A functional domain based approach in neurocognitive rehabilitation with tDCS: A case report
Vanteemar S Sreeraj 1, 2*, Venkataram Shivakumar 1, 2, Anushree Bose 1, 2, Purohit N Abhiram 1, Sri Mahavir Agarwal 1, 2, Harleen Chhabra 1, 2, Janardhanan C Narayanaswamy 1, 2, Ganesan Venkatasubramanian 1, 2
WISER Program and Translational psychiatry Laboratory, NBRC, NIMHANS,Bangalore, India, 1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
Received: October 21, 2016; Revised: March 23, 2017; Accepted: April 13, 2017; Published online: April 13, 2017.
© The Korean College of Neuropsychopharmacology. All rights reserved.

Abstract
Transcranial direct current stimulation (tDCS) is a novel brain stimulation technique which has kindled hope in alleviating motor, language as well as cognitive deficits in neuronal injury. Current case report describes the application of tDCS in two phases using two different protocols in a patient with hypoxic injury. In the first phase, anodal stimulation of dorsolateral prefrontal cortex improved the language fluency. Subsequently, after 6 months second phase application of anodal stimulation over posterior parietal region targeted arithmetic and working memory deficits. Individualising the treatment protocols of brain stimulation, based on the lesion and the functional deficits, for neuro-rehabilitation is emphasised.
Keywords: tDCS, hypoxic ischemic encephalopathy, acalculia, language fluency, dosolateral prefrontal cortex, posterior parietal


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