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287836

The Efficacy of Repetitive Transcranial Magnetic Stimulation in Treating Patients with Chronic Daily Headache

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Last updated: 24 Dec 2024

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Abstract

Background: Chronic daily headache (CDH) is a headache that lasts at least 15 days, 3 months, and 4 hours a day without treatment. Transcranial Magnetic Stimulation (TMS) uses short magnetic pulses over the head to temporarily alter brain cortical excitability. Prefrontal cortex rTMS has shown analgesic benefits. Objective: The purpose of the current study was to assess the effectiveness of repetitive transcranial magnetic stimulation in the management of chronic daily headache patients. Patients and methods: A clinical trial was conducted in the period from July 2022 to December 2022 A total of 40 patients participated in the study. All patients were monitored at the Neurology Department of Al-Azhar University Hospital, New Damitta. A total of 25 patients made up the experimental group, which received genuine (5 Hz) rTMS, while 15 patients made up the control group received phoney (5 Hz) rTMS. Results: There were no statistically significant differences between the intervention and control groups in terms of age, sex, BMI, headache frequency, or duration. Prior to treatment, the intervention and control groups had comparable incidence and indices of headache. Following therapy, compared to the control group, the intervention group's headache frequency and index considerably decreased. The severity of the headaches before treatment was similar between the intervention and control groups. Following therapy, the intervention group's headache severity dramatically decreased as compared to the control group. Conclusion: Patients whom suffer from chronic migraines and tension headaches may be effectively treated and prevented using high-frequency rTMS. In light of this, it is advised that patients with chronic daily headaches, especially those who are not responding to therapy, consider high-frequency rTMS as a potential treatment.  

DOI

10.21608/ejhm.2023.287836

Keywords

Chronic tension-type headache, Transcranial magnetic stimulation, Treatment, Chronic Daily Headache, clinical trial, Alazhar university

Authors

First Name

Elsayed Fathi Ali

Last Name

Hamed

MiddleName

-

Affiliation

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Email

drsayedfathy@gmil.com

City

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Orcid

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-28

Publish Date

2023-01-01

Page Start

2,909

Page End

2,914

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_287836.html

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https://ejhm.journals.ekb.eg/service?article_code=287836

Order

137

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Efficacy of Repetitive Transcranial Magnetic Stimulation in Treating Patients with Chronic Daily Headache

Details

Type

Article

Created At

24 Dec 2024