RTMS (Repetitive Transcranial Magnetic Stimulation)

What is RTMS?

Repetitive Transcranial Magnetic Stimulation (rTMS) involves a series of short magnetic pulses directed at the brain to stimulate nerve cells. Magnetic stimuli stimulate field neurons and alter the functioning of the respective brain circuits.

Research has been conducted around the world since 1985 to understand and treat a range of neurological conditions (Migraines, Parkinson's disease, tinnitus) or psychiatric conditions (schizophrenia, depression, or auditory hallucinations) with rTMS. Recently, researchers have focused on the use of rTMS as a treatment option for major depressive disorder, auditory hallucinations in schizophrenia, cognitive disorders, obsessive-compulsive disorder, and post-traumatic stress disorder.

How does rTMS work?

Rapidly changing magnetic stimuli cause neurons to change the firing pattern in the brain. It can change the dysfunctional brain structures by changing the firing pattern of neurons in the brain circuits of an individual involved in a disorder such as depression, migraine, Parkinson's disease, tinnitus. Brain activity changes are thought to be a mechanism by which treatment occurs. The patient stays awake during the procedure and can return to normal daily activities immediately afterwards (No medication or anesthesia is required). The patient sits comfortably in a reclining chair throughout the session.

How long does the treatment take?

A typical time for rTMS Treatment can range from 4 to 6 weeks. However, treatment may vary depending on the person's response and course of treatment. Typically, healing effects begin to appear within the first ten days of starting treatment. Most patients tend to notice the expected benefit from treatment within the second week of treatment. Some patients may need maintenance (continued) treatment after about 6-12 months.

In which areas is it used?

  • Depression
  • Anxiety
  • Panic attack
  • Obsessive compulsive disorder
  • Negative symptoms of schizophrenia
  • Migraine (headache)
  • Chronic neuropathic pain
  • Parkinson's disease
  • Alzheimer's
  • Forgetfulness
  • Post-stroke rehabilitation
  • Epilepsy
  • Tinnitus (tinnitus)
  • Fibromyalgia
  • Vestibular rehabilitation

How can RTMS treatment be applied?

It should be prescribed by a specialist in the field.

How long does the RTMS treatment session last?

Each of the RTMS sessions is approximately 20 minutes and is applied 6 days a week.

Is it necessary to stay in the hospital during the RTMS treatment process?

Since RTMS treatment does not require any sedation or general anesthesia, patients are fully awake and aware during the treatment. Patients can then go home by car.

Can RTMS therapy be used in children?

Use in childhood: RTMS has proven effective in the treatment of different central nervous system (CNS) disorders. This technique significantly increases the effectiveness of corrective actions targeting the mental and language state. TMS is also effective in children with cerebral palsy (CP) receiving neuroprotective therapy.
  • Autism spectrum disorder (ASD)
  • Perinatal CNS injury (stroke, CP)
  • Tourette's syndrome
  • Attention deficit hyperactivity disorder (ADHD)
  • Developmental delay (including speech delay)

Are there any side effects?

Because rTMS therapy uses a powerful magnet, the most notable risk is that people who have any form of metal implanted in the head area should beware. It is also risky to use for individuals with aneurysm clips, implanted electrical devices such as pacemakers or drug pumps, cochlear implants, metal stents, shrapnel or bullet fragments, tattoos containing magnetic or magnet-sensitive ink.

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