MagPro临床应用.ppt

磁刺激 运动诱发电位 MEP 电刺激运动诱发, E MEP (有疼痛感) 磁刺激诱发电位, tc MEP 运动诱发电位(MEP) MEP应用: 中枢运动相关障碍 中枢运动相关障碍 多发性硬化Multiple sclerosis 侧索硬化 ALS 巴金森氏症Parkinson disease 脑缺血 Cerebral ischemia 外周 神经根刺激 深部神经刺激 皮层刺激点 单相- 双相刺激 螺旋线圈 下肢运动诱发电位-通用神经传导速度 正常参考值 病人身高: 150-190 cm rTMS 重复经颅磁刺激 磁刺激在治疗中的应用 语言障碍 磁刺激器Magnetic Stimulators 周围和中枢, 运动诱发电位 0.5-1Hz MagPro Compact 5Hz 临床治疗作用 25Hz MagPro R30 30Hz COILS MagPro R30 新型高速磁刺激器 单刺激 TMS 双刺激 TMS 重复电刺激 r TMS TMS 在治疗中的作用 神经心理治疗 抑郁症：代替ECT 强迫症 卒中康复 巴金森氏症：改善症状，逆转痴呆 癫痫治疗：减少发作频率 缓解疼痛 康复理疗 抑郁症治疗的“配方” TMS protocols in Major Depression therapies: Repetition rates in each train 5-20 pps Train duration 1-5 sec Train frequency 1 per 30-60 sec Number of trains in series 20-40 trains Stimulation intensity 80-110 % of MT 卒中康复 抑郁 运动障碍 强直 癫痫辅助治疗 Study title: Low-frequency repetitive transcranial magnetic stimulation improves intractable epilepsy. Results of study with 9 patients: Low-frequency TMS may temporarily improve intractable epilepsy. The reduction of seizures was of similar range as seen under intermittent repetitive vagus nerve stimulation. Low-frequency TMS as a non-invasive method may be an alternative adjunctive antiepileptic treatment. 女性尿失禁治疗FMS Therapy for Urinary Incontinence FMS Therapy highlights: Excellent success rate. Non-invasive and painless. Patient remains fully clothed. No side effects. Indicated for women of all ages. FMS Therapy for Restoring Cough FMS Therapy highlights: Non-invasive and painless. No side effects. Indicated for patients with respiratory deficiences. MagPro R30: 双刺激 双刺激（成对刺激） 中枢易化和抑制 癫痫病人、神经源性病变，有异常的抑制表现 ? Magnetic stimulators MagPro R30 先进的双功能磁刺激器 MEP 联 诱发电位 r TMS 独立 内置电脑！ 程控独立工作 MagPro X100 MagPro X100 and MagPro X100 including MagOption are advanced high performance magnetic stimulators intended as a research tool: For assessment of the physiology of the motor pathways in central nervous system. To explore and understand brain-behavior relationshi