Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report.
10.5535/arm.2015.39.4.630
- Author:
Jong Hoo LEE
1
;
Jeong Hyun BYUN
;
Yu Ri CHOE
;
Seung Kyu LIM
;
Ka Young LEE
;
In Sung CHOI
Author Information
1. Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Chonnam National University Medical School & Hospital, Gwangju, Korea. drchoiis@hanmail.net
- Publication Type:Case Report
- Keywords:
Phantom limb pain;
Motor cortex;
Repetitive transcranial magnetic stimulation
- MeSH:
Adult;
Amputation;
Humans;
Motor Cortex;
Phantom Limb*;
Transcranial Magnetic Stimulation*;
Visual Analog Scale
- From:Annals of Rehabilitation Medicine
2015;39(4):630-633
- CountryRepublic of Korea
- Language:English
-
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.
