rTMS treatment for depression in Parkinson's disease increases BOLD responses in the left prefrontal cortex

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dc.contributor.authorCardoso E.F.
dc.contributor.authorFregni F.
dc.contributor.authorMartins Maia F.
dc.contributor.authorBoggio P.S.
dc.contributor.authorLuis Myczkowski M.
dc.contributor.authorCoracini K.
dc.contributor.authorLopes Vieira A.
dc.contributor.authorMelo L.M.
dc.contributor.authorSato J.R.
dc.contributor.authorAntonio Marcolin M.
dc.contributor.authorRigonatti S.P.
dc.contributor.authorCruz Jr. A.C.
dc.contributor.authorReis Barbosa E.
dc.contributor.authorAmaro Jr. E.
dc.date.accessioned2024-03-13T01:37:43Z
dc.date.available2024-03-13T01:37:43Z
dc.date.issued2008
dc.description.abstractThe mechanisms underlying the effects of antidepressant treatment in patients with Parkinson's disease (PD) are unclear. The neural changes after successful therapy investigated by neuroimaging methods can give insights into the mechanisms of action related to a specific treatment choice. To study the mechanisms of neural modulation of repetitive transcranial magnetic stimulation (rTMS) and fluoxetine, 21 PD depressed patients were randomized into only two active treatment groups for 4 wk: active rTMS over left dorsolateral prefrontal cortex (DLPFC) (5 Hz rTMS; 120% motor threshold) with placebo pill and sham rTMS with fluoxetine 20 mg/d. Event-related functional magnetic resonance imaging (fMRI) with emotional stimuli was performed before and after treatment - in two sessions (test and re-test) at each time-point. The two groups of treatment had a significant, similar mood improvement. After rTMS treatment, there were brain activity decreases in left fusiform gyrus, cerebellum and right DLPFC and brain activity increases in left DLPFC and anterior cingulate gyrus compared to baseline. In contrast, after fluoxetine treatment, there were brain activity increases in right premotor and right medial prefrontal cortex. There was a significant interaction effect between groups vs. time in the left medial prefrontal cortex, suggesting that the activity in this area changed differently in the two treatment groups. Our findings show that antidepressant effects of rTMS and fluoxetine in PD are associated with changes in different areas of the depression-related neural network. © 2007 Collegium Internationale Neuropsychopharmacologicum.
dc.description.firstpage173
dc.description.issuenumber2
dc.description.lastpage183
dc.description.volume11
dc.identifier.doi10.1017/S1461145707007961
dc.identifier.issn1461-1457
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/37529
dc.relation.ispartofInternational Journal of Neuropsychopharmacology
dc.rightsAcesso Aberto
dc.subject.otherlanguageDepression
dc.subject.otherlanguageFluoxetine
dc.subject.otherlanguagefMRI
dc.subject.otherlanguageParkinson
dc.subject.otherlanguageRTMS
dc.titlerTMS treatment for depression in Parkinson's disease increases BOLD responses in the left prefrontal cortex
dc.typeArtigo
local.scopus.citations75
local.scopus.eid2-s2.0-38949151074
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=38949151074&origin=inward
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