Email this article 
Transcranial magnetic stimulation in treatment of central post-stroke pain
- Authors: Chervyakov A.V.1, Belopasova A.V.1, Poydasheva A.G.1, Chernikova L.A.1, Kadykov A.S.1, Suponeva N.A.1, Piradov M.A.1
-
Affiliations:
- Research Center of Neurology
- Issue: Vol 7, No 4 (2013)
- Pages: 45-50
- Section: Original articles
- Submitted: 02.02.2017
- Published: 09.02.2017
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/217
- DOI: https://doi.org/10.17816/psaic217
- ID: 217
Cite item
Full Text
Abstract
Transcranial magnetic stimulation (TMS) – new method based on the neurons excitation by an alternating magnetic field. According literature high-frequency TMS could be effectiveness method in the treatment of drug-resistant central post-stroke pain (CPSP). The presented cases report describes the clinical observation of two patients with CPSP, with different localization and volume of the lesion. TMS was applied in the mode of high-frequency stimulation (10 Hz) to the primary motor cortex of the affected hemisphere. After stimulation, we record a significant reduction of pain on a visual analog scale (VAS). It is shown that after the end of TMS pain gradually returned to previous levels after 3-4 months.
About the authors
A. V. Chervyakov
Research Center of Neurology
Email: nasu2709@mail.ru
Russian Federation, Moscow
A. V. Belopasova
Research Center of Neurology
Email: nasu2709@mail.ru
Russian Federation, Moscow
Alexandra G. Poydasheva
Research Center of Neurology
Email: nasu2709@mail.ru
ORCID iD: 0000-0003-1841-1177
junior researcher, neurologist, Department of neurorehabilitation and physiotherapy
Russian Federation, MoscowL. A. Chernikova
Research Center of Neurology
Email: nasu2709@mail.ru
Russian Federation, Moscow
Albert S. Kadykov
Research Center of Neurology
Email: nasu2709@mail.ru
ORCID iD: 0000-0001-7491-7215
D. Sci. (Med.), Professor, senior researcher, 3rd Neurological department
Russian Federation, MoscowNatalya A. Suponeva
Research Center of Neurology
Author for correspondence.
Email: nasu2709@mail.ru
ORCID iD: 0000-0003-3956-6362
D. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, principal researcher, Department of neurorehabilitation and physiotherapy
Russian Federation, MoscowMikhail A. Piradov
Research Center of Neurology
Email: nasu2709@mail.ru
ORCID iD: 0000-0002-6338-0392
D. Sci. (Med.), Professor, Full Member of the Russian Academy of Sciences, Director
Russian Federation, MoscowReferences
- Никитин С.С., Куренков А.Л. Магнитная стимуляция в диагностики и лечении болезней
- Сашина М. В. Реабилитация больных с центральным постинсультным болевым синдромом. Дисс. ... канд. мед. наук, 2005.
- André-Obadia N., Peyron R., Mertens P. et al. Transcranial magnet-ic stimulation for pain control. Double-blind study of different fre-quencies against placebo, and correlation with motor cortex stimulationefficacy. Clin Neurophysiol. 2006 Jul; 117 (7): 1536–1544. Epub 2006Jun 5.
- Canavero S., Bonicalzi V. The neurochemistry of central pain: evidence from clinical studies, hypothesis and therapeutic implications.Pain. 1998 Feb; 74 (2–3): 109–114. Review
- Cruccu G., Aziz T.Z., Garcia-Larrea L. et al. Eur J Neurol. EFNSguidelines on neurostimulation therapy for neuropathic pain. 2007 Sep;14 (9): 952–970.
- Khedr E.M., Kotb H., Kamel N.F. et al. Longlasting antalgic effectsof daily sessions of repetitive transcranial magnetic stimulation in cen-tral and peripheral neuropathic pain. J Neurol Neurosurg Psychiatry.2005 Jun; 76 (6): 833–838.
- Klit H., Finnerup N.B., Jensen T.S. Lancet Neurol. Central post-stroke pain: clinical characteristics, pathophysiology, and management.Lancet Neurol. 2009 Sep; 8 (9): 857–868. doi: 10.1016/S1474-4422(09)70176-0.
- Kumar B., Kalita J., Kumar G., Misra U.K. Central poststroke pain:a review of pathophysiology and treatment Anesth Analg. 2009May;108(5):1645-57. doi: 10.1213/ane.0b013e31819d644c.
- Laterre E.C., De Volder A.G., Goffinet A.M.Brain glucose metabo-lism in thalamic syndrome. J Neurol Neurosurg Psychiatry. 1988 Mar;51 (3): 427–428.
- Lefaucheur J.P., Drouot X., Ménard-Lefaucheur I., Nguyen J.P.Neuropathic pain controlled for more than a year by monthly sessionsof repetitive transcranial magnetic stimulation of the motor cortex.Neurophysiol Clin. 2004 Apr; 34 (2): 91–95.
- Nasreddine ZS, Saver JL.Pain after thalamic stroke: right dien-cephalic predominance and clinical features in 180 patients. Neurology.1997 May; 48 (5): 1196–1199.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).