Pain During Transcranial Magnetic Stimulation in Youth

Innovations in Clinical Neuroscience

Zafiris J. Daskalakis¹  F. Andrew Kozel¹  Christopher A. Wall¹  Paul E. Croarkin¹  Jessica D. King¹ 

[1] Drs. Croarkin and Wall are with the Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr. Croarkin was with the Department of Psychiatry, Division of Child and Adolescent Psychiatry, UT Southwestern Medical Center, Dallas, Texas, at the time of this study); Ms. King is with the Department of Psychiatry, Division of Child and Adolescent Psychiatry, UT Southwestern Medical Center, Dallas, Texas; Dr. Kozel is with the Department of Psychiatry, Division of Child and Adolescent Psychiatry, UT Southwestern Medical Center, Dallas, Texas, and the Department of Psychiatry and Neuroscience, USF Health-College of Medicine, University of South Florida, Tampa, Florida; and Dr. Daskalakis is with the Brain Stimulation Research and Treatment Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

关键词: Pain;    TMS;    rTMS;    neurophysiology;    transmagnetic stimulation;   

DOI  :  

学科分类：精神健康和精神病学

来源: Matrix Medical Communications, LLC

【 摘 要 】

Pain or discomfort at the site of stimulation is a common side effect of transcranial magnetic stimulation. Relevant physiology and predisposing factors have not been adequately described. Literature regarding work with minors is even more limited. The authors present two cases from a child and adolescent neurophysiology transcranial magnetic stimulation protocol and one case from a therapeutic study of repetitive transcranial magnetic stimulation in adolescents with treatment-resistant major depressive disorder. Relevant literature is reviewed. Potential subjects, parents, and study teams should be well aware of this potential side effect in child and adolescent populations. Subjects with anxiety disorders may be prone to pain during these procedures. Further work could assist in identifying predisposed individuals, refining the informed consent process, and implementing procedures to minimize discomfort.

【 授权许可】

Unknown