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July2013 Vol.50 Issue:        3       (Supp.) Table of Contents
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Assessment of Therapeutic Effects of Repetitive Transcranial Magnetic Stimulation in Radiculopathic Pain

Hala R. El-Habashy1, Ahmed M. Abou Mousa2, Neveen M. El-Fayoumy1,

Husam S. Mourad2, Mostafa M. El-Kholy3

Departments of Clinical Neurophysiology1, Neurology2, Cairo University;

Clinical Neurophysiology3, Beni Suef University; Egypt


Background: Cervical radiculopathy (CR) is largely a clinical diagnosis and cortical stimulation has emerged as an effective and promising modality in the investigation of novel approaches for pain relief. Objective: The aim of this work is to investigate whether high and low frequencies of repetitive transcranial magnetic stimulation (rTMS) have a pain relieving effect in patients with radicular pain assessed by different pain scales and if these effects are prolonged or only short lasting. Subjects and Methods: This study was carried out on 20 patients, 10 received 20 hertz rTMS protocol and the others received 1hertz rTMS protocol. Pain scales: visual analogue scale(VAS), brief pain inventory (BPI): pain severity score(PSS) and pain interference score (PIS) used to assess the clinical efficacy of rTMS sessions on pain. Results: There was a highly statistically significant reduction of pain scores (VAS, PSS, PIS) after treatment compared to before treatment (p<0.01). In spite of that the pain scores increased 4 weeks after the last treatment session, these scores were still significantly less than those before treatment in both groups. Conclusion: rTMS can be used as a noninvasive therapeutic test for patients with drug-resistant chronic pain with more reduction of pain scales ratings in the high frequency group. [Egypt J Neurol Psychiat Neurosurg.  2013; 50(3): 227-234]


Key Words: repetitive transcranial magnetic stimulation(rTMS) – pain scales –  radicular pain – cervical radiculopathy.

Correspondence to Hala R. ElHabashy, Department of Clinical Neurophysiology, Cairo University, Egypt. Tel.: +201002330040   E-mail:

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