Neurophysiologie Clinique/Clinical Neurophysiology
Mise au point / ReviewRecommandations françaises sur l’utilisation de la stimulation magnétique transcrânienne répétitive (rTMS) : règles de sécurité et indications thérapeutiquesFrench guidelines on the use of repetitive transcranial magnetic stimulation (rTMS): Safety and therapeutic indications☆
Section snippets
Abréviations
- AHRS
Auditory Hallucination Rating Scale
- AMS
aire motrice supplémentaire
- AP
attaque de panique
- AVC
accident vasculaire cérébral
- BOLD
blood-oxygen-level dependence
- BPRS
Brief Psychiatric Rating Scale
- C
bobine circulaire
- CAPS
Clinician-Administered PTSD Scale
- CGI
Clinical Global Impression
- cTBS
continuous theta burst stimulation
- CxPFDL
cortex dorsolatéral préfrontal
- CxPMd
cortex prémoteur dorsal
- CxTP
cortex temporo-pariétal
- DBS
deep brain stimulation
- DCF
dysplasie corticale focale
- ECT
électroconvulsivothérapie
- EDM
épisode
Principes
L’effet de la TMS découle de la loi d’induction électromagnétique décrite par Faraday en 1831. Un courant qui change rapidement dans le temps « time-varying current » produit un champ magnétique qui à son tour peut induire un champ électrique et donc un courant dans un élément conducteur placé à proximité. Cent cinquante ans plus tard, Barker et al. [24] mirent au point le premier appareil permettant de créer ce courant secondaire dans les circuits excitables que constituent les réseaux
Méthodologie
Pour chaque indication, une recherche bibliographique a été réalisée indépendamment par au minimum trois experts, à l’aide de mots clés qui seront spécifiés au début de chaque chapitre. Chaque expert a ensuite procédé à une lecture critique de l’ensemble des publications retenues afin de les classer selon les critères de la Fédération européenne de neurologie (EFNS) en Classe I, II, III ou IV [49]. Classe I : étude prospective, large effectif (n ≥ 25), randomisée, contrôlée contre placebo (ou
Conclusion générale et perspectives
Ce travail fait pour la première fois la synthèse des possibilités d’application thérapeutique de la rTMS dans la totalité des pathologies neurologiques, ORL, ou psychiatriques qui ont déjà été concernées par cette technique. Il y a déjà pour certaines de ces pathologies (douleurs neuropathiques chroniques, épisodes dépressifs majeurs, hallucinations auditives), un niveau de preuves suffisant des études publiées, pour y retenir une indication thérapeutique de la rTMS en pratique clinique, comme
Contribution des auteurs
Le chapitre « Principes et mécanismes d’action de la TMS » a été coordonné par H. Devanne, avec N. André-Obadia, L. Garcia-Larrea et J.-P. Lefaucheur.
Le chapitre « Règles de sécurité de la pratique de la TMS » a été coordonné par J.P. Lefaucheur, avec N. André-Obadia, H. Devanne, L. Garcia-Larrea et E. Poulet.
Le chapitre « Applications cliniques de la rTMS : douleurs chroniques » a été coordonné par N. André-Obadia, avec D. Bouhassira, J.-P. Lefaucheur et A.-M. Leroi.
Le chapitre « Applications
Déclaration d’intérêts
Les auteurs déclarent ne pas avoir de conflits d’intérêts en relation avec cet article.
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Cited by (100)
Managing substance use in patients receiving therapeutic repetitive transcranial magnetic stimulation: A scoping review
2023, Neuroscience and Biobehavioral ReviewsTwice daily low frequency rTMS for treatment-resistant auditory hallucinations
2023, International Journal of Clinical and Health PsychologyA systematic review of repetitive transcranial magnetic stimulation in aphasia rehabilitation: Leads for future studies
2021, Neuroscience and Biobehavioral ReviewsCitation Excerpt :Aphasia rehabilitation may be accelerated by non-invasive brain stimulation (NIBS) technologies, such as transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS). Repetitive TMS (rTMS) has been used successfully to treat paresis, spasticity, pain, neglect, and dysphagia in patients who have had strokes (for a review, see Lefaucheur et al., 2011). tDCS has positive effects on aphasia rehabilitation and is probably the best tool for a routine approach because it is inexpensive, easy-to-use, and safe (for a review, see Biou et al., 2019).
Is the analgesic effect of motor cortex stimulation somatotopically driven or not?
2020, Neurophysiologie CliniqueA practical algorithm for using rTMS to treat patients with chronic pain
2019, Neurophysiologie Clinique
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Travail de consensus réalisé sous l’égide de la Société de neurophysiologie clinique de langue française, de l’Association française de psychiatrie biologique et neuropsychopharmacologie, de la Société française de neurologie, de la Société française d’ORL, et de la Ligue française contre l’épilepsie.
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