1.High and low frequency repetitive transcranial magnetic stimulation in smoking cessation: A systematic review
Ariza Joy A. Dechavez ; Criscely L. Go
Philippine Journal of Neurology 2023;26(2):31-41
Abstract:
Repetitive Transcranial Magnetic Stimulation is a non-invasive brain stimulation process
popularly used to treat psychiatric disorders. Multiple evidence shows effectiveness of rTMS in
treating addiction, particularly in tobacco or cigarette users. This study consisted of review of
current published literatures on repetitive transcranial magnetic stimulation following
predefined eligibility criteria. The studies included evaluated at least one of the epidemiological
parameters: (i) the meaning of repetitive transcranial magnetic stimulation (ii) Effectiveness of
the Repetitive Transcranial Magnetic Simulation Over Behavioral therapy (iii) rTMS-associated
adverse events among tobacco users
Methodology:
We included published studies discussing rTMS in smoking cessation which examined if these
interventions were effective and identified whether it has a severe negative effect on the
patients.
A total of 104 related studies were identified through database searches (Pubmed,
Elsevier, Cochrane). Of which, 53 duplicate studies were removed. Five studies were then
excluded with more than 10 years in publication. A total of 28 papers were then included in the
study.
Conclusion
We conclude that rTMS is more effective in treating addiction in terms of smoking compared to
behavioral therapy and rTMS affects triggered desired circuit which may be crucial among
tobacco users. Individual neuronal excitability in the specific region’s subsequent induction may
impact the therapeutic outcomes.
With this, the high-frequency rTMS sequentially applied to
the left superior medial frontal cortex and dorsolateral prefrontal cortex may be an effective tool
for improving the cessation rate.
Transcranial Magnetic Stimulation
;
Smoking Cessation