Neuropathic pain controlled for more than a year by monthly sessions of repetitive transcranial magnetic stimulation of the motor cortex.
Neuropathic pain can be controlled by motor cortex stimulation using surgically-implanted electrodes in a majority of selected patients. Analgesic effects were also found to result from repetitive transcranial magnetic stimulation (rTMS) of the cortex. We report the case of a woman, in whom drug-resistant peripheral pain was controlled for 16 months by monthly sessions of motor cortex rTMS until a durable pain relief was obtained after surgical implantation of a cortical stimulator. This case illustrates the value of rTMS in helping patients to wait for surgery.
Lefaucheur
Jean-Pascal
JP
Service de Physiologie-Explorations Fonctionnelles, CHU Hôpital Henri Mondor, 51 avenue de Lattre de Tassigny, Créteil 94010, France. jean-pascal.lefaucheur@hmn.ap-hop-paris.fr
Drouot
X
X
Ménard-Lefaucheur
I
I
Nguyen
J P
JP
D000328:Adult; D004567:Electrodes, Implanted; D004574:Electromagnetic Fields / Q000009:adverse effects; D005260:Female; D006801:Humans; D009044:Motor Cortex / Q000502:physiology*; D019635:Neurosurgical Procedures; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D010147:Pain Measurement; D010523:Peripheral Nervous System Diseases / Q000150:complications*