Academic Journal

Pathophysiology and Treatment of Functional Paralysis: Insight from Transcranial Magnetic Stimulation

التفاصيل البيبلوغرافية
العنوان: Pathophysiology and Treatment of Functional Paralysis: Insight from Transcranial Magnetic Stimulation
المؤلفون: Giada Pisano, Tommaso Ercoli, Anna Latorre, Lorenzo Rocchi
المصدر: Brain Sciences, Vol 13, Iss 2, p 352 (2023)
بيانات النشر: MDPI AG, 2023.
سنة النشر: 2023
المجموعة: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: functional neurological disorders, functional paralysis, transcranial magnetic stimulation, electroencephalography, evoked potentials, cortical inhibition, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Functional paralysis (FP) or limb weakness is a common presentation of functional movement disorders (FMD), accounting for 18.1% of the clinical manifestations of FMD. The pathophysiology of FP is not known, but imaging studies have identified changes in structural and functional connectivity in multiple brain networks. It has been proposed that noninvasive brain stimulation techniques may be used to understand the pathophysiology of FP and may represent a possible therapeutic option. In this paper, we reviewed transcranial magnetic stimulation studies on functional paralysis, focusing on their pathophysiological and therapeutical implications. Overall, there is general agreement on the integrity of corticospinal pathways in FP, while conflicting results have been found about the net excitability of the primary motor cortex and its excitatory/inhibitory circuitry in resting conditions. The possible involvement of spinal cord circuits remains an under-investigated area. Repetitive transcranial magnetic stimulation appears to have a potential role as a safe and viable option for the treatment of functional paralysis, but more studies are needed to investigate optimal stimulation parameters and clarify its role in the context of other therapeutical options.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2076-3425
Relation: https://www.mdpi.com/2076-3425/13/2/352; https://doaj.org/toc/2076-3425
DOI: 10.3390/brainsci13020352
URL الوصول: https://doaj.org/article/460eb265b33647a2be916d4f94a9d596
رقم الانضمام: edsdoj.460eb265b33647a2be916d4f94a9d596
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20763425
DOI:10.3390/brainsci13020352