Department of Psychiatry and Psychotherapy, University of Regensburg, Germany.
J Head Trauma Rehabil. 2013 Sep-Oct;28(5):386-9. doi: 10.1097/HTR.0b013e318254736e.
Tinnitus is a frequent symptom of traumatic brain injury, which is difficult to treat. Repetitive transcranial magnetic stimulation has shown beneficial effects in some forms of tinnitus. However, traumatic brain injury in the past has been considered as a relative contraindication for repetitive transcranial magnetic stimulation because of the increased risk of seizures. Here we present the case of a 53-year-old male patient suffering from severe tinnitus after traumatic brain injury with comorbid depression and alcohol abuse, who received 5 treatment series of repetitive transcranial magnetic stimulation (1 Hz stimulation protocol over left primary auditory cortex, 10 sessions of 2000 stimuli each, stimulation intensity 110% resting motor threshold). Repetitive transcranial magnetic stimulation was tolerated without any side effects and tinnitus complaints (measured by a validated tinnitus questionnaire and numeric rating scales) were improved in a replicable way throughout 5 courses of transcranial magnetic stimulation up to now.
耳鸣是创伤性脑损伤的常见症状，难以治疗。重复经颅磁刺激在某些类型的耳鸣中显示出有益的效果。然而，由于癫痫发作的风险增加，过去创伤性脑损伤被认为是重复经颅磁刺激的相对禁忌症。在这里，我们介绍了一位 53 岁男性患者的病例，他因创伤性脑损伤后出现严重耳鸣，同时伴有抑郁和酗酒，共接受了 5 个重复经颅磁刺激治疗系列（左侧初级听觉皮层 1 Hz 刺激方案，每次 2000 次刺激，共 10 次，刺激强度为静息运动阈值的 110%）。重复经颅磁刺激耐受性良好，无任何副作用，耳鸣（通过验证有效的耳鸣问卷和数字评分量表测量）在 5 个疗程的经颅磁刺激中得到了可重复的改善，直到现在。
