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Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report

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 (rTM...

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Detalles Bibliográficos
Autores principales: Lee, Jong-Hoo, Byun, Jeong-Hyun, Choe, Yu-Ri, Lim, Seung-Kyu, Lee, Ka-Young, Choi, In-Sung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564712/
https://www.ncbi.nlm.nih.gov/pubmed/26361601
http://dx.doi.org/10.5535/arm.2015.39.4.630
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author Lee, Jong-Hoo
Byun, Jeong-Hyun
Choe, Yu-Ri
Lim, Seung-Kyu
Lee, Ka-Young
Choi, In-Sung
author_facet Lee, Jong-Hoo
Byun, Jeong-Hyun
Choe, Yu-Ri
Lim, Seung-Kyu
Lee, Ka-Young
Choi, In-Sung
author_sort Lee, Jong-Hoo
collection PubMed
description 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.
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spelling pubmed-45647122015-09-10 Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report Lee, Jong-Hoo Byun, Jeong-Hyun Choe, Yu-Ri Lim, Seung-Kyu Lee, Ka-Young Choi, In-Sung Ann Rehabil Med Case Report 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. Korean Academy of Rehabilitation Medicine 2015-08 2015-08-25 /pmc/articles/PMC4564712/ /pubmed/26361601 http://dx.doi.org/10.5535/arm.2015.39.4.630 Text en Copyright © 2015 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jong-Hoo
Byun, Jeong-Hyun
Choe, Yu-Ri
Lim, Seung-Kyu
Lee, Ka-Young
Choi, In-Sung
Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title_full Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title_fullStr Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title_full_unstemmed Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title_short Successful Treatment of Phantom Limb Pain by 1 Hz Repetitive Transcranial Magnetic Stimulation Over Affected Supplementary Motor Complex: A Case Report
title_sort successful treatment of phantom limb pain by 1 hz repetitive transcranial magnetic stimulation over affected supplementary motor complex: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564712/
https://www.ncbi.nlm.nih.gov/pubmed/26361601
http://dx.doi.org/10.5535/arm.2015.39.4.630
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