Transcranial Magnetic Stimulation for Migraine: A Safety Review
(Headache 2010;50:1153‐1163) Objective.— To review potential and theoretical safety concerns of transcranial magnetic stimulation (TMS), as obtained from studies of single‐pulse (sTMS) and repetitive TMS (rTMS) and to discuss safety concerns associated with sTMS in the context of its use as a migrai...
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Published in | Headache Vol. 50; no. 7; pp. 1153 - 1163 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Malden, USA
Blackwell Publishing Inc
01.07.2010
Wiley-Blackwell Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | (Headache 2010;50:1153‐1163)
Objective.— To review potential and theoretical safety concerns of transcranial magnetic stimulation (TMS), as obtained from studies of single‐pulse (sTMS) and repetitive TMS (rTMS) and to discuss safety concerns associated with sTMS in the context of its use as a migraine treatment.
Methods.— The published literature was reviewed to identify adverse events that have been reported during the use of TMS; to assess its potential effects on brain tissue, the cardiovascular system, hormone levels, cognition and psychomotor tests, and hearing; to identify the risk of seizures associated with TMS; and to identify safety issues associated with its use in patients with attached or implanted electronic equipment or during pregnancy.
Results.— Two decades of clinical experience with sTMS have shown it to be a low risk technique with promise in the diagnosis, monitoring, and treatment of neurological and psychiatric disease in adults. Tens of thousands of subjects have undergone TMS for diagnostic, investigative, and therapeutic intervention trial purposes with minimal adverse events or side effects. No discernable evidence exists to suggest that sTMS causes harm to humans. No changes in neurophysiological function have been reported with sTMS use.
Conclusions.— The safety of sTMS in clinical practice, including as an acute migraine headache treatment, is supported by biological, empirical, and clinical trial evidence. Single‐pulse TMS may offer a safe nonpharmacologic, nonbehavioral therapeutic approach to the currently prescribed drugs for patients who suffer from migraine. |
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Bibliography: | ArticleID:HEAD1697 istex:BDC39E2DF15D11DDBB884561B02302E9E216DCE5 ark:/67375/WNG-QGBMLWK6-5 Clinical trial registration number: Not applicable. Sources of financial support: Not applicable. Conflict of Interest David W. Dodick, MD: Consulting/Honoraria: Allergan, Addex, Alexza, Almirrall, Coherex, Eli Lilly, Endo, GlaxoSmithKline, HS Lundbeck, Kowa, MAP, Medtronic, Merck, Minster, Neuralieve, Neuraxon, Novartis, NuPathe, Pfizer, Nautilus, Zogenix, Boston Scientific Editorial: Wiley‐Blackwell (Cephalalgia, Headache Currents); SAGE (Cephalalgia) American College of Physicians (MKSAP Editor); The Neurologist. Research Support: Medtronic, Advanced Neurostimulations Systems, St. Jude, NINDS, Mayo Clinic. Stocks: None. Speakers Bureau: None. Sheena K. Aurora, MD: Grants and Research Support (within last 2 years): Advanced Bionics, Alexza, Allergan, Capnia, GlaxoSmithKline, MAP Pharmaceuticals, Merck and Co, OrthoMcNeil, Neuralieve, NuPathe, Takeda. Consulting: Ortho‐McNeil Pharmaceutical, Inc, Merck and Co, GlaxoSmithKline, Allergan, Neuralieve, NuPathe, MA. Honoraria: Merck and Co., GlaxoSmithKline, Kowa, NuPathe, Ortho‐McNeil Pharmaceutical, Inc. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Feature-1 |
ISSN: | 0017-8748 1526-4610 |
DOI: | 10.1111/j.1526-4610.2010.01697.x |