Transcranial Magnetic Stimulation as Treatment for Mal de Debarquement Syndrome: Case Report and Literature Review.
Identifieur interne : 000019 ( Main/Exploration ); précédent : 000018; suivant : 000020Transcranial Magnetic Stimulation as Treatment for Mal de Debarquement Syndrome: Case Report and Literature Review.
Auteurs : Isabelle Buard ; Natalie Lopez-Esquibel [États-Unis] ; Stefanie Schoeneberger [Pays-Bas] ; Jean M. Berliner [États-Unis] ; Benzi M. KlugerSource :
- Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology [ 1543-3641 ] ; 2020.
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Abstract
This manuscript presents the case of an adult, male patient with mal de debarquement syndrome (MdDS); results from his experimental treatment with repetitive transcranial magnetic stimulation (rTMS) are also provided. Additionally, we included a review of literature related to the neurophysiology of MdDS and its treatment with rTMS. A 41-year-old man had been experiencing symptoms of MdDS, which initially emerged following a car ride, for 11 to 12 years. Pharmacologic approaches had failed to provide symptom relief; thus, we investigated an intervention using low-frequency (1 Hz) rTMS unilaterally for 2 consecutive weeks. The outcome measures included a standardized, computerized dynamic posturography test to quantify the patient's balance and identify abnormalities in his use of the sensory systems contributing to postural control, as well as the Hospital Anxiety and Depression Scale (HADS) to measure his anxiety and depression. An rTMS treatment log was created to document any adverse events. Following rTMS, the patient's balance scores improved significantly; these improvements were mostly related to the patient's increased reliance on the visual and vestibular systems. Our patient's HADS Anxiety and Depression subscores also showed improvement post-rTMS. The presented case study provides preliminary evidence that rTMS may be a noninvasive treatment option for improving balance, specifically in individuals with MdDS. This evidence can be used to further therapeutic research on, and provide strategies for treating, MdDS.
DOI: 10.1097/WNN.0000000000000224
PubMed: 32496300
Affiliations:
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Kluger</name><affiliation><nlm:affiliation>Departments of Neurology.</nlm:affiliation><wicri:noCountry code="no comma">Departments of Neurology.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology</title><idno type="eISSN">1543-3641</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Transcranial Magnetic Stimulation (methods)</term><term>Travel-Related Illness (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Humains (MeSH)</term><term>Maladie liée aux voyages (MeSH)</term><term>Mâle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Stimulation magnétique transcrânienne (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Transcranial Magnetic Stimulation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Stimulation magnétique transcrânienne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term><term>Travel-Related Illness</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Maladie liée aux voyages</term><term>Mâle</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This manuscript presents the case of an adult, male patient with mal de debarquement syndrome (MdDS); results from his experimental treatment with repetitive transcranial magnetic stimulation (rTMS) are also provided. 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Our patient's HADS Anxiety and Depression subscores also showed improvement post-rTMS. The presented case study provides preliminary evidence that rTMS may be a noninvasive treatment option for improving balance, specifically in individuals with MdDS. 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Our patient's HADS Anxiety and Depression subscores also showed improvement post-rTMS. The presented case study provides preliminary evidence that rTMS may be a noninvasive treatment option for improving balance, specifically in individuals with MdDS. 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Kluger</name></noCountry><country name="États-Unis"><region name="Colorado"><name sortKey="Lopez Esquibel, Natalie" sort="Lopez Esquibel, Natalie" uniqKey="Lopez Esquibel N" first="Natalie" last="Lopez-Esquibel">Natalie Lopez-Esquibel</name></region><name sortKey="Berliner, Jean M" sort="Berliner, Jean M" uniqKey="Berliner J" first="Jean M" last="Berliner">Jean M. Berliner</name></country><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Schoeneberger, Stefanie" sort="Schoeneberger, Stefanie" uniqKey="Schoeneberger S" first="Stefanie" last="Schoeneberger">Stefanie Schoeneberger</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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