诊断性经颅磁刺激研究进展

【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、fMRI的联合应用进行综述。...

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Published in中国现代神经疾病杂志 Vol. 17; no. 4; pp. 300 - 305
Main Author 黄蓓 吴惠涓 钱稹颖 王继军 赵忠新
Format Journal Article
LanguageChinese
Published 第二军医大学附属长征医院神经内科, 上海,200003%200030,上海市精神卫生中心脑电磁影像眼动研究室 2017
Subjects
经颅磁刺激
综述
诱发电位
运动
经颅磁刺激
Transcranial magnetic stimulation
综述
Review
Evoked potentials,motor
诱发电位,运动
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ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2017.04.011

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Summary:【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、fMRI的联合应用进行综述。
Bibliography:Transeranial magnetic stimulation; Evoked potentials, motor; Review
Transcranial magnetic stimulation （TMS） is a non - invasive and painless neuroeleetrophysiological examination technology. TMS-motor evoked potential （TMS-MEP） is widely used to assess motor cortex excitability and conduction of descending cortieobulbar tract and eorticospinal 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, eleetroeneephalograpy （EEG） and fMRI.
HUANG Bei1, WU Hui-juan1, QIAN Zhen-ying2, WANG Ji-jun2, ZHAO Zhong-xin1 （1Department of Neurology, Changzheng Hospital, the Second Military Medical University of Chinese PLA Shanghai 200003, China ;2Department of EEG S
ISSN:1672-6731
DOI:10.3969/j.issn.1672-6731.2017.04.011