: Transcranial direct current stimulation (tdcs)

Transcription

1 內 : Transcranial direct current stimulation (tdcs) 啟

2 Transcranial direct current stimulation(tdcs tdcs (transcranial direct current stimulation, tdcs) ( 1-2mA) (neuromodulation)(kuo, Paulus et al. 2013) (Bindman, Lippold et al. 1964) Nitsche tdcs (neuronal excitability)(nitsche and Paulus 2000) (axonal membrane) transcranial magnetic stimulation (TMS) (Pashut, Wolfus et al. 2011) tdcs (neuronal) (resting membrane potential) spontaneous firing rates (Zaghi, Acar et al. 2010) anode cathodetdcs GABA glutamate (Stagg, Best et al. 2009) tdcs MEP tdcs (after-effects) NMDA (Nitsche and Paulus 2001) tdcs sham(gandiga, Hummel et al. 2006) TMS 2

3 tdcs (Antal, Kriener et al. 2011) (Auvichayapat, Janyacharoen et al. 2012) (Dasilva, Mendonca et al. 2012) (Pinchuk, Pinchuk et al. 2013) (Vigano, D'Elia et al. 2013) M1 V1 tdcs central sensitization M1 central sensitization Fregni central pain M1 anodal tdcs)(fregni, Boggio et al. 2006)Antal M1 anodal tdcs (poststroke pain syndrome)fibromyalgia) M1 tdcs intracortical inhibition central pain(antal, Terney et al. 2010) Auvichayapat episodic migraine M1 anodal tdcs(auvichayapat, Janyacharoen et al. 2012) abortive chronic migraine 4 10 M1 anodal tdcs (Dasilva, Mendonca et al. 2012) M1 insula, thalamus, cingulate cortex anodal tdcs M1 pain matrix V1 tdcs (evoked potential) interictal period) habituation(ambrosini, de Noordhout et al. 2003) hyperexcitability(goadsby 2012)VEP(Schoenen, Wang et 3

4 al. 1995)BAEP) (Ambrosini, Rossi et al. 2003) SSEP) (Coppola, Iacovelli et al. 2013) VEP (amplitude) habituation habituation reduced preactivation(coppola, Pierelli et al. 2007) (Coppola, Iacovelli et al. 2013) Vigano anodal tdcs episodic migraneurs without aura (MoA) V1 (Vigano, D'Elia et al. 2013) 8 2 tdcs tdcs tdcs 4.8 tdcs VEP tdcs habituation (sham) V1 tdcs cathodaltdcs Antal cathodal tdcs V1 6 3 (Antal, Kriener et al. 2011) 2 tdcs 2 V1 tdcs (polarity) tdcs tdcs tdcs tdcs (Martelletti, Jensen et al. 2013) anodal tdcsaftereffects (Nitsche, Fricke et al. 2003)Propanolol anodal cathodal tdcs aftereffects(nitsche, Grundey et al. 2004)NMDA tdcsaftereffects NMDAmemantine NMDAtDCS 4

