重新连接成瘾的大脑:基于电路的成瘾治疗。

Graziella Madeo, Antonello Bonci
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引用次数: 8

摘要

无创脑刺激(NIBS)技术的出现为基于神经回路的成瘾治疗铺平了道路。最近,来自临床前和临床研究的证据已经评估了经颅磁刺激(TMS)作为物质使用障碍(sud)的一种安全且具有成本效益的治疗工具的使用。事实上,重复经颅磁刺激对神经活动产生的短期和长期影响涉及刺激目标区域局部的神经可塑性机制和整个大脑的网络水平。在这里,我们提供了一个综合的证据观点,强调了经颅磁刺激对调节成瘾的不适应脑回路的影响的机制。然后,我们回顾了临床前和临床研究结果,表明rTMS是治疗sud的有效介入工具。
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Rewiring the Addicted Brain: Circuits-Based Treatment for Addiction.

The advent of the noninvasive brain stimulation (NIBS) technique has paved the way for neural circuit-based treatments for addiction. Recently, evidence from both preclinical and clinical studies has evaluated the use of transcranial magnetic stimulation (TMS) as a safe and cost-effective therapeutic tool for substance use disorders (SUDs). Indeed, repetitive TMS impacts on neural activity inducing short- and long-term effects involving neuroplasticity mechanisms locally within the target area of stimulation and the network level throughout the brain. Here, we provide an integrated view of evidence highlighting the mechanisms of TMS-induced effects on modulating the maladaptive brain circuitry of addiction. We then review the preclinical and clinical findings suggesting rTMS as an effective interventional tool for the treatment of SUDs.

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