可控脉冲参数经颅磁刺激治疗疼痛性糖尿病神经病变的可行性和耐受性:一个病例系列研究。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S531201
Jiyeon Park, Stevie D Foglia, Chloe C Drapeau, Perry V Mayer, Harsha Shanthanna, Aimee J Nelson
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引用次数: 0

摘要

本病例系列强调了在疼痛性糖尿病神经病变(pDN)患者中使用可控脉冲参数经颅磁刺激(cTMS)的可行性和耐受性。cTMS提供重复的单相脉冲,与传统的重复TMS (rTMS)相比,它允许更大更持久的效果。所有参与者(N = 2)在两周的时间内(每周五天)接受了10次cTMS,没有任何不适。他们报告说,尽管由于pDN,他们的疼痛敏感性提高了,但刺激并没有带来疼痛。通过问卷评估疼痛、抑郁、焦虑和其他相关措施,cTMS干预改善了他们的疼痛和生活质量。值得注意的是,cTMS从未在糖尿病神经病变中进行过评估,我们的数据表明,cTMS在这一临床人群中是可行和可耐受的。它进一步为pDN患者提供了一种潜在的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Feasibility and Tolerability of Controllable Pulse Parameter Transcranial Magnetic Stimulation in Patients with Painful Diabetic Neuropathy: A Case Series Study.

Feasibility and Tolerability of Controllable Pulse Parameter Transcranial Magnetic Stimulation in Patients with Painful Diabetic Neuropathy: A Case Series Study.

This case series highlights the feasibility and tolerability of using controllable pulse parameter Transcranial Magnetic Stimulation (cTMS) in individuals with painful diabetic neuropathy (pDN). cTMS delivers repetitive monophasic pulses, which allows for greater and longer lasting effects compared to traditional repetitive TMS (rTMS). All participants (N = 2) tolerated 10 sessions of cTMS over a two-week period (five days per week) with no discomfort from the stimulation. They reported no pain from the stimulation despite their heightened pain sensitivity as a result of pDN. The cTMS intervention improved their pain and quality of life as determined through questionnaires evaluating pain, depression, anxiety, and other related measures. Notably, cTMS has never been evaluated in diabetic neuropathy, and our data suggest that it is feasible and tolerable in this clinical population. It further proposes a potential therapeutic treatment option for individuals with pDN.

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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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