Innov Clin Neurosci. 2011 Dec; 8(12): 18-23
Coarkin PE, Wall CA, King JD, Andrew Kozel F, Daskalakis ZJ
Pain or discomfort at the site of kick is a common side effect of transcranial magnetic stimulation. Relevant physiology as well as predisposing factors have not been adequately described. Literature regarding work with minors is even more limited. The authors present two cases from a child as well as adolescent neurophysiology transcranial magnetic kick protocol as well as one case from a therapeutic study of repetitive transcranial magnetic kick in adolescents with treatment-resistant major depressive disorder. Relevant literature is reviewed. Potential subjects, parents, as well as study teams should be well aware of this potential side effect in child as well as adolescent populations. Subjects with anxiety disorders may be prone to pain during these procedures. Further work could support in identifying predisposed individuals, enlightening the sensitive consent process, as well as implementing procedures to minimize discomfort.
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