5 (Nitsche, Jaussi et al. 2004)Aura tdcsanodal cathodal tdcsaftereffects 5

6 Ambrosini,A.,A.M.deNoordhout,etal.(2003)."Electrophysiologicalstudiesinmigraine:acomprehensive reviewoftheirinterestandlimitations."cephalalgia:aninternationaljournalofheadache23#suppl#1:13j 31. Ambrosini,A.,P.Rossi,etal.(2003)."Lackofhabituationcauseshighintensitydependenceofauditoryevoked corticalpotentialsinmigraine."brain:ajournalofneurology126(pt9):2009j2015. Antal,A.,N.Kriener,etal.(2011)."Cathodaltranscranialdirectcurrentstimulationofthevisualcortexinthe prophylactictreatmentofmigraine."cephalalgia:aninternationaljournalofheadache31(7):820j828. Antal,A.,D.Terney,etal.(2010)."Anodaltranscranialdirectcurrentstimulationofthemotorcortexameliorates chronicpainandreducesshortintracorticalinhibition."journalofpainandsymptommanagement39(5): 890J903. Auvichayapat,P.,T.Janyacharoen,etal.(2012)."Migraineprophylaxisbyanodaltranscranialdirectcurrent stimulation,arandomized,placebojcontrolledtrial."journalofthemedicalassociationofthailand= Chotmaihetthangphaet95(8):1003J1012. Bindman,L.J.,O.C.Lippold,etal.(1964)."TheActionofBriefPolarizingCurrentsontheCerebralCortexofthe Rat(1)duringCurrentFlowand(2)intheProductionofLongJLastingafterJEffects."TheJournalof physiology172:369j382. Coppola,G.,E.Iacovelli,etal.(2013)."Electrophysiologicalcorrelatesofepisodicmigrainechronification: evidenceforthalamicinvolvement."thejournalofheadacheandpain14:76. Coppola,G.,F.Pierelli,etal.(2007)."Isthecerebralcortexhyperexcitableorhyperresponsiveinmigraine?" Cephalalgia:aninternationaljournalofheadache27(12):1427J1439. Dasilva,A.F.,M.E.Mendonca,etal.(2012)."tDCSJinducedanalgesiaandelectricalfieldsinpainJrelatedneural networksinchronicmigraine."headache52(8):1283j1295. Fregni,F.,P.S.Boggio,etal.(2006)."AshamJcontrolled,phaseIItrialoftranscranialdirectcurrentstimulation forthetreatmentofcentralpainintraumaticspinalcordinjury."pain122(1j2):197j209. Gandiga,P.C.,F.C.Hummel,etal.(2006)."TranscranialDCstimulation(tDCS):atoolfordoubleJblindshamJ controlledclinicalstudiesinbrainstimulation."clinicalneurophysiology:officialjournaloftheinternational FederationofClinicalNeurophysiology117(4):845J850. Goadsby,P.J.(2012)."Pathophysiologyofmigraine."AnnalsofIndianAcademyofNeurology15(Suppl1):S15J 22. Kuo,M.F.,W.Paulus,etal.(2013)."TherapeuticeffectsofnonJinvasivebrainstimulationwithdirectcurrents (tdcs)inneuropsychiatricdiseases."neuroimage. Martelletti,P.,R.H.Jensen,etal.(2013)."Neuromodulationofchronicheadaches:positionstatementfromthe EuropeanHeadacheFederation."Thejournalofheadacheandpain14:86. Nitsche,M.A.,K.Fricke,etal.(2003)."Pharmacologicalmodulationofcorticalexcitabilityshiftsinducedby transcranialdirectcurrentstimulationinhumans."thejournalofphysiology553(pt1):293j301. Nitsche,M.A.,J.Grundey,etal.(2004)."Catecholaminergicconsolidationofmotorcorticalneuroplasticityin humans."cerebralcortex14(11):1240j1245. Nitsche,M.A.,W.Jaussi,etal.(2004)."ConsolidationofhumanmotorcorticalneuroplasticitybyDJcycloserine." Neuropsychopharmacology:officialpublicationoftheAmericanCollegeofNeuropsychopharmacology 29(8):1573J1578. Nitsche,M.A.andW.Paulus(2000)."Excitabilitychangesinducedinthehumanmotorcortexbyweak transcranialdirectcurrentstimulation."thejournalofphysiology527#pt#3:633j639. Nitsche,M.A.andW.Paulus(2001)."SustainedexcitabilityelevationsinducedbytranscranialDCmotorcortex stimulationinhumans."neurology57(10):1899j1901. Pashut,T.,S.Wolfus,etal.(2011)."Mechanismsofmagneticstimulationofcentralnervoussystemneurons." PLoScomputationalbiology7(3):e Pinchuk,D.,O.Pinchuk,etal.(2013)."Clinicaleffectivenessofprimaryandsecondaryheadachetreatmentby transcranialdirectcurrentstimulation."frontiersinneurology4:25. Schoenen,J.,W.Wang,etal.(1995)."Potentiationinsteadofhabituationcharacterizesvisualevokedpotentials inmigrainepatientsbetweenattacks."europeanjournalofneurology:theofficialjournaloftheeuropean FederationofNeurologicalSocieties2(2):115J122. Stagg,C.J.,J.G.Best,etal.(2009)."PolarityJsensitivemodulationofcorticalneurotransmittersbytranscranial stimulation."thejournalofneuroscience:theofficialjournalofthesocietyforneuroscience29(16):5202j Vigano,A.,T.S.D'Elia,etal.(2013)."TranscranialDirectCurrentStimulation(tDCS)ofthevisualcortex:aproofJ ofjconceptstudybasedoninterictalelectrophysiologicalabnormalitiesinmigraine."thejournalof headacheandpain14(1):23. Zaghi,S.,M.Acar,etal.(2010)."NoninvasivebrainstimulationwithlowJintensityelectricalcurrents:putative mechanismsofactionfordirectandalternatingcurrentstimulation."theneuroscientist:areviewjournal bringingneurobiology,neurologyandpsychiatry16(3):285j307. 6

