PMID- 36766520 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230213 IS - 2075-4418 (Print) IS - 2075-4418 (Electronic) IS - 2075-4418 (Linking) VI - 13 IP - 3 DP - 2023 Jan 23 TI - Transcranial Magnetic Stimulation Improves Executive Functioning through Modulation of Social Cognitive Networks in Patients with Mild Cognitive Impairment: Preliminary Results. LID - 10.3390/diagnostics13030415 [doi] LID - 415 AB - (1) Background: Patients with mild cognitive impairment (MCI) often present impairment in executive functions (EFs). This study aimed to investigate the effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) on EFs in patients with MCI. (2) Methods: A prospective trial was conducted on 11 patients with MCI. Participants underwent 25 min of 20 Hz rTMS for ten days on the right temporo-parietal junction (RTPJ) and medial prefrontal cortex (MPFC). Before (T0) and after rTMS treatment (T1), global cognitive profile and EFs were investigated using the Montreal cognitive assessment (MoCA), trial making test (TMT) A and B, and frontal assessment battery (FAB). Depression symptoms were assessed using the geriatric depression scale (GDS). Statistical analysis included Wilcoxon signed-rank test. (3) Results: After treatment, patients showed a significant improvement in the MoCA EFs subtask (T0 vs. T1, p = 0.015) and TMT-B (T0 vs. T1, p = 0.028). Five MCI patients with EF impairment showed full recovery of these deficits. No significant changes in the GDS were observed. (4) Conclusions: rTMS stimulation over the TPJ and MPFC induced significant short-term improvements in EFs in MCI patients. These findings suggest that the TPJ and MPFC may be involved in the attention-executive skills to redirect attention toward behaviorally relevant stimuli. FAU - Sacco, Leonardo AU - Sacco L AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Ceroni, Martino AU - Ceroni M AUID- ORCID: 0000-0002-9470-1849 AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Pacifico, Deborah AU - Pacifico D AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. AD - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, 6900 Lugano, Switzerland. FAU - Zerboni, Giorgia AU - Zerboni G AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Rossi, Stefania AU - Rossi S AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Galati, Salvatore AU - Galati S AD - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, 6900 Lugano, Switzerland. AD - Movement Disorders Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Caverzasio, Serena AU - Caverzasio S AD - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, 6900 Lugano, Switzerland. AD - Movement Disorders Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. FAU - Kaelin-Lang, Alain AU - Kaelin-Lang A AD - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, 6900 Lugano, Switzerland. AD - Movement Disorders Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. AD - Department of Neurology, Inselspital, Bern University Hospital, 3010 Bern, Switzerland. FAU - Riccitelli, Gianna C AU - Riccitelli GC AUID- ORCID: 0000-0002-1202-5534 AD - Neuropsychology and Behavioral Neurology Research Unit, Neurocenter of Southern Switzerland, EOC, 6900 Lugano, Switzerland. AD - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, 6900 Lugano, Switzerland. LA - eng GR - 2020-00434/Advisory Board of Ente Ospedaliero Cantonale/ PT - Journal Article DEP - 20230123 PL - Switzerland TA - Diagnostics (Basel) JT - Diagnostics (Basel, Switzerland) JID - 101658402 PMC - PMC9914912 OTO - NOTNLM OT - cognition OT - executive functions OT - mild cognitive impairment OT - transcranial magnetic stimulation OT - treatment COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/12 06:01 PMCR- 2023/01/23 CRDT- 2023/02/11 01:08 PHST- 2022/11/21 00:00 [received] PHST- 2023/01/17 00:00 [revised] PHST- 2023/01/18 00:00 [accepted] PHST- 2023/02/11 01:08 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/12 06:01 [medline] PHST- 2023/01/23 00:00 [pmc-release] AID - diagnostics13030415 [pii] AID - diagnostics-13-00415 [pii] AID - 10.3390/diagnostics13030415 [doi] PST - epublish SO - Diagnostics (Basel). 2023 Jan 23;13(3):415. doi: 10.3390/diagnostics13030415.