Deep rTMS in Parkinson Disease Pain Syndromes

Deep rTMS in Parkinson Disease Pain Syndromes

Pain is the most prevalent non-motor symptom in Parkinson disease, and the motor improvement not always is related to the pain improvement with the medication treatment. By this, we are testing a non-invasive method called transcranial magnetic stimulation as an alternative to treat pain related to Parkinson disease. This technique can lead to either inhibitory or excitatory effects in brain circuits depending on stimulation parameters, and is known to provide analgesic effects.

Inclusion Criteria:

• Parkinson disease
• Signed term of informed consent
• Parkinsson disease related pain

Exclusion Criteria:

• Trauma of Skull, epilepsy don't treated
• Use of medications decrease the seizure threshold
• Patients in use of drugs, how cocaine and alcohol
• neurosurgical clips, pacemakers, increased intracranial pressure (risk of sequelae after seizure)
• Pregnant or lacting women
• Moderate or severe cognitive impairment