Jo Joongho, Kim Hyojong
Department of Rehabilitation Medicine, Chungbuk National University Hospital, Cheongju-si 28644, Chungbuk, South Korea.
Department of Rehabilitation Medicine, Chungbuk National University Hospital, Cheongjusi 28644, Chungbuk, South Korea.
World J Clin Cases. 2023 Jul 6;11(19):4707-4712. doi: 10.12998/wjcc.v11.i19.4707.
Repetitive transcranial magnetic stimulation (rTMS) is a form of magnetic stimulation therapy used to treat depression, migraine, and motor function impairment in patients with stroke. As there is little research on the effects of rTMS in pregnant women, it is not widely used in these patients. This case report aimed to demonstrate the safety of rTMS in pregnant patients.
After much consideration, we applied rTMS to treat recent stroke and hemiplegia in a 34-year-old pregnant woman. The patient received 45 sessions of low-frequency treatment over the course of 10 wk. We closely monitored the mother and fetus for potential side effects; the results showed significant improvement in the patient's motor function, with no harmful effects on the mother or fetus during pregnancy or after delivery. The patient's fine motor and walking functions improved after treatment. This case is the first instance of a stroke patient treated with rTMS during pregnancy.
This case demonstrates that rTMS could be used to improve motor function recovery in stroke patients during pregnancy.
重复经颅磁刺激（rTMS）是一种磁刺激疗法，用于治疗抑郁症、偏头痛以及中风患者的运动功能障碍。由于关于rTMS对孕妇影响的研究较少，其在这类患者中并未广泛应用。本病例报告旨在证明rTMS在孕妇中的安全性。
经过慎重考虑，我们对一名34岁的孕妇应用rTMS治疗近期发生的中风和偏瘫。该患者在10周内接受了45次低频治疗。我们密切监测母亲和胎儿有无潜在副作用；结果显示患者的运动功能有显著改善，在孕期及产后对母亲和胎儿均无有害影响。治疗后患者的精细运动和步行功能得到改善。该病例是首例孕期接受rTMS治疗的中风患者。
本病例表明，rTMS可用于改善孕期中风患者的运动功能恢复。
