Repetitive Transcranial Magnetic Stimulation in Visceral Pain Secondary to Malignancy
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Malignancy
- Sponsor
- Assiut University
- Enrollment
- 34
- Primary Endpoint
- Visceral pain improvement
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this study is to assess the efficacy of rTMS over primary motor cortex in patients suffering from malignant visceral pain. Thirty four patients were included in the study. They are divided randomly into 2 groups using closed envelop as real rTMS group and sham group. Real rTMS over the hand area of motor cortex (20 Hz, 10 trains with inter train interval 30 second with total pulses 2000, intensity 80% of motor threshold) every day for ten consecutive days (5 days/week) and the coil elevated and angled away from the head as sham stimulation. Patients were evaluated by verbal descriptor scale (VDS), visual analog scale (VAS), and Hamilton rating scale for depression (HAM-D) at the baseline, after 1st, 5th, 10th session, 15 day and 1 month after end of sessions. Serum human dynorphin (Dyn) level was measured at baseline, 5th and 10th session.
Investigators
Eman M. Khedr
Clinical rofessor
Assiut University
Eligibility Criteria
Inclusion Criteria
- •All patients within age group 18-65 years with malignant visceral pain resistant to medical treatment for at least 2 months or associated with significant adverse effect from medication was involved in this study.
Exclusion Criteria
- •We excluded patients with intracranial metallic devices or with pacemakers or any other device. We also excluded those with extensive myocardial ischemia, unstable angina and those known to have epilepsy.
Outcomes
Primary Outcomes
Visceral pain improvement
Time Frame: one month
Reduction of visceral pain in patients with malignancy measured by VAS, VDS.
Secondary Outcomes
- Reduction of depression manifestation(one month)