TMS with Neuronavigation › Parkinson’s disease
For the motor symptoms and depression of Parkinson’s disease, alongside your treatment.
Transcranial magnetic stimulation (TMS) acts on the motor cortex for motor symptoms, and on the prefrontal cortex for the depression that often comes with the disease. As an add-on to Parkinson’s medication, on the neurologist’s indication.
What would you like to improve?
Motor symptoms01 · Motor symptoms
Stimulating the hand area of the motor cortex in both hemispheres can improve the motor symptoms of the disease. The indication and the assessment of symptoms are made by the neurologist.
Motor cortex stimulation
Level B
probable efficacy
Stimulation of the motor cortex in both hemispheres for the motor symptoms of Parkinson’s disease has a Level B recommendation in the European guidelines.
Source: Lefaucheur et al., Clinical Neurophysiology, 2020 (European TMS guidelines)
02 · Depression
Depression is common in Parkinson’s disease and makes everything harder. There is a separate protocol for it, on the left prefrontal area.
Left prefrontal stimulation
Level B
probable efficacy
Left prefrontal stimulation for depression in Parkinson’s disease has a Level B recommendation in the European guidelines.
Source: Lefaucheur et al., Clinical Neurophysiology, 2020 (European TMS guidelines)
For freezing of gait, the best study results come from stimulating other areas, such as the leg area or the supplementary motor area, with special coils that we do not use. Our protocol acts on motor symptoms in general, and the effect on walking may be smaller. At the consultation, the neurologist tells you what you can expect.
Together with your neurologist
Parkinson’s medication remains the basis of treatment. TMS is an extra step, discussed with the neurologist who follows you.
For motor symptoms, a short course of at least 10 sessions. For depression, a course of at least 30 sessions.
Once
Consultation with the neurologist
The neurologist decides whether the protocol targets motor symptoms or depression.
First day
Motor threshold and target
We find the area from the motor response to stimulation.
2–6 weeks
Course of sessions
5 a week: at least 10 for motor symptoms, at least 30 for depression.
Throughout
Reassessments
The neurologist reassesses motor symptoms; we track depression and quality of life on standardised scales.
What the neurologist checks at reassessment
In brief, with Dr Nadia Gorduza
Dr Nadia Gorduza explains what TMS can do for the motor symptoms and depression of Parkinson’s disease, alongside neurological treatment.
Ongoing research
The international clinical trials registry (ClinicalTrials.gov) lists 15 ongoing TMS studies in Parkinson’s disease, many not yet published. Here are some of them:
Medical University of South Carolina · ongoing
Freezing of gait, treated intensively
Accelerated TMS combined with gait training, for episodes when the steps “freeze”.
Hong Kong Polytechnic University · 81 patients
Walking and balance
Stimulation of the supplementary motor area, which prepares movement, for steadier walking.
University of North Carolina · 100 patients
Apathy in Parkinson’s disease
Lack of motivation and initiative is hard to treat with medication. The study tests TMS for it.
Medical University of South Carolina · 30 patients · since 2026
Memory and attention in Parkinson’s
Accelerated Theta Burst for mild cognitive impairment in Parkinson’s disease.
Launch prices
Launch prices. We usually use TMS Standard: the target is found from the motor response.
TMS Standard
250 lei / session
Optional, on the neurologist’s recommendation
The Neuronavigation option
With a 3D brain model, from 300 lei per session, or on your own MRI, from 360 lei per session. The MRI is done separately, at a centre of your choice.
See all options →Good to know
No. TMS is given in addition to your Parkinson’s medication, and any adjustment is decided with your neurologist.
Yes. A tremor does not prevent treatment: you sit comfortably supported in the chair, and we check the coil position throughout the session.
Yes, there is a separate protocol for depression in Parkinson’s disease, on the left prefrontal cortex.
The first step is a consultation with the neurologist. Tap “Book now!” and choose your time directly on WhatsApp. Bring your medical records, your list of medications and your MRI, if you have one.
3 Aviator Jean Texier Street, 1st floor, apt. 2, Sector 1, Bucharest · Monday–Friday, 10:00–20:00
Results vary from patient to patient. The indication for TMS is set by the neurologist after a consultation. Sources: Annals of Medicine and Surgery 2025 · J Clin Med 2025 · Lu et al., Physiother Res Int 2026 · Lefaucheur et al., Clin Neurophysiol 2020 · ClinicalTrials.gov, November 2026 · Academy of Brain Stimulation, TMS Protocols 08/2026.
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