Essential Tremor Clinical Trial
Official title:
A Pilot Study to Assess the Effects of Pre-SMA LF-rTMS for the Treatment of Essential
The purpose of this study is to determine the effects of Low Frequency Repetitive
Transcranial Magnetic Stimulation (LF r-TMS) of the pre-Supplementary Motor Area (pre-SMA) on
tremor as measured by the tremor rating scale (TRS) in patients with Essential Tremor (ET).
Hypothesis: Pre-SMA LF r-TMS will result in a >30% reduction in tremor as measured by the
TRS. Another purpose of this study is to identify the mechanism by which LF r-TMS of the
pre-SMA effects tremor in patients with ET.
Hypothesis: Inhibition of the pre-SMA by LF r-TMS improves tremor in ET by normalizing
pre-SMA output, and improving motor control, as determined shortening of the delay in the
second agonist burst, seen in ET patients. At conclusion of this study expect to have
sufficient pilot data to justify larger pivotal trials designed to establish the efficacy of
pre-SMA r-TMS in ET.
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