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诊断性经颅磁刺激研究进展
引用本文:黄蓓,吴惠涓,钱稹颖,王继军,赵忠新.诊断性经颅磁刺激研究进展[J].中国现代神经疾病杂志,2017(4):300-305.
作者姓名:黄蓓  吴惠涓  钱稹颖  王继军  赵忠新
作者单位:1. 第二军医大学附属长征医院神经内科, 上海,200003;2. 200030,上海市精神卫生中心脑电磁影像眼动研究室
基金项目:国家科技部“十二五”重大专项课题(项目编号:2011ZXJ09202-015)This study was supported by "Twelfth Five-Year" Major Foundation by the Ministry of Science and Technology of China (2011ZXJ09202-015)
摘    要:经颅磁刺激是一种无创性神经电生理学技术,经颅磁刺激运动诱发电位已广泛应用于运动皮质兴奋性与皮质延髓束、皮质脊髓束传导功能的评价。近年随着对磁刺激原理的深入了解和刺激线圈、刺激模式的不断多样化,经颅磁刺激在神经病学临床诊断中的应用不断拓展,逐渐形成更加科学和标准化的运动诱发电位操作流程。本文拟对诊断性经颅磁刺激常规刺激模式研究进展、特殊模式刺激方案,以及经颅磁刺激与脑电图、f MRI的联合应用进行综述。

关 键 词:经颅磁刺激  诱发电位  运动  综述

Research progress of diagnostic transcranial magnetic stimulation
HUANG Bei,WU Hui-juan,QIAN Zhen-ying,WANG Ji-jun,ZHAO Zhong-xin.Research progress of diagnostic transcranial magnetic stimulation[J].Chinese Journal of Contemporary Neurology and Neurosurgery,2017(4):300-305.
Authors:HUANG Bei  WU Hui-juan  QIAN Zhen-ying  WANG Ji-jun  ZHAO Zhong-xin
Abstract:Transcranial magnetic stimulation (TMS) is a non-invasive and painless neuroelectrophysiological examination technology.TMS-motor evoked potential (TMS-MEP) is widely used to assess motor cortex excitability and conduction of descending corticobulbar tract and corticospinal tract.Recently,deeper understanding on principles of magnetic stimulation and diversification of stimulation coil and pattern has greatly expanded the application of TMS in clinical diagnosis.Moreover,MEP operation procedures are becoming more scientific and standardized.This paper reviews the progress of conventional diagnostic TMS pattern,several special stimulation patterns and the combined application of TMS,electroencephalograpy (EEG) and fMRI.
Keywords:Transcranial magnetic stimulation  Evoked potentials  motor  Review
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