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J Neurol Neurosurg Psychiatry 2005;76:761 doi:10.1136/jnnp.2004.060483
  • Neuropathic pain
  • Editorial commentary

Long lasting antalgic effects of daily repetitive transcranial magnetic stimulation in neuropathic pain

  1. S Owen1,
  2. T Z Aziz2
  1. 1University Department of Physiology, University of Oxford, Oxford, UK
  2. 2Nuffield Department of Surgery, University of Oxford, Oxford, UK
  1. Correspondence to:
 Professor T Z Aziz
 Department of Neurosurgery, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK; tipu.azizphysiol.ox.ac.uk

    Prolonged and significant pain relief can be achieved with repetitive TMS

    Since the report in 1990 by Tsubokawa1 that epidural motor cortex stimulation was effective in alleviating neuropathic pain, there have been multiple reports of the technique with varying results. A predictive test to improve outcome would have been invaluable in selecting patients for such procedures. Transcranial magnetic stimulation (TMS) in single sessions were reported to have a predictive effect by Migita2, Canavero3, Lefaucheur4, and others. However, the effects of such a technique over longer periods of time …

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