Transcranial magnetic stimulation as a new tool to control pain perception

• 作者: Emanuela Onesti Maria Cristina Gori Maurizio Inghilleri Vittorio Frasca
• 来源期刊: 世界麻醉学杂志
• 学科: 医学
• 关键词: TRANSCRANIAL MAGNETIC STIMULATION Repetitive TRANSCRANIAL MAGNETIC STIMULATION NEUROPATHIC PAIN Non-neuropathic PAIN Chronic PAIN NEUROMODULATION
• 年，卷（期）: 2016,（1）
• 页码范围: 15-27
• 页数: 13页
• 分类号: R

摘要

Treatment for chronic pain is frequently unsuccessful or characterized by side-effects.The high-frequency repetitive transcranial magnetic stimulation(HF-rTMS)has been suggested in the management of refractory chronic pain.Various studies have shown that HFrTMS sessions of long-duration applied at primary motor cortex induce pain relief through mechanisms of plastic changes.Efficacy of rTMS mostly depends on stimulation parameters,but this aspect requires better characterization.A rationale to target other cortical areas exists.Current data are promising,but a careful analysis of stimulation settings and maintenance treatment design are need.