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      The efficacy of transcranial magnetic stimulation on migraine: a meta-analysis of randomized controlled trails

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          Abstract

          Objectives

          As a non-invasive therapy, whether transcranial magnetic stimulation (TMS) is effective on migraine. This article was aimed to assess the efficacy of TMS on migraine based on randomized controlled trails (RCTs).

          Methods

          We searched PubMed, Embase and Cochrane Library electronic databases for published studies which compared TMS group with sham group, conducted a meta-analysis of all RCTs.

          Results

          Five studies, consisting of 313 migraine patients, were identified. Single-pulse transcranial magnetic stimulation is effective for the acute treatment of migraine with aura after the first attack ( p = 0.02). And, the efficacy of TMS on chronic migraine was not significant (OR 2.93; 95% CI 0.71–12.15; p = 0.14).

          Conclusions

          TMS is effective for migraine based on the studies included in the article.

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          Most cited references36

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          Technology insight: noninvasive brain stimulation in neurology-perspectives on the therapeutic potential of rTMS and tDCS.

          Felipe Fregni, Alvaro Pascual-Leone (2007)
          In neurology, as in all branches of medicine, symptoms of disease and the resulting burden of illness and disability are not simply the consequence of the injury, inflammation or dysfunction of a given organ; they also reflect the consequences of the nervous system's attempt to adapt to the insult. This plastic response includes compensatory changes that prove adaptive for the individual, as well as changes that contribute to functional disability and are, therefore, maladaptive. In this context, brain stimulation techniques tailored to modulate individual plastic changes associated with neurological diseases might enhance clinical benefits and minimize adverse effects. In this Review, we discuss the use of two noninvasive brain stimulation techniques--repetitive transcranial magnetic stimulation and transcranial direct current stimulation--to modulate activity in the targeted cortex or in a dysfunctional network, to restore an adaptive equilibrium in a disrupted network for best behavioral outcome, and to suppress plastic changes for functional advantage. We review randomized controlled studies, in focal epilepsy, Parkinson's disease, recovery from stroke, and chronic pain, to illustrate these principles, and we present evidence for the clinical effects of these two techniques.
          Article 0 comments Cited 214 times – based on 0 reviews     Review now
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            Rapid-rate transcranial magnetic stimulation of left dorsolateral prefrontal cortex in drug-resistant depression.

            B Rubio-Viqueira, Federico Pallardó, M. Català … (1996)
            Lesion and neuroimaging studies suggest that left prefrontal lobe dysfunction is pathophysiologically linked to depression. Rapid-rate transcranial magnetic stimulation (rTMS) to prefrontal structures has a lateralised effect on mood in normal volunteers, and several preliminary studies suggest a beneficial effect of rTMS on depression. However, adequately controlled studies have not been conducted. We have studied the effects of focal rTMS on the depressive symptoms in 17 patients with medication-resistant depression of psychotic subtype. The study was designed as a multiple cross-over, randomised placebo-controlled trial. Sham rTMS and stimulation of different cortical areas were used as controls. Left dorsolateral prefrontal cortex rTMS resulted in a significant decrease in scores on the Hamilton depression rating scale HDRS (from 25.2 to 13.8) and the self-rated Beck questionnaire BQ (from 47.9 to 25.7). 11 of the 17 patients showed pronounced improvement that lasted for about 2 weeks after 5 days of daily rTMS sessions. No patient experienced any significant undesirable side-effects. Our findings emphasise the role of the left dorsolateral prefrontal cortex in depression, and suggest that rTMS of the left dorsolateral prefrontal cortex might become a safe, non-convulsive alternative to electroconvulsive treatment in depression.
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              Transcranial magnetic stimulation in the treatment of depression.

              P Dannon, A. Gershon, Leon Grunhaus (2003)
              Transcranial magnetic stimulation (TMS) is a noninvasive and easily tolerated method of altering cortical physiology. The authors evaluate evidence from the last decade supporting a possible role for TMS in the treatment of depression and explore clinical and technical considerations that might bear on treatment success. The authors review English-language controlled studies of nonconvulsive TMS therapy for depression that appeared in the MEDLINE database through early 2002, as well as one study that was in press in 2002 and was published in 2003. In addition, the authors discuss studies that have examined technical, methodological, and clinical treatment parameters of TMS. Most data support an antidepressant effect of high-frequency repetitive TMS administered to the left prefrontal cortex. The absence of psychosis, younger age, and certain brain physiologic markers might predict treatment success. Technical parameters possibly affecting treatment success include intensity and duration of treatment, but these suggestions require systematic testing. TMS shows promise as a novel antidepressant treatment. Systematic and large-scale studies are needed to identify patient populations most likely to benefit and treatment parameters most likely to produce success. In addition to its potential clinical role, TMS promises to provide insights into the pathophysiology of depression through research designs in which the ability of TMS to alter brain activity is coupled with functional neuroimaging.
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                Author and article information

                Contributors
                Lihuan Lan: 2459968599@qq.com
                Xiaoni Zhang: xiaoni3440@163.com
                Xiangpen Li: lixiangpen@163.com
                Xiaoming Rong: 1003472329@qq.com
                Ying Peng: +86-20-34070667 , docpengy123@163.com
                Journal
                Journal ID (nlm-ta): J Headache Pain
                Journal ID (iso-abbrev): J Headache Pain
                Title: The Journal of Headache and Pain
                Publisher: Springer Milan (Milan )
                ISSN (Print): 1129-2369
                ISSN (Electronic): 1129-2377
                Publication date (Electronic): 22 August 2017
                Publication date PMC-release: 22 August 2017
                Publication date Collection: 2017
                Volume: 18
                Issue: 1
                Electronic Location Identifier: 86
                Affiliations
                [1 ]ISNI 0000 0001 2360 039X, GRID grid.12981.33, , Sun Yat-Sen University, ; Guangzhou, 510288 China
                [2 ]ISNI 0000 0001 2360 039X, GRID grid.12981.33, Department of Neurology, Sun Yat-Sen Memorial Hospital, , Sun Yat-Sen University, ; Number 33, Yingfeng Road, Haizhu District, Guangzhou, 510288 China
                Article
                Publisher ID: 792
                DOI: 10.1186/s10194-017-0792-4
                PMC ID: 5567575
                PubMed ID: 28831756
                SO-VID: b0c63da6-f9a7-47f7-8eaa-32843688b099
                Copyright © © The Author(s). 2017
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                Date received : 1 June 2017
                Date accepted : 2 August 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 81572481
                Award ID: 81502167
                Award Recipient :
                Funded by: International Collaboration Program of Universities in Guangdong Province
                Award ID: 2012hjhz001
                Award Recipient :
                Funded by: the Key Project of Product, Study and Research of Guangzhou city
                Award ID: 1561000181
                Award Recipient :
                Categories
                Subject: Research Article
                Custom metadata
                issue-copyright-statement © The Author(s) 2017

                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: migraine,transcranial magnetic stimulation,randomized control trail
                Data availability:
                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: migraine, transcranial magnetic stimulation, randomized control trail

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