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Transcranial Magnetic Stimulation

Moacyr Alexandro Rosa, Marina Odebrecht Rosa (2012)

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This handbook is the detailed manual for medical specialists, who treat neurological and mental illnesses using magnetic stimulation. Basing on the long-term experience the authors gave the detailed answers to different questions. In the handbook you can find the information on how to prepare a patient for examination, what points are to be stimulated and how to find them (in particular, how to find stimulation points using the 10/20 system of electrode placement), what contraindications to magnetic stimulation exist and what side effects can be caused by magnetic stimulation. Also you can find the detailed description of the most widely used combinations of parameters for the main disorders treated with TMS (e.g. depression, schizophrenia, etc.) and experimental combinations for obsessive-compulsive disorder treatment. The separate chapter is devoted to safety and measures which are to be taken to handle with the accidental seizure. Also you can find the step-by-step instruction on how to perform treatments using Neuro-MS/D magnetic stimulator.

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Table of Content

1. Introduction and Definition

2. History

3. Motor Threshold

3.1. Definition
3.2. Measurement of Motor Threshold

4. Treatment Target

4.1. The 10-20 System of EEG for Targeting
4.2. Dorsolateral Prefrontal Cortex
4.3. Temporo-parietal Cortex
4.4. Other Areas that May Be Stimulated

5. Parameters of Stimulation

5.1. Intensity
5.2. Frequency
5.3. Train Duration
5.4. Intertrain Interval
5.5. Number of Trains per Session
5.6. Number of Sessions (Course of Treatment)
5.7. Number of Pulses

6. Side Effects and Safety

6.1. Side Effects
6.2. Contra-indications
6.3. Safety

7. Description of Treatment

7.1. Step One (Determining the Motor Threshold):
7.2. Step Two (Finding the DLPFC, Setting up the Device and Starting the Session):
7.3. Step Three (Details)

8. Combinations of Parameters

8.1. Depression
8.2. Schizophrenia (Auditory Hallucinations)
8.3. Experimental Combinations

8.3.1. Obsessive-compulsive Disorder
8.3.2. Schizophrenia (Negative Symptoms)
8.3.3. Panic Disorder
8.3.4. Post Traumatic Stress Disorder

9. Characteristics of Neuro-MS/D Stimulator

9.1. General Characteristics:
9.2. Main Unit
9.3. Cooling Unit
9.4. Cooled Coils

References