6533b7dafe1ef96bd126ecae

RESEARCH PRODUCT

Anodal transcranial direct current stimulation over the right hemisphere improves auditory comprehension in a case of dementia.

Filippo BrighinaTommaso PiccoliVanessa CostaBrigida FierroSabrina Realmuto

subject

medicine.medical_specialtymedicine.medical_treatmentneuroplasticitylanguage recoveryPhysical Therapy Sports Therapy and RehabilitationStimulationAudiologyPlaceboTranscranial Direct Current Stimulation050105 experimental psychology03 medical and health sciencesneurodegenerative disease0302 clinical medicineAphasiaNeuroplasticityAphasiaMedicineDementiaHumans0501 psychology and cognitive sciencesEffects of sleep deprivation on cognitive performanceAgedCerebral CortexNeuronal PlasticityTranscranial direct-current stimulationbusiness.industry05 social sciencesRehabilitationBrainmedicine.diseaseComprehensionAuditory PerceptionDementiaFemaleNeurology (clinical)medicine.symptombusinessComprehensionNeuroscience030217 neurology & neurosurgery

description

Background Noninvasive transcranial stimulation methods have been increasingly employed in order to improve cognitive performance in neurological patients. In previous studies with both stroke patients and healthy subjects, noninvasive stimulation of temporal-parietal regions and their homologue produced an improvement in linguistic tasks. Objective The aim of the current study was to evaluate if anodal transcranial direct current stimulation (tDCS) over Brodmann areas 39/40 (angular and supramarginal gyri) could promote the recovery of linguistic functions, in particular comprehension and naming, in a single patient affected by dementia. Methods Three preliminary explorative single sessions (right-side anodal, left-side anodal and sham tDCS) were carried out (Experiment 1). This procedure allows targeting the more effective site of stimulation for the treatment. Subsequently, we carried out a five-days tDCS treatment on the selected hemisphere (Experiment 2). Results We report verb comprehension amelioration after 5 days of anodal tDCS over the right BAs 39/40 compared with the placebo tDCS. This result is maintained until two weeks after the end of the 5-days treatment. Conclusions Our findings provide new evidence for the therapeutic use of tDCS in degenerative diseases, suggesting that an explorative study can be useful for targeting the more appropriate stimulation site, and confirm the involvement of right-sided areas associated with language activities.

10.3233/nre-162062https://pubmed.ncbi.nlm.nih.gov/28946572