Efficacy of deep rTMS for neuropathic pain in the lower limb: a randomized, double-blind crossover trial of an H-coil and figure-8 coil

• Published in: Journal of neurosurgery Vol. 127; no. 5; p. 1172
• Main Authors: Shimizu, Takeshi, Hosomi, Koichi, Maruo, Tomoyuki, Goto, Yuko, Yokoe, Masaru, Kageyama, Yu, Shimokawa, Toshio, Yoshimine, Toshiki, Saitoh, Youichi
• Format: Journal Article
• Language: English
• Published: United States 01.11.2017
• Subjects: CPSP = central poststroke pain; deep rTMS; SCD = subacute combined degeneration; FBSS = failed–back surgery syndrome; EMCS = electrical motor cortex stimulation; ANOVA = analysis of variance; PGIC = patient global impression of change; figure-8 coil; SCI = spinal cord injury; VAS = visual analog scale; H-coil; M1 = primary motor cortex; TCS = tethered spinal cord syndrome; SF-MPQ2-J = short-form McGill Pain Questionnaire 2, Japanese version; neuropathic pain; BDI = Beck Depression Inventory; lower limb pain; rTMS = repetitive transcranial magnetic stimulation; RMT = resting motor threshold; NP = neuropathic pain; TMS = transcranial magnetic stimulation; H-coil = Hesed coil; repetitive transcranial magnetic stimulation

OBJECTIVE Electrical motor cortex stimulation can relieve neuropathic pain (NP), but its use requires patients to undergo an invasive procedure. Repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex (M1) using a figure-8 coil can relieve NP noninvasively, but its ability to...