7 北北區頭痛讀讀書會 親愛的醫師您好 : 很榮幸能邀請您參參加 " 北北區頭痛讀讀書會 "( 會議議程如下表 ) 衷心地期盼透過本次學術會議的交流流, 對於頭痛之治療療能有所裨益益 竭誠地邀請您, 並感謝您的支持 祝醫安 時間 :104 年年 1 月 18 日 ( 星期日 ) 09:00~ 11:35 地點 : 老老爺大飯飯店 B1 會議廳 ( 台北北市中山北北路路二段 37 之一號 ) 時間主題演講者座長 09:00~09:05 Opening 王署君醫師陽明大學 09:05~09:45 Post-lumbar puncture-imaging finding 王嚴鋒醫師台北北榮民總醫院 09:45~10:25 Case presentation 王署君醫師 陽明大學 10:25~10:35 Break 陳威宏醫師新光醫院吳進安醫師關渡醫院 10:35~11:15 Triptan treatment sharing 王凱震醫師振興醫院 黃子洲醫師活水診所 11:15~11:30 Discussion ALL 王博仁醫師活水診所 11:30~11:35 Closing 陳威宏醫師新光醫院 主辦單位 : 台灣頭痛學會 Taiwan Headache Society 協辦單位 : 葛蘭蘭素史克藥廠

8 親愛的醫師您好 : 很榮幸能邀請您參參加 " 中區頭痛專家讀讀書會 "( 會議議程如下表 ) 衷心地期盼透過本次學術會議的交流流, 對於頭痛之治療療能有所裨益益 竭誠地邀請您, 並感謝您的支持 祝醫安 時間 :104 年年 1 月 18 日 ( 星期日 ) 下午 15:30~18:30 地點 : 台中市台灣大道二段 285 號 21 樓樓 A 室 ( 英才路路與台灣大道口 ) 服務電話 : 時 間 題 目 演講者 主持人 15:30~15:35 Opening 光田醫院楊鈞百醫師 15:35~16:20 Migraine and sleep disorders 活水診所黃子洲醫師 活水診所王博仁院長 16:20~17:05 Transcrainial direct current stimulation and its application on headache 17:05~17:45 Big data and clinical research 中國醫藥大學陳睿正醫師新樓樓醫院謝鎮陽醫師 秘書長劉劉子洋台北北榮民總醫院王署君教授 17:45~18:15 Discussion 楊鈞百 黃子洲 陳 睿正 謝鎮陽 王博 仁 王署君 18:15~18:30 Closing 陳威宏理理事長 神神經學會積分點數數 :2.66 學分家庭醫學積分點數數 : 申請中主辦單位 : 台灣頭痛學會 Taiwan Headache Society 協辦單位 : 葛蘭蘭素史克藥廠

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