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KMID : 0361420150390040630
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Journal of Korean Academy of Rehabilitation Medicine
2015 Volume.39 No. 4 p.630 ~ p.633
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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
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Lee Jong-Hoo
Byun Jeong-Hyun
Choe Yu-Ri
Lim Seung-Kyu
Lee Ka-Young
Choi In-Sung
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Abstract
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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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KEYWORD
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Phantom limb pain, Motor cortex, Repetitive transcranial magnetic stimulation
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