Title:
Transcranial magnetic stimulation for the treatment of vestibular decompensation
Authors:
M. Masuda , F. Goto , T. Hasegawa , J. Matsumoto , N. Kasakura-Kimura , Y. Miyama, K. Saito , S. Kito
Institutions:
Department of Otolaryngology, School of Medicine, Kyorin University, 6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-8611, Japan; Department of Otolaryngology, National Hospital Organization, Tokyo Medical Center, 2-5-1 Higashigaoka Meguro-ku, Tokyo 152-8902, Japan ; Department of Neuropsychiatry, School of Medicine, Kyorin University, 6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-8611, Japan; Department of Psychiatry and Advanced Medical Technology, National Center Hospital, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8551, Japan
Keywords:
Dizziness, instability, vestibular hypofunction, neuromodulation
Pages:
309 - 314
Abstract:
Transcranial magnetic stimulation for the treatment of vestibular decompensation.Objectives: Low-frequency repetitive transcranial magnetic stimula-tion (LFrTMS) is a non-invasive and potentially potent tool for neuromodulation in the central nervous system. This case study reports on the therapeutic efficacy of LFrTMS for patients with dynamic vestibular decompensation. Methodology: Three patients participated, each of which experienced vestibular decompensation from vestibular neuritis. They complained of dizziness even after completing >six months of vestibular rehabilitation education. LFrTMS was administered over the contra-lesional vestibular cerebellum for five consecutive days. Objective instability and subjective symptoms were evaluated with a stabilometer and self-reported questionnaires, respectively. Results: Postural instability of all patients was ameliorated from day 5 to one month after treatment, but subjective symptoms of patients with anxiety did not change. Conclusion: This report suggests the utility of LFrTMS targeted at the vestibular cerebellum for the treatment of chronic dynamic vestibular decompensation for patients with minimal anxiety.
Issue:
Vol. 13, 2017, 4th trimester


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Transcranial magnetic stimulation for the treatment of vestibular decompensation