At a glance
ClinicalIndex Comparison Record- ✓Age 18–110 years old
- ✓Confirmed diagnosis of complex oro-facial pain by UMPhysicians Complex Facial Pain Clinic
- ✓Specific facial pain condition: trigeminal neuralgia Type 2, trigeminal neuropathic pain, trigeminal deafferentation pain, post-herpetic neuralgia, atypical facial pain, or nervus intermedius neuralgia
- ✓No available alternative treatment of proven value as judged by UMPhysicians Complex Facial Pain Clinic
- ✕Major Axis I psychiatric disorder (psychotic disorder, bipolar disorder, OCD; major depressive disorder allowed if Hamilton Depression Rating Scale-21 ≤26 or Beck Depression Inventory score controlled)
- ✕Significant suicidal risk assessed by Beck Suicide Ideation scale, psychiatric interview, or attempted suicide in past year
- ✕History of epilepsy or seizure (except those induced by ECT)
- ✕Significant head trauma with loss of consciousness >5 minutes
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Complex Oro-Facial Pain: Functional Imaging Characterization and Treatment With Transcranial Magnetic Stimulation
In Brief
A clinical study evaluating transcranial magnetic stimulation for Trigeminal Nerve Injuries and 3 related conditions. Completed, enrolled 9 participants across 1 site.
Detailed Summary
Complex oro-facial pain is a poorly diagnosed and poorly treated cause of significant suffering and disability. This study will explore the ability of fMRI to identify patients with complex oro-facial pain who respond to transcranial magnetic stimulation therapy. Specific Aims: 1. To establish baseline patterns of MRI in patients with chronic oro-facial pain without a definitive etiologic diagnosis. 2. To estimate the rate of treatment success of transcranial stimulation of the primary motor cortex (M1) in these patients. 3. To identify post-treatment MRI patterns that are associated with treatment success.
Study Details
Timeline
Interventions
Treatment will consist of five daily sessions of transcranial magnetic stimulation of the motor cortex contralateral to the pain.