|
KMID : 1195620130060020063
|
|
Clinical and Experimental Otorhinolaryngology
2013 Volume.6 No. 2 p.63 ~ p.67
|
|
|
Short Term Effects of Repetitive Transcranial Magnetic Stimulation in Patients with Catastrophic Intractable Tinnitus: Preliminary Report
|
|
Lee Ho-Yun
Yoo Seung-Don
Ryu Eun-Woong
Byun Jae-Yong
Yeo Seung-Geun
Park Moon-Suh
|
|
|
Abstract
|
|
|
Objectives: The short-term effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) in the patients with catastrophic and intractable tinnitus were investigated.
Methods: Fifteen participants were recruited among patients with catastrophic intractable tinnitus to receive 1 Hz rTMS treatment. Tinnitus severity was assessed before rTMS and directly after sham or real rTMS using the tinnitus handicap inventory (THI) and visual analog scale (VAS).
Results: There was no statistical difference in the THI score before and after sham stimulation. However, after 5 replications of real rTMS there was statistically significant reduction in THI score. Eight patients showed a decrease of more than 10 in THI score. Patients who showed a vast change in THI score after rTMS also showed a large decrease in their VAS score (r=0.879, P<0.001). Duration of tinnitus and change of THI score showed statistically significant moderate negative correlation (r=-0.637, P=0.011). But in case of VAS, there was no significant difference between VAS and duration of tinnitus.
Conclusion: Among total 15 patients with catastrophic intractable chronic tinnitus, eight patients showed some improvement in symptoms after 1 Hz rTMS. rTMS can be considered management modality for intractable tinnitus even with distress as severe as catastrophic stage.
|
|
|
KEYWORD
|
|
|
Tinnitus, Transcranial magnetic stimulation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|