Transcranial stimulation in semantic dementia
DOI:
https://doi.org/10.36505/ExLing-2019/10/0036/000398Keywords:
Semantic variant, primary progressive aphasia, repetitive tDCSAbstract
Semantic variant of primary progressive aphasia (sv-PPA) is the most frequent form of PPA with no current treatment. Non-invasive brain stimulation by transcranial Direct Current Stimulation (tDCS) is emerging as a therapeutic alternative. We present preliminary results from a double-blind sham-controlled study of 14 sv-PPA patients who received daily tDCS sessions for 10 consecutive days. Patients were randomized to 3 conditions: Left Anodal (excitatory), Right Cathodal (inhibitory), and Sham (Placebo). Participants underwent a series of language tasks prior to and following the sessions. Prior to and 2 weeks following the tDCS regime, patients underwent 18[F]-FDG-PET recordings. We didn’t find significant improvements in semantic access for any group. The Left Anodal group showed medium effect sizes in visual semantic associations. Excellent tolerance and a high level of subjective satisfaction were found for all groups. The protocol is ongoing.
References
Gorno-Tempini, M.L., Dronkers, N.F., Rankin, K.P., Ogar, J.M., Phengramy, L., Rosen, H.J., Johnson, J.K., Weiner, M.W., Miller, B.L. 2004. Cognition and anatomy in three variants of primary progressive aphasia. Ann Neurol, 55, 335-346.
Cotelli, M., Manenti, R., Petesi, M., Brambilla, M., Cosseddu, M., Zanetti, O., Miniussi, C., Padovani, A., Borroni, B. 2014. Treatment of Primary Progressive Aphasias by Transcranial Direct Current Stimulation Combined with Language Training. Journal of Alzheimer’s Disease, 39, 799-808.
Teichmann, M., Lesoil, C., Godard, J., Vernet, M., Bertrand, A., Levy, R., Dubois, B., Lemoine, L., Truong, D.Q., Bikson, M., Kas, A., Valero-Cabré, A. 2016. Direct current stimulation of temporal poles boosts semantic processing in primary progressive aphasia. Annals of Neurology, 80(5), 693-707.
Valero-Cabré, A., Sanches, C., Godard, J., Fracchia, O., Dubois, B., Levy, R., Truong, D.Q., Bikson, M., Teichmann, M. 2019. Language boosting by transcranial stimulation in Progressive Supranuclear Palsy. Neurology, 93(12), e1131-e1141.
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