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TITLE
Transcranial Magnetic Stimulation in Migraine Prophylaxis
AUTHORS
Leahu P; Matei A; Groppa S.
SOURCE
Journal of Medicine & Life. 11(2):175-176, 2018 Apr-Jun.
ABSTRACT
Transcranial Magnetic Stimulation (TMS) is a non-invasive brain stimulation method used worldwide to make causality-based inferences about brain-behavior interactions, assess cortical reactivity, and map functionally relevant brain regions inducing a controlled current pulse in a specific cortical area. Clinical applications of TMS have shown promising results in the treatment of a vast number of psychiatric and neurological conditions such as headache disorders – migraine being one of the most encountered. In patients with migraine, the pharmacologic therapy is divided in urgent/ abortive treatment of the attack and prophylactic one. As first-line drugs simple analgesics and non-steroidal inflammatory are preferred. Nevertheless, many individuals continue to have attacks refractory to various prophylactic and/or abortive therapies, while others are at high risk of developing medication overuse headache. Among non-pharmacologic therapies TMS has been broadly studied as a preventive migraine treatment with good outcome results. Abbreviations: DLPFC – Dorsolateral prefrontal cortex, FDA – United States Food and Drug Administration, HF-TMS – High frequency transcranial magnetic stimulation, TMS – Transcranial magnetic stimulation, rTMS – Repetitive transcranial magnetic stimulation.
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