2003
DOI: 10.1176/jnp.15.2.243
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Counterintuitive Antidepressant Properties of Slow rTMS Over the Left Frontal Cortex: A Possible Mechanism

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Cited by 4 publications
(3 citation statements)
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“…The involvement of reduced information transfer between different brain regions in depression was recently put forward by Schutter et al (16). These authors argued that the antidepressant effects of clinical studies in depressive patients utilizing fast repetitive transcranial magnetic stimulation over the frontal cortex, commonly argued to be due to enhancement of neuronal activity (17,18), do more likely result from enhanced corticocortical cross-talk (16,19). This suggestion finds strong support in the recent observation of increased cross-talk between the frontal and parietal regions after repetitive transcranial magnetic stimulation over the frontal cortex in healthy volunteers (20).…”
Section: Discussionmentioning
confidence: 98%
“…The involvement of reduced information transfer between different brain regions in depression was recently put forward by Schutter et al (16). These authors argued that the antidepressant effects of clinical studies in depressive patients utilizing fast repetitive transcranial magnetic stimulation over the frontal cortex, commonly argued to be due to enhancement of neuronal activity (17,18), do more likely result from enhanced corticocortical cross-talk (16,19). This suggestion finds strong support in the recent observation of increased cross-talk between the frontal and parietal regions after repetitive transcranial magnetic stimulation over the frontal cortex in healthy volunteers (20).…”
Section: Discussionmentioning
confidence: 98%
“…In line with our hypothesis, T as compared to placebo induced a significant increase in the functional connectivity in this left prefrontal-right parietal cortico-cortical depression circuit. 19 Although EEG coherence between different cortical regions is largely established by cortico-cortical and thalamo-cortical interactions, 22 subcortical brain areas contribute to both inter-and intrahemispheric functional communication as well. 23 Especially the lower bandwidths such as the r frequency in the EEG coherence spectrum have been associated with limbic contributions to cortico-cortical coupling.…”
Section: Discussionmentioning
confidence: 99%
“…14,15 However, findings in the Rosenberg et al 18 study can be interpreted in terms of the strengthening of the functional connectivity in the left prefrontal-right parietal corticocortical depression circuit by both slow and fast rTMS. 19 Finally, working from a heuristic model constituting this depression circuit, and assuming that rTMS would also be capable of strengthening functional connectivity when stimulating the right parietal cortex, a recent placebo controlled study by Van Honk and Schutter 20 demonstrated reductions in phenomenological, attentional and physiological indices of depression in healthy volunteers after slow rTMS over the right parietal cortex.…”
Section: Increasing Evidence Suggests That the Steroid Hormone Testosmentioning
confidence: 99%