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Current Psychiatry Reports

, 21:89 | Cite as

Investigational and Therapeutic Applications of Transcranial Magnetic Stimulation in Schizophrenia

  • Urvakhsh Meherwan MehtaEmail author
  • Shalini S. Naik
  • Milind Vijay Thanki
  • Jagadisha Thirthalli
Schizophrenia and Other Psychotic Disorders (AK Pandurangi, Section Editor)
  • 3 Downloads
Part of the following topical collections:
  1. Topical Collection on Schizophrenia and Other Psychotic Disorders

Abstract

Purpose of Review

This current review summarizes the investigational and therapeutic applications of transcranial magnetic stimulation (TMS) in schizophrenia.

Recent Findings

Fairly consistent findings of an impaired cortical excitation-inhibition balance, cortical plasticity, and motor resonance have been reported in schizophrenia. Cortical connectivity impairments have also been demonstrated in motor and prefrontal brain regions. In terms of treatment, the best support is for 1-Hz TMS to the left temporoparietal cortex for the short-term treatment of persistent auditory hallucinations. High-frequency TMS to the left prefrontal cortex improves negative and cognitive symptoms, but with inconsistent and small effects.

Summary

TMS combined with diverse brain mapping techniques and clinical evaluation can unravel critical brain-behavior relationships relevant to schizophrenia. These provide critical support to the conceptualization of schizophrenia as a connectopathy with anomalous cortical plasticity. Adaptive modulation of these aberrant brain networks in a neuroscience-informed manner drives short-term therapeutic gains in difficult-to-treat symptoms of schizophrenia.

Keywords

Brain stimulation Neuromodulation TMS Connectivity Treatment Psychosis Resistant schizophrenia 

Notes

Funding Information

UMM was supported by the Wellcome Trust/DBT India Alliance Early Career Fellowship, Grant/Award Number: IA/E/12/1/500755.

Compliance with Ethical Standards

Conflict of Interest

Urvakhsh Meherwan Mehta serves as an Associate Editor at Schizophrenia Research and receives an honorarium from Elsevier for the same.

Shalini S Naik, Milind Vijay Thanki, and Jagadisha Thirthalli each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Urvakhsh Meherwan Mehta
    • 1
    Email author
  • Shalini S. Naik
    • 1
  • Milind Vijay Thanki
    • 1
  • Jagadisha Thirthalli
    • 1
  1. 1.Department of PsychiatryNational Institute of Mental Health & Neurosciences (NIMHANS)BangaloreIndia

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