title: Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report.
abstract: A 37-year-old man with a right transfemoral amputation suffered from severe phantom limb pain (PLP). After targeting the affected supplementary motor complex (SMC) or primary motor cortex (PMC) using a neuro-navigation system with 800 stimuli of 1 Hz repetitive transcranial magnetic stimulation (rTMS) at 85% of resting motor threshold, the 1 Hz rTMS over SMC dramatically reduced his visual analog scale (VAS) of PLP from 7 to 0. However, the 1 Hz rTMS over PMC failed to reduce pain. To our knowledge, this is the first case report of a successfully treated severe PLP with a low frequency rTMS over SMC in affected hemisphere.
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Jong-Hoo
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Jeong-Hyun
authors.initials: JH
authors.lastname: Byun
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Yu-Ri
authors.initials: YR
authors.lastname: Choe
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Seung-Kyu
authors.initials: SK
authors.lastname: Lim
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Ka-Young
authors.initials: KY
authors.lastname: Lee
authors.affiliation: Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: In-Sung
authors.initials: IS
authors.lastname: Choi
keywords: Motor cortex; Phantom limb pain; Repetitive transcranial magnetic stimulation