TMS Flashcards

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1
Q

TMS

A

Transcranial Magnetic Stimulation

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2
Q

What does TMS use?

A

Electromagnetic coil to induce an electric field over scalp

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3
Q

What happens to the neurons in TMS?

A

The membrane potentials are modified which depolarises them synchronously which changes the probability that it’ll fire.

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4
Q

How do the neurons fire?

A

They fire in a random pattern rather than coherently

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5
Q

Bersani et al., 2013 …

A

Finding newer deeper TMS methods which will allow for alterations of functions in subcortical regions.

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6
Q

What areas of the brain is affected by TMS?

A

Cortical areas

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7
Q

What is Single-pulse TMS?

A

A magnetic coil that switches polarity at a steady electrical pulse which induces short term changes in the brain.

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8
Q

rTMS stands for?

A

Repetitive TMS

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9
Q

What is rTMS?

A

a magnetic coil that changes polarity at a rapidly increasing speed, switching between positive and negative in microseconds.

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10
Q

What is the difference between rTMS and sTMS?

A

rTMS creates a stronger electromagnetic induction and therefore potentially solidifies longer lasting change in the brain.

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11
Q

Brief advantages of TMS?

A

confirm findings that brain regions play critical roles in specific functions.

Provide info on how brain reorganises itself with learning or sensory deprivation.

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12
Q

One example of sensory deprivation

A

Braille case where blind individuals visual cortex interrupted their braille reading

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13
Q

Case study on sensory deprivation?

A

Cohen et al., 1997

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14
Q

Brief disadvantages of TMS?

A

can induce mild headaches, twitches and nausea

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15
Q

Anderson et al., 2006

A

reported side effects of TMS.

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16
Q

Wassermann et al., 1996

A

patients and neurologically intact individuals can get seizures as side effect of TMS

17
Q

Sayar et al., 2013

A

Depression and rTMS

18
Q

Who did Sayar et al., 2013 test on?

A

Elderly clinically depressed patients

19
Q

In the depression study, what brain region was treated?

A

left prefrontal cortex

20
Q

What percentage showed improvement in mood from TMS treatment?

A

58.46%

21
Q

How many patients were tested in the depression study?

A

65

22
Q

HAMD

A

Hamilton Depression Rating Scale

23
Q

What did George et al., 1995 find?

A

low-frequency rTMS more effective than single pulse and low frequency rTMS.

24
Q

In non-clinical conditions, what can TMS be used for?

A

Cognitive enhancement

25
Q

What did Farah et al., 2014 show?

A

Normal individuals only showed short changes in cognitions and behaviours in non-clinical conditions

26
Q

Who found the double dissociation in cognitive enhancement through TMS?

A

Iuculano and Kadosh, 2013.

27
Q

What regions of the brain were tested to find the double dissociation in cognitive enhancement?

A

posterior parietal cortex, dorsolateral prefrontal cortex

28
Q

What happened when they stimulated the posterior parietal cortex?

A

the numerical learning was enhanced, and the automaticity of learned material was impaired.

29
Q

What happened when they stimulated dorsolateral prefrontal cortex?

A

impaired the learning process and automaticity for learned material was enhanced

30
Q

What does double dissociation show in regards to TMS?

A

that cognitive enhancement can occur but at the expense of other cognitive functions.

31
Q

What does the literature on non-clinical use of TMS suggest?

A

a placebo effect on cognitive enhancement and is not as valid as research on clinical conditions.