The Therapeutic Potential of Non-Invasive and Invasive Cerebellar Stimulation Techniques in Hereditary Ataxias.

Bibliographic Details
Title: The Therapeutic Potential of Non-Invasive and Invasive Cerebellar Stimulation Techniques in Hereditary Ataxias.
Authors: Benussi, Alberto, Batsikadze, Giorgi, França, Carina, Cury, Rubens G., Maas, Roderick P. P. W. M.
Source: Cells (2073-4409); Apr2023, Vol. 12 Issue 8, p1193, 25p
Subject Terms: BRAIN stimulation, TRANSCRANIAL direct current stimulation, TRANSCRANIAL magnetic stimulation, DENTATE nucleus, DEEP brain stimulation, RANDOMIZED controlled trials
Abstract: The degenerative ataxias comprise a heterogeneous group of inherited and acquired disorders that are characterized by a progressive cerebellar syndrome, frequently in combination with one or more extracerebellar signs. Specific disease-modifying interventions are currently not available for many of these rare conditions, which underscores the necessity of finding effective symptomatic therapies. During the past five to ten years, an increasing number of randomized controlled trials have been conducted examining the potential of different non-invasive brain stimulation techniques to induce symptomatic improvement. In addition, a few smaller studies have explored deep brain stimulation (DBS) of the dentate nucleus as an invasive means to directly modulate cerebellar output, thereby aiming to alleviate ataxia severity. In this paper, we comprehensively review the clinical and neurophysiological effects of transcranial direct current stimulation (tDCS), repetitive transcranial magnetic stimulation (rTMS), and dentate nucleus DBS in patients with hereditary ataxias, as well as the presumed underlying mechanisms at the cellular and network level and perspectives for future research. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
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ISSN:20734409
DOI:10.3390/cells12081193
Published in:Cells (2073-4409)
Language:English