| Use of repetitive transcranial magnetic stimulation in pain relief. | |
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MedLine Citation:
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PMID: 18457536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Repetitive transcranial magnetic stimulation (rTMS) of the cerebral cortex is a noninvasive strategy that could have the potential to relieve severe chronic pain, at least partially and transiently. The most studied target of stimulation is the precentral (motor) cortex, but other targets, such as the dorsolateral prefrontal cortex or the parietal cortex, could be of interest. Analgesic effects have been produced by rTMS in patients with neuropathic pain, fibromyalgia or visceral pain. Therapeutic applications of rTMS in pain syndromes are limited by the short duration of the induced effects, but prolonged pain relief can be obtained by performing rTMS sessions every day for several weeks. In patients who respond to rTMS but relapse, surgical implantation of epidural cortical electrodes and a pulse generator can be proposed to make clinical effects more permanent. The rate of improvement produced by rTMS may be predictive for the outcome of the implanted procedure. The place of rTMS as a therapeutic tool in the management of chronic pain remains to be determined. |
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Authors:
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Jean-Pascal Lefaucheur |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert review of neurotherapeutics Volume: 8 ISSN: 1744-8360 ISO Abbreviation: Expert Rev Neurother Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-06 Completed Date: 2008-06-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101129944 Medline TA: Expert Rev Neurother Country: England |
Other Details:
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Languages: eng Pagination: 799-808 Citation Subset: IM |
Affiliation:
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Service de Physiologie, Explorations Fonctionnelles, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris, 51, Avenue de Lattre de Tassigny, 94010 Créteil, France. jean-pascal.lefaucheur@hmn.aphp.fr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Trials as Topic
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trends* Humans Pain / prevention & control* Transcranial Magnetic Stimulation / methods*, trends* Treatment Outcome |
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