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From Unidad de Neurobiologia, Departamento de Fisiologia (Drs Pascual-Leone and Catala), Universidad de Valencia, Valen.cia, Consejo Superior de Investigaciones Cientificas, Instituto Santiago Ramon y Cajal (Dr. Pascual-Leone), Madrid, and Unidad Docente de Neurologia (Dr. Pascual-Leone Pascual), Universidad de Valencia, Valencia, Spain.
Presented in part at the 47th annual meeting of the American Academy of Neurology, Seattle, WA, May 1995.
Received October 17, 1994. Accepted in final form May 1, 1995.
Address correspondence and reprint requests to Dr Alvaro Pascual-Leone, Unidad de Neurobiologia, Departamento de Fisiologia, Universidad de Valencia, Avda. Blasco Ibanez, 17, Valencia 46010 Spain
We studied the effects of rapid-rate transcranial magnetic stimulation (rTMS) of different scalp positions on mood Ten normal volunteers rated themselves before and after rTMS on five analog scales labeled ``Tristeza'' (Sadness), ``Ansiedad'' (Anxiety), ``Alegria'' (Happiness), ``Cansancio'' (Tiredness), and ``Dolor/Malestar'' (Pain/Discomfort). rTMS was applied to the right lateral prefrontal, left prefrontal, or midline frontal cortex in trains of 5 seconds' duration at 10 Hz and 110% of the subject's motor threshold intensity. Each stimulation position received 10 trains separated by a 25-second pause. No clinically apparent mood changes were evoked by rTMS to any of the scalp positions in any subject. However, left prefrontal rTMS resulted in a significant increase in the Sadness ratings (Tristeza) and a significant decrease in the Happiness ratings (``Alegria'') as compared with right prefrontal and midfrontal cortex stimulation. These results show differential effects of rTMS of left and right prefrontal cortex stimulation on mood and illustrate the lateralized control of mood in normal volunteers.
NEUROLOGY 1996,46 499-502.
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