Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report

Li-min Zhong; Hong Wang; Yan-hong Dai; Yue-ting Deng; Yi-qi Cao; Ke-yi Chen; Gang Wang

doi:doi:10.11648/j.cnn.20230704.12

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Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report

Li-min Zhong, Hong Wang^*, Yan-hong Dai, Yue-ting Deng, Yi-qi Cao, Ke-yi Chen, Gang Wang

Published in Clinical Neurology and Neuroscience (Volume 7, Issue 4)

Received: 8 October 2023 Accepted: 26 October 2023 Published: 9 November 2023

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Abstract

The incidence of stroke has been increasing in recent years, and post-stroke insomnia, a common complication, also bothers many stroke patients. Post-stroke insomnia not only affects the quality of sleep and daily functioning of stroke patients, but it can also impacts stroke recovery and potentially lead to anxiety and depression disorders. This case report presents the case of a 47-year-old man who exhibited symptoms of early awakening, easy awakening, and daytime fatigue after suffering from a hypertensive cerebral hemorrhage. These symptoms occurred more than three times per week and persisted for six months. After giving treatments such as acupuncture and medication, this patient's sleep quality did not significantly improve. Considering the availability of noninvasive brain stimulation techniques, we opted to utilize continuous theta burst stimulation for the patient’s treatment. The stimulation was administered to the dorsolateral right frontal lobe, with an intensity set at 30% of resting motor thresholds. The treatment spanned 10 days, with one session per day lasting 48seconds. Following a single session, the patient's sleep quality and sleep structure showed improvement, and he did not experience any discomfort during this treatment. In conclusion, continuous theta burst stimulation proves to be an effective and safe therapeutic approach for patients with post-stroke insomnia.

Published in	Clinical Neurology and Neuroscience (Volume 7, Issue 4)
DOI	10.11648/j.cnn.20230704.12
Page(s)	82-85
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Post-Stroke Insomnia, Continuous Theta Burst Stimulation, Polysomnography

References

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[3]	HALE E, GOTTLIEB E, USSEGLIO J, et al. Post-stroke sleep disturbance and recurrent cardiovascular and cerebrovascular events: A systematic review and meta-analysis [J]. Sleep medicine, 2023, 104: 29-41.
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[8]	MA H, LIN J, HE J, et al. Effectiveness of TES and rTMS for the Treatment of Insomnia: Meta-Analysis and Meta-Regression of Randomized Sham-Controlled Trials [J]. Frontiers in psychiatry, 2021, 12: 744475.
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[17]	HE W, RUAN Y. Poor sleep quality, vitamin D deficiency and depression in the stroke population: A cohort study [J]. Journal of affective disorders, 2022, 308: 199-204.
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APA Style

Zhong, L., Wang, H., Dai, Y., Deng, Y., Cao, Y., et al. (2023). Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clinical Neurology and Neuroscience, 7(4), 82-85. https://doi.org/10.11648/j.cnn.20230704.12

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ACS Style

Zhong, L.; Wang, H.; Dai, Y.; Deng, Y.; Cao, Y., et al. Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clin. Neurol. Neurosci. 2023, 7(4), 82-85. doi: 10.11648/j.cnn.20230704.12

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AMA Style

Zhong L, Wang H, Dai Y, Deng Y, Cao Y, et al. Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clin Neurol Neurosci. 2023;7(4):82-85. doi: 10.11648/j.cnn.20230704.12

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@article{10.11648/j.cnn.20230704.12,
  author = {Li-min Zhong and Hong Wang and Yan-hong Dai and Yue-ting Deng and Yi-qi Cao and Ke-yi Chen and Gang Wang},
  title = {Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {7},
  number = {4},
  pages = {82-85},
  doi = {10.11648/j.cnn.20230704.12},
  url = {https://doi.org/10.11648/j.cnn.20230704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20230704.12},
  abstract = {The incidence of stroke has been increasing in recent years, and post-stroke insomnia, a common complication, also bothers many stroke patients. Post-stroke insomnia not only affects the quality of sleep and daily functioning of stroke patients, but it can also impacts stroke recovery and potentially lead to anxiety and depression disorders. This case report presents the case of a 47-year-old man who exhibited symptoms of early awakening, easy awakening, and daytime fatigue after suffering from a hypertensive cerebral hemorrhage. These symptoms occurred more than three times per week and persisted for six months. After giving treatments such as acupuncture and medication, this patient's sleep quality did not significantly improve. Considering the availability of noninvasive brain stimulation techniques, we opted to utilize continuous theta burst stimulation for the patient’s treatment. The stimulation was administered to the dorsolateral right frontal lobe, with an intensity set at 30% of resting motor thresholds. The treatment spanned 10 days, with one session per day lasting 48seconds. Following a single session, the patient's sleep quality and sleep structure showed improvement, and he did not experience any discomfort during this treatment. In conclusion, continuous theta burst stimulation proves to be an effective and safe therapeutic approach for patients with post-stroke insomnia.
},
 year = {2023}
}

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TY  - JOUR
T1  - Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report
AU  - Li-min Zhong
AU  - Hong Wang
AU  - Yan-hong Dai
AU  - Yue-ting Deng
AU  - Yi-qi Cao
AU  - Ke-yi Chen
AU  - Gang Wang
Y1  - 2023/11/09
PY  - 2023
N1  - https://doi.org/10.11648/j.cnn.20230704.12
DO  - 10.11648/j.cnn.20230704.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 82
EP  - 85
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20230704.12
AB  - The incidence of stroke has been increasing in recent years, and post-stroke insomnia, a common complication, also bothers many stroke patients. Post-stroke insomnia not only affects the quality of sleep and daily functioning of stroke patients, but it can also impacts stroke recovery and potentially lead to anxiety and depression disorders. This case report presents the case of a 47-year-old man who exhibited symptoms of early awakening, easy awakening, and daytime fatigue after suffering from a hypertensive cerebral hemorrhage. These symptoms occurred more than three times per week and persisted for six months. After giving treatments such as acupuncture and medication, this patient's sleep quality did not significantly improve. Considering the availability of noninvasive brain stimulation techniques, we opted to utilize continuous theta burst stimulation for the patient’s treatment. The stimulation was administered to the dorsolateral right frontal lobe, with an intensity set at 30% of resting motor thresholds. The treatment spanned 10 days, with one session per day lasting 48seconds. Following a single session, the patient's sleep quality and sleep structure showed improvement, and he did not experience any discomfort during this treatment