治疗孤独症谱系障碍:重复经颅磁刺激的潜在作用
reatment of autism spectrum disorder: The potential role of repetitive transcranial magnetic stimulation
孤独症谱系障碍(AutismSpectrumDisorder,ASD)是一种复杂的神经发育障碍,其病因和表现形式具有高度异质性,目前临床尚缺乏确切有效的治疗方案。重复性经颅磁刺激(repetitive Transcranial Magnetic Stimulation,rTMS)作为一种神经调控技术,在ASD治疗领域展现出应用价值。研究发现,低频rTMS 能够调节大脑皮层的神经兴奋-抑制平衡,而高频rTMS则可以提高目标脑区的兴奋性。本研究表明,低频rTMS靶向ASD背外侧前额叶皮层可以改善重复和刻板行为,而高频rTMS 靶向ASD 颞顶联合区可以改善社交与互动障碍。未来研究应着重关注以下方面:探索rTMS干预的最佳年龄窗口期,采用严谨的双盲、假刺激对照和随机分组的交叉实验设计,以及整合临床量表评估、行为学测量和靶点脑区的神经生物学指标进行疗效评估,为相关临床实践提供更可靠的循证依据。
utism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder characterized by heterogeneous etiology and manifestations, with no definitive effective clinical treatment currently available. Repetitive Transcranial Magnetic Stimulation (rTMS), as a neuromodulation technique, has shown promising therapeutic potential in ASD treatment. Research indicates that low-frequency rTMS can modulate the excitation-inhibition balance of the cerebral cortex, while high-frequency rTMS can enhance the excitability of target brain regions. This study demonstrates that low-frequency rTMS targeting the dorsolateral prefrontal cortex in ASD can ameliorate repetitive and stereotyped behaviors, while high-frequency rTMS directed at the temporoparietal junction can improve social interaction deficits. Future research should focus on exploring the optimal age window for rTMS intervention, implementing rigorous double-blind, sham-controlled, and randomized crossover experimental designs, and integrating clinical scale assessments, behavioral measurements, and neurobiological indicators of target brain regions for efficacy evaluation, thereby providing more reliable evidence-based support for clinical practice
田仁霞、吴瑕、郭园园、杨平
神经病学、精神病学医学研究方法基础医学
孤独症谱系障碍重复经颅磁刺激背外侧前额叶皮层颞顶联合区
autism spectrum disorderrepetitive transcranial magnetic stimulationdorsolateral prefrontal cortextemporoparietal junction
田仁霞,吴瑕,郭园园,杨平.治疗孤独症谱系障碍:重复经颅磁刺激的潜在作用[EB/OL].(2024-12-29)[2025-08-02].https://chinaxiv.org/abs/202412.00373.点此复制
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