Serial changes in diffusion tensor imaging metrics and therapeutic effects of repetitive transcranial magnetic stimulation in post-traumatic headache and depression: A case report

被引:0
作者
Yun, Young-Ji [1 ]
Kim, Gi-Wook [1 ,2 ,3 ]
机构
[1] Jeonbuk Natl Univ, Med Sch, Dept Phys Med & Rehabil, Jeonju, South Korea
[2] Jeonbuk Natl Univ, Jeonbuk Natl Univ Hosp, Res Inst Clin Med, Biomed Res Inst, Jeonju, South Korea
[3] Jeonbuk Natl Univ, Dept Phys Med & Rehabil, Med Sch & Hosp, Geonjiro 20, Jeonju 54907, Jeonbuk, South Korea
基金
新加坡国家研究基金会;
关键词
axonal injury; axonal regeneration; diffusion tensor imaging; therapeutic approaches for the treatment of CNS injury; traumatic brain injury; TRAUMATIC BRAIN-INJURY; CENTRAL POSTSTROKE PAIN; MOTOR CORTEX; MAJOR DEPRESSION; NEUROPATHIC PAIN; CLINICAL CHARACTERISTICS; SPINOTHALAMIC TRACT; PATHWAY;
D O I
10.1097/MD.0000000000037139
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background:Mild traumatic brain injury patients commonly complain headache and central pain, and the pain accompanies depressive mood change. This case study reports the therapeutic effect of repetitive transcranial magnetic stimulation (rTMS) in mild traumatic brain injury patient with headache and depression through objective serial changes of diffusion tensor imaging (DTI).Methods:The 51-year-old man complained of headache and depression despite conventional treatment for 13 months. We applied 15 times rTMS on the left dorsolateral prefrontal cortex. We checked the pain and depression through numeric rating scale (NRS) and Beck depression inventory (BDI) when admission, discharged, and 1 month after discharge. DTI was performed 3 times; before, during-day of rTMS 6th stimulation, and after-day of rTMS 15th stimulation. Then the reconstructed White matter related to pain and depression was obtained.Results:NRS and BDI showed significant improvement and it was maintained 1 year after discharge. DTI-based metrics of the White matters related to pain and depression gradually increased before - during - after rTMS.Conclusion:Studies focused on examining changes in pain, depression and DTI-based metrics of White matter are rare. This case is significant in that not only pain and depression improved after the rTMS, but also serial changes in White matter were observed in DTI.
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页数:5
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