Efficacy of Deep Transcranial Magnetic Stimulation (dTMS) In Long Standing Multiple Sclerosis (MS) Induced Gait Disorder: Case Report Academic Article uri icon


  • Background dTMS utilizes H coils that have the capacity to reach 4cm below the skull and stimulate the lower limb. This has shown efficacy in improving function in patients who have suffered cerebral strokes. Conventional rTMS has been efficacious in treating MS induced fatigue and dexterity. Objective We report on 66-year-old-woman with gait disturbance, imbalance, bilateral lower extremity hyper-reflexia and right-sided proximal weakness from MS who had not improved in sixteen years. Methods Using the HMPCC coil over the motor strip, 18HZ, 90% resting motor threshold of the leg, 2second trains, 20second intervals, 55 trains, 1980 total pulses. Then the HMPCC was moved anteriorly 6cm over the medial prefrontal cortex, 18HZ, 100% MT, 2 second trains, 20 second intertrain intervals, 55 trains, 1980 total pulses. Results After ten treatments, she felt a significant improvement in her …

publication date

  • January 1, 2014