Scope of application of repetitive transcranial magnetic stimulation therapy

  I. What is repetitive transcranial magnetic stimulation therapy?  rTMS is to generate high magnetic flux magnetic field through the skull without attenuation by a coil, which has a stimulating effect on the neural structure, not only can improve a variety of clinical symptoms such as sleep disorder, anxiety disorder, depression, etc., but also can improve patients’ memory and cognitive function. Generally maintain 4 weeks of rTMS treatment with better efficacy, 10-15 days as a course of treatment.  Second, what are the indications for repetitive transcranial magnetic stimulation therapy?  rTMS is an internationally recognized, efficient and safe painless and non-invasive treatment method. Its main indications are: 1. sleep disorders: insomnia is mostly related to emotions, such as difficulty in falling asleep is often related to anxiety, early awakening is related to depression. rTMS can improve sleep while improving emotions.  2, depressive disorders: high frequency stimulation increases cortical excitability, thus improving depressive symptoms.  3, anxiety disorders: low-frequency stimulation inhibits local neuronal activity so that the excitability of the cortex decreases, improving various symptoms of generalized anxiety, obsessive-compulsive disorder, social anxiety disorder, panic disorder, etc.  4, a variety of neurological diseases: Parkinson’s disease, stroke, etc.  What are the contraindications of repeated transcranial magnetic stimulation treatment?  1.History of epilepsy or EEG examination shows epileptiform changes.  2. Patients with acute traumatic brain injury, cerebral hemorrhage or cerebral infarction.  3. Patients with a history of intracranial infection and other organic diseases.  4. Patients with intracranial metal and other foreign bodies.