2010
DOI: 10.1007/s10194-010-0247-7
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Effects of high-frequency repetitive transcranial magnetic stimulation of primary motor cortex on laser-evoked potentials in migraine

Abstract: The aim of this study was to examine the effects of high-frequency (HF) repetitive transcranial magnetic stimulation (rTMS) of the left primary motor cortex (M1) on subjective pain and evoked responses induced by laser stimulation (LEPs) of the contralateral hand and supraorbital zone in a cohort of migraine patients without aura during the inter-critical phase, and to compare the effects with those of non-migraine healthy controls. Thirteen migraine patients and 12 sex- and age-matched controls were evaluated… Show more

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Cited by 30 publications
(21 citation statements)
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“…Studies examining the effect of rTMS on experimental pain in migraineurs are sparse. One study found a reduced laser-evoked potentials amplitude over vertex in migraineurs compared to controls after 5 Hz rTMS of M1, but the rTMS-effect did not differ from sham stimulation and the pain rating was unaffected (de Tommaso et al , 2010). Based on these studies and our results, rTMS seems to increase pain thresholds and decrease pain ratings in healthy subjects, but only affect pain ratings in migraineurs.…”
Section: Discussionsupporting
confidence: 73%
“…Studies examining the effect of rTMS on experimental pain in migraineurs are sparse. One study found a reduced laser-evoked potentials amplitude over vertex in migraineurs compared to controls after 5 Hz rTMS of M1, but the rTMS-effect did not differ from sham stimulation and the pain rating was unaffected (de Tommaso et al , 2010). Based on these studies and our results, rTMS seems to increase pain thresholds and decrease pain ratings in healthy subjects, but only affect pain ratings in migraineurs.…”
Section: Discussionsupporting
confidence: 73%
“…Numerous studies [60] confirmed the analgesic effect induced by non-invasive stimulation of the motor cortex in patients with pain and specifically FM [61][62], though the level of evidence of their efficacy remains low [63]. In a previous study conducted in healthy controls and migraine patients, we observed that a single session of high frequency rTMS of the motor cortex reduced the LEP vertex complex in both groups, with a clear sham effect in migraine patients [64]. The motor cortex activation induced by finger tapping could not be able to reduce the pain-related cortical responses.…”
Section: Effects Of Movement On Laser Evoked Responsessupporting
confidence: 53%
“…Non-invasive vagus nerve stimulation did not modify subjective pain ratings of laser stimuli, consistent with other studies exploring the effects of single sessions of cortical or transcutaneous stimulation on trigeminal pain-related cortical responses ( de Tommaso et al, 2010 ; Vecchio et al, 2016 , 2017 ). This finding was expected as it is in agreement with the largely accepted hypothesis that LEPs are not the neurophysiological signature of subjective pain ratings, while they rather express the functional status of pain pathways ( Mouraux and Iannetti, 2009 ).…”
Section: Discussionsupporting
confidence: 90%