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30.11.2021 | Review Article

Transcranial magnetic stimulation implementation on stroke prognosis

verfasst von: Stella Karatzetzou, Dimitrios Tsiptsios, Aikaterini Terzoudi, Nikolaos Aggeloussis, Konstantinos Vadikolias

Erschienen in: Neurological Sciences | Ausgabe 2/2022

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Abstract

Introduction

Stroke represents a major cause of functional disability with increasing prevalence. Thus, it is imperative that stroke prognosis be both timely and valid. Up to today, several biomarkers have been investigated in an attempt to forecast stroke survivors’ potential for motor recovery, transcranial magnetic stimulation (TMS) being among them.

Methods

A literature research of two databases (MEDLINE and Scopus) was conducted in order to trace all relevant studies published between 1990 and 2021 that focused on the potential utility of TMS implementation on stroke prognosis. Only full-text articles published in the English language were included.

Results

Thirty-nine articles have been traced and included in this review.

Discussion

Motor evoked potentials (MEPs) recording is indicative of a favorable prognosis concerning the motor recovery of upper and lower extremities’ weakness, swallowing and speech difficulties, and the patient’s general functional outcome. On the contrary, MEP absence is usually associated with poor prognosis. Relative correlations have also been made among other TMS variants (motor threshold, MEP amplitude, central motor conduction time) and the expected recovery rate. Overall, TMS represents a non-invasive, fast, safe, and reproducible prognostic tool poststroke that could resolve prognostic uncertainties in cases of stroke.

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Titel: Transcranial magnetic stimulation implementation on stroke prognosis
verfasst von: Stella Karatzetzou
Dimitrios Tsiptsios
Aikaterini Terzoudi
Nikolaos Aggeloussis
Konstantinos Vadikolias
Publikationsdatum: 30.11.2021
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 2/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-021-05791-1

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