Transcranial magnetic stimulation in the treatment of obsessive–compulsive disorder: Current perspectives

Ana Lusicic, Koen R.J. Schruers, Stefano Pallanti, David J. Castle

Research output: Contribution to journalReview articlepeer-review

46 Scopus citations

Abstract

Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive neurostimulation technique receiving increasing attention in the treatment of different psychiatric disorders. Evidence for rTMS use in obsessive–compulsive disorder (OCD) is accumulating and informing further developments in the neurostimulation field, the latest being deep transcranial magnetic stimulation (dTMS). dTMS allows direct stimulation of deeper subcortical structures and larger brain volume than conventional rTMS. Underlying neurobiological mechanisms related to transcranial magnetic stimulation are still under evaluation, but appear to offer a novel “third” way of addressing symptoms via localized electrical stimulation compared to pharmacotherapy and psychotherapy approaches. This systematic review focuses on the effects of rTMS and dTMS stimulation on different brain targets in OCD. Brain areas included are the dorsolateral prefrontal cortex, supplementary motor area, orbitofrontal cortex/medial prefrontal cortex, and anterior cingulate cortex (ACC). Improved understanding of the therapeutic effects of rTMS in OCD will support fine-tuning of the method and help determine how we can best optimize the approach via rTMS or dTMS to achieve clinically relevant results.

Original languageEnglish
Pages (from-to)1721-1736
Number of pages16
JournalNeuropsychiatric Disease and Treatment
Volume14
DOIs
StatePublished - 29 Jun 2018
Externally publishedYes

Keywords

  • Compulsive disorder
  • Deep TMS
  • Noninvasive neurostimulation
  • OCD
  • Obsessive
  • Repetitive transcranial magnetic stimulation
  • rTMS

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