of Hangzhou Normal University, Deqing, China; Corresponding authors at: TMS Center, Deqing Hospital of Hangzhou Normal University, Deqing 313200, Zhejiang, China (C. Fu), Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou 311121, Zhejiang, China (Y.-F. Zang).TMS Center, Deqing Hospital of Hangzhou Normal University, Deqing, China; Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China; Corresponding authors at: TMS Center, Deqing Hospital of Hangzhou Normal University, Deqing 313200, Zhejiang, China (C. Fu), Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou 311121, Zhejiang, China (Y.-F. Zang).Introduction: The coil handle orientation plays a pivotal role in the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS). However, there is currently no consensus on the optimal individualized coil handle orientation, especially for non-motor areas. Case presentation: The present case reported a short-term effect of functional connectivity (FC)-guided rTMS with coil handle posterior-anterior 45° (PA45°) and posterior-anterior 135° (PA135°) on a patient with insomnia. Notably, in this case, the PA45° orientation was nearly perpendicular to the adjacent sulcus, while the PA135° orientation was almost parallel to it. Local brain activity and functional connectivity were assessed using resting-state functional magnetic resonance imaging (RS-fMRI). Additionally, motor evoked potentials (MEPs) were captured both pre and post-rTMS sessions. Findings: The coil handle orientation PA45° outperformed the PA135° in both RS-fMRI and MEP outcomes. Moreover, a 9-day rTMS treatment led to discernible improvements in symptoms of depression and anxiety, complemented by a modest enhancement in sleep quality.http://www.sciencedirect.com/science/article/pii/S2467981X23000252Repetitive transcranial magnetic stimulationCoil handle orientationResting-state functional magnetic resonance imagingFunctional connectivity-guidedShort-term effectInsomnia |
| spellingShingle | Zi-Jian Feng Qiu-Ying Song Yu Han Zi-Yu Wei Cong Fu Yu-Feng Zang Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report Clinical Neurophysiology Practice Repetitive transcranial magnetic stimulation Coil handle orientation Resting-state functional magnetic resonance imaging Functional connectivity-guided Short-term effect Insomnia |
| title | Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report |
| title_full | Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report |
| title_fullStr | Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report |
| title_full_unstemmed | Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report |
| title_short | Short-term effect of coil handle orientations on fMRI-guided rTMS on insomnia: A case report |
| title_sort | short term effect of coil handle orientations on fmri guided rtms on insomnia a case report |
| topic | Repetitive transcranial magnetic stimulation Coil handle orientation Resting-state functional magnetic resonance imaging Functional connectivity-guided Short-term effect Insomnia |
| url | http://www.sciencedirect.com/science/article/pii/S2467981X23000252 |
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