The Effects of Repetitive Transcranial Magnetic Stimulation at Dorsolateral Prefrontal Cortex in the Treatment of Migraine Comorbid with Depression: A Retrospective Open Study
- Author:
Saurabh KUMAR
1
;
Swarndeep SINGH
;
Nand KUMAR
;
Rohit VERMA
Author Information
- Publication Type:Original Article
- Keywords: Transcranial; Brain stimulation; Neuromodulation; rTMS; Migraine; Depression
- MeSH: Depression; Humans; Migraine Disorders; Prefrontal Cortex; Prognosis; Retrospective Studies; Transcranial Magnetic Stimulation
- From:Clinical Psychopharmacology and Neuroscience 2018;16(1):62-66
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: The literature on managing migraine non-responsive to pharmacological approaches and that co-occurring with depression is scanty. The comorbid condition predicts a poorer prognosis for migraine as well as depression. The present report assesses efficacy and tolerability of high frequency repetitive transcranial magnetic stimulation (rTMS) over left dorsolateral prefrontal cortex as a treatment modality for migraine with comorbid depression. METHODS: The current retrospective chart review assesses effectiveness of high frequency rTMS over left dorsolateral prefrontal cortex as a treatment modality to manage migraine occurring comorbid with depression in 14 subjects. RESULTS: The mean scores on Migraine Disability Assessment Test (MIDAS) and depression rating scale reduced significantly from 21.14±3.01 and 20.71±3.95 at baseline to 13.93±6.09 and 14.21±5.52 respectively, after rTMS. There was significant improvement in migraine frequency, severity and functional disability assessed using MIDAS scores (p < 0.05) following high frequency rTMS compared to baseline. CONCLUSION: There is a role of applying rTMS as a potential therapeutic modality in the integrated management of a distinct subgroup of migraine patients with comorbid depression.
