Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere

Phantom limb pain is very common after limb amputation and is often difficult to treat. The motor cortex stimulation is a valid treatment for deafferentation pain that does not respond to conventional pain treatment, with relief for 50% to 70% of patients. This treatment is invasive as it uses impla...

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Main Authors: Andrea Di Rollo, Stefano Pallanti
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/130751
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author Andrea Di Rollo
Stefano Pallanti
author_facet Andrea Di Rollo
Stefano Pallanti
author_sort Andrea Di Rollo
collection DOAJ
description Phantom limb pain is very common after limb amputation and is often difficult to treat. The motor cortex stimulation is a valid treatment for deafferentation pain that does not respond to conventional pain treatment, with relief for 50% to 70% of patients. This treatment is invasive as it uses implanted epidural electrodes. Cortical stimulation can be performed noninvasively by repetitive transcranial magnetic stimulation (rTMS). The stimulation of the hemisphere that isn't involved in phantom limb (unaffected hemisphere), remains unexplored. We report a case of phantom limb pain treated with 1 Hz rTMS stimulation over motor cortex in unaffected hemisphere. This stimulation produces a relevant clinical improvement of phantom limb pain; however, further studies are necessary to determine the efficacy of the method and the stimulation parameters.
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institution Kabale University
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language English
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record_format Article
series Case Reports in Medicine
spelling doaj-art-22d878f826c847f78c89dc21e80c8bfd2025-02-03T05:57:57ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/130751130751Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected HemisphereAndrea Di Rollo0Stefano Pallanti1Department of Psychiatry, University of Florence, 50134 Florence, ItalyDepartment of Psychiatry, University of Florence, 50134 Florence, ItalyPhantom limb pain is very common after limb amputation and is often difficult to treat. The motor cortex stimulation is a valid treatment for deafferentation pain that does not respond to conventional pain treatment, with relief for 50% to 70% of patients. This treatment is invasive as it uses implanted epidural electrodes. Cortical stimulation can be performed noninvasively by repetitive transcranial magnetic stimulation (rTMS). The stimulation of the hemisphere that isn't involved in phantom limb (unaffected hemisphere), remains unexplored. We report a case of phantom limb pain treated with 1 Hz rTMS stimulation over motor cortex in unaffected hemisphere. This stimulation produces a relevant clinical improvement of phantom limb pain; however, further studies are necessary to determine the efficacy of the method and the stimulation parameters.http://dx.doi.org/10.1155/2011/130751
spellingShingle Andrea Di Rollo
Stefano Pallanti
Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
Case Reports in Medicine
title Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
title_full Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
title_fullStr Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
title_full_unstemmed Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
title_short Phantom Limb Pain: Low Frequency Repetitive Transcranial Magnetic Stimulation in Unaffected Hemisphere
title_sort phantom limb pain low frequency repetitive transcranial magnetic stimulation in unaffected hemisphere
url http://dx.doi.org/10.1155/2011/130751
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AT stefanopallanti phantomlimbpainlowfrequencyrepetitivetranscranialmagneticstimulationinunaffectedhemisphere