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- W2076549215 abstract "Atypical facial pain as a kind of neuropathic disorders could occur after traumatic lesions and remains difficult to treat. One option for management of intractable pain is stimulation of the motor cortex by implantation of an epidural electrode. This effect of invasive stimulation could be replaced by transcranial magnetic stimulation. The objective of the study was to observe the pain reducing effect of non-invasive transcranial magnetic stimulation (rTMS) in patients suffering from atypical facial pain, and furthermore to detect whether there is a predictive value for invasive motor cortex stimulation (MCS). The study was prospective but not randomized. We included patients suffering from chronical neuropathic facial pain. Seven patients suffered from posttraumatic pain, 10 patients suffered from idiopathic atypical facial pain. The primary motor cortex has been stimulated with high-frequent, repetitive transcranial magnetic stimulation (rTMS). Stimulation was daily repeated for a period of 9 days. The individual pain level was assessed by the visual analogue scale (VAS) and documented daily for three weeks. The first follow up was done after 6 weeks. We included 17 patients (13 female/4 male) between 32 and 75 years of age. The follow up was done at least after six weeks, further intervals were determined individually. The mean follow up was 4,6 months with range from 6 weeks to 2,5 years. A pain reduction in terms of a decrease in the VAS scale was obtained in 13 patients, ranging from 2 to 8 points with a mean value of 3,9. The pain reduction occurred with a delay between 4 days and 3 weeks, and showed a long term effect from 3 weeks up to 6 months. Two patients successfully underwent an invasive motor cortex stimulation. Non-invasive transcranial magnetic stimulation seems to be applicable for some kind of neuropathic pain, i.e. atypical facial pain. Pain reduction has a long term effect. Furthermore, it may be used as a positive predictor for invasive motor cortex stimulation." @default.
- W2076549215 created "2016-06-24" @default.
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- W2076549215 date "2013-10-01" @default.
- W2076549215 modified "2023-09-26" @default.
- W2076549215 title "P 122. Transcranial magnetic stimulation in neuropathic facial pain – A prospective study of 17 patients" @default.
- W2076549215 doi "https://doi.org/10.1016/j.clinph.2013.04.200" @default.
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