Guest Post by Dr. Manuel Casanova: “All about Transcranial Magnetic Stimulation”

The following is based on an interview/blog that I did at the request of Ms. Emily Williams.

Guest Post by Dr. Manuel Casanova: “All about Transcranial Magnetic Stimulation”.

4 responses to “Guest Post by Dr. Manuel Casanova: “All about Transcranial Magnetic Stimulation”

  1. The method requires high levels of cooperation which are not present in many people with autism. ¿How do you meet this difficulty?

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  2. We usually bring them to the laboratory to familiarize them with the setting. We also allow parents and even therapists to be present. When the individual is very fidgety we allow them to play with something, e.g. a telephone cord bought for this purpose. Also parents may offer kids rewards for their behavior. The biggest challenge is not the TMS but the electrode net that we use for baseline and outcome measures, i.e., ERPs. The feeling against the skin plus electrode cream annoys many patients. Unfortunately it is the more sensitive patients the ones that could stand to get the most benefit from the procedure. Probably my best recommendation is to be very patient and allow a lot of time per patient. During the Summer we bring in students to help us. This makes quite a difference.

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  3. We never use sedation unless we are planning for an MRI. I am not aware of studies using sedation in patients undergoing TMS and whether it alters outcome. Our electrophysiological measures for baseline and outcome are done at the beginning and end of the study, so sedation would not interfere in that regards.

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