Repetitive transcranial magnetic stimulation of the motor cortex attenuates pain perception in complex regional pain syndrome type I.

Abstract:

:In complex regional pain syndrome (CRPS) many clinical symptoms suggest involvement of the central nervous system. Neuropathic pain as the leading symptom is often resistant to therapy. In the present study we investigated the analgesic efficiency of repetitive transcranial magnetic simulation (rTMS) applied to the motor cortex contralateral to the CRPS-affected side. Seven out of ten patients reported decreased pain intensities. Pain relief occurred 30 s after stimulation, whereas the maximum effect was found 15 min later. Pain re-intensified increasingly 45 min after rTMS. In contrast, sham rTMS did not alter pain perception. These findings provide evidence that in CRPS I pain perception can be modulated by repetitive motor cortex stimulation.

journal_name

Neurosci Lett

journal_title

Neuroscience letters

authors

Pleger B,Janssen F,Schwenkreis P,Völker B,Maier C,Tegenthoff M

doi

10.1016/j.neulet.2003.11.037

keywords:

subject

Has Abstract

pub_date

2004-02-12 00:00:00

pages

87-90

issue

2

eissn

0304-3940

issn

1872-7972

pii

S030439400301365X

journal_volume

356

pub_type

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