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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(1):89-93.
Effect of Repetitive Transcranial Magnetic Stimulation in Patients with Intractable Neuropathic Pain: Cases report.
Kim, Eun Jin , Shin, Jae Eun , Hong, Chul Pyo , Lee, Jung Il , Park, Se Hun , Lee, Peter K W , Kim, Yun Hee
1Department of Physical Medicine and Rehabilitation, Samsung Medical Center and Center for Clinical Medicine, Sungkyunkwan University School of Medicine. yhkim@smc.samsung.co.kr
2Department of Neurosurgery, Samsung Medical Center and Center for Clinical Medicine, Sungkyunkwan University School of Medicine.
반복 경두개 자기자극을 이용한 난치성 신경병성 통증의 치료 -증례 보고-
김은진, 신재은, 홍철표, 이정일1, 박세훈, 이강우, 김연희
성균관대학교 의과대학 삼성서울병원 재활의학교실 및 임상의학연구소, 1신경외과학교실
Abstract
Drug resistant neuropathic pain can be relieved by non-invasive new therapy of repetitive transcranial magnetic stimulation (rTMS). Three patients who have been suffered from intractable neuropathic pain with diverse underlying causes were enrolled. The causes of their pain were the thalamic hemorrhage, the complex regional pain syndrome (CRPS) after resection of neurilemmoma, and the trigeminal schwanoma respectively. A thousand pulses of 10 Hz rTMS were delivered over the contralateral primary motor cortex at 80% of resting motor threshold for a period of 20 minutes per each treatment session. The intensity of pain was assessed using a visual analogue scale before and after rTMS session for 5 consecutive days. Immediate and dramatic analgesic effects were noticed as a result of rTMS in patients with thalamic hemorrhage and trigerminal schwanoma. Moderate analgesic effect was noticed in patient with CRPS. The duration of analgesic effect was variable. (J Korean Acad Rehab Med 2006; 30: 89-93)
Key Words: Repetitive transcranial magnetic stimulation, Neuropathic pain


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