No Effect of Anodal Transcranial Direct Current Stimulation on Gamma-Aminobutyric Acid Levels in Patients with Recurrent Mild Traumatic Brain Injury

作者: Skadi Wilke , Jonathan List , Ralf Mekle , Robert Lindenberg , Martin Bukowski

DOI: 10.1089/NEU.2016.4399

关键词: gamma-Aminobutyric acidPrimary motor cortexTranscranial magnetic stimulationTraumatic brain injuryConcussionAnesthesiaTranscranial direct-current stimulationIn vivo magnetic resonance spectroscopyMotor cortexPsychology

摘要: Abstract In patients in the chronic phase after recurrent mild traumatic brain injury (mTBI), alterations gamma-aminobutyric acid (GABA) concentration and receptor activity have been reported, possibly mediating subtle but persistent cognitive deficits increased rate of dementia older age. We evaluated whether anodal transcranial direct current stimulation (atDCS) over primary motor cortex reduces GABA GABAB with mTBI. Seventeen (mean age 25, two women) mTBI 22 healthy control subjects 26, were included. All participants received comprehensive testing detailed questionnaires on post-concussive symptoms at baseline. Subsequently, they participated four experimental sessions, consisting either magnetic resonance spectroscopy (MRS)/atDCS/MRS, (TMS)/atDCS/TMS, MRS/sham/MRS, or TMS/sham/TMS to determine concentr...

参考文章(101)
Lisa Koski, Theodore Kolivakis, Camilla Yu, Jen-Kai Chen, Scott Delaney, Alain Ptito, Noninvasive brain stimulation for persistent postconcussion symptoms in mild traumatic brain injury. Journal of Neurotrauma. ,vol. 32, pp. 38- 44 ,(2015) , 10.1089/NEU.2014.3449
Christopher C. Giza, David A. Hovda, The Neurometabolic Cascade of Concussion Journal of Athletic Training. ,vol. 36, pp. 228- 235 ,(2001)
Jonathan List, Stefanie Ott, Martin Bukowski, Robert Lindenberg, Agnes Flöel, Cognitive function and brain structure after recurrent mild traumatic brain injuries in young-to-middle-aged adults Frontiers in Human Neuroscience. ,vol. 9, pp. 228- 228 ,(2015) , 10.3389/FNHUM.2015.00228
Brenda L. Bartnik-Olson, Barbara Holshouser, Harrison Wang, Matthew Grube, Karen Tong, Valarie Wong, Stephen Ashwal, Impaired Neurovascular Unit Function Contributes to Persistent Symptoms after Concussion: A Pilot Study Journal of Neurotrauma. ,vol. 31, pp. 1497- 1506 ,(2014) , 10.1089/NEU.2013.3213
François Chollet, None, Pharmacologic approaches to cerebral aging and neuroplasticity: insights from the stroke model. Dialogues in clinical neuroscience. ,vol. 15, pp. 67- 76 ,(2013)
G. Batsikadze, V. Moliadze, W. Paulus, M.-F. Kuo, M. A. Nitsche, Partially non-linear stimulation intensity-dependent effects of direct current stimulation on motor cortex excitability in humans The Journal of Physiology. ,vol. 591, pp. 1987- 2000 ,(2013) , 10.1113/JPHYSIOL.2012.249730
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
Rolf Gruetter, Automatic, localized in vivo adjustment of all first- and second-order shim coils. Magnetic Resonance in Medicine. ,vol. 29, pp. 804- 811 ,(1993) , 10.1002/MRM.1910290613
Kirsten Hötting, Brigitte Röder, Beneficial effects of physical exercise on neuroplasticity and cognition. Neuroscience & Biobehavioral Reviews. ,vol. 37, pp. 2243- 2257 ,(2013) , 10.1016/J.NEUBIOREV.2013.04.005