Relief of primary cervical dystonia symptoms by low frequency transcranial magnetic stimulation of the premotor cortex: case report

Arq Neuropsiquiatr. 2007 Sep;65(3A):697-9. doi: 10.1590/s0004-282x2007000400030.

Abstract

Objective: To evaluate the effect of low-frequency repetitive transcranial magnetic stimulation (rTMS) on the symptoms of a patient with primary segmental dystonia (PSD).

Method: 1200 TMS pulses at a frequency of 1Hz, over the premotor cortex, with an intensity of 90% of the motor threshold (MT), using an eight-shaped coil; a total of 5 sessions were carried out.

Results: A reduction of 50 percent in the neck subset of the Burke, Fahn and Marsden torsion dystonia scale (BFM) was observed in our patient.

Conclusion: The reduction in the BFM scale supports the concept that rTMS of the premotor cortex may reduce specific motor symptoms in PSD.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Evoked Potentials, Motor / physiology
  • Humans
  • Male
  • Motor Cortex / physiology*
  • Neck Muscles / physiopathology
  • Torticollis / pathology
  • Torticollis / physiopathology*
  • Transcranial Magnetic Stimulation*