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Poidasheva A.G.

Research Center of Neurology

Semenova O.V.

Vorokhobov City Clinical Hospital No. 67

Suponeva N.A.

Research Center of Neurology

Timerbaeva S.L.

Medical and Rehabilitation Center

Piradov M.A.

Research Center of Neurology

Issues of diagnostic and therapeutic use of transcranial magnetic stimulation in patients with writing cramp

Authors:

Poidasheva A.G., Semenova O.V., Suponeva N.A., Timerbaeva S.L., Piradov M.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(12): 49‑56

DOI: 10.17116/jnevro202012012149

Read: 1815 times

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Table of contents

ISSUES OF DIAGNOSTIC AND THERAPEUTIC USE OF TRANSCRANIAL MAGNETIC STIMULATION IN PATIENTS WITH WRITING CRAMP
ISSUES OF DIAGNOSTIC AND THERAPEUTIC USE OF TRANSCRANIAL MAGNETIC STIMULATION IN PATIENTS WITH WRITING CRAMP

To cite this article:

Poidasheva AG, Semenova OV, Suponeva NA, Timerbaeva SL, Piradov MA. Issues of diagnostic and therapeutic use of transcranial magnetic stimulation in patients with writing cramp. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(12):49‑56. (In Russ.)
https://doi.org/10.17116/jnevro202012012149

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study diagnostic and therapeutic values of transcranial magnetic stimulation (TMS) in writing cramp (WC).

MATERIAL AND METHODS

Twelve right-handed patients with WC were enrolled in the study. All patients underwent low-frequency repetitive TMS (rTMS) of the premotor cortex of contralateral to affected hand hemisphere. The clinical efficacy was assessed using the Writer’s Cramp Rating Scale (WCRS) and the Medical Outcomes Study-Short Form (MOS-SF-36). Before and after last rTMS session, motor mapping of Abductor pollicis brevis muscle (APB) was performed using navigated TMS (nTMS). Localization, area, and amplitude-weighted area of the APB muscle cortical representations were compared with the healthy controls. After the rTMS course, the dynamics of the studied parameters was assessed.

RESULTS

Ten sessions of low-frequency rTMS of premotor cortex reduced the severity of WS clinical symptoms with a duration of effect of at least 1 month (p<0.05). There was no statistically significant difference between the area and the weighted area of cortical muscle representations between patients and healthy controls or in patients before and after rTMS. When assessing the localization of cortical muscle representations, two trends were noted: in 4 patients, the localization remained stable, with a shift in the center of gravity of less than 4 mm; in the other 8 patients, a shift in the center of mass of more than 5 mm was noted. No significant correlation between the stability of the cortical muscle representations (the magnitude of the shift in the center of gravity) and the improvement on the WCRS were found.

CONCLUSION

The low-frequency rTMS of the premotor cortex of the contralateral to affected hand hemisphere can be used as an adjuvant therapy for WC. The TMS-motor mapping study did not show its diagnostic value.

Keywords:

writing cramp
repetitive transcranial magnetic stimulation
non-invasive brain stimulation
nTMS mapping

Authors:

Poidasheva A.G.

Research Center of Neurology

Semenova O.V.

Vorokhobov City Clinical Hospital No. 67

Suponeva N.A.

Research Center of Neurology

Timerbaeva S.L.

Medical and Rehabilitation Center

Piradov M.A.

Research Center of Neurology

Received:

19.03.2019

Accepted:

27.06.2019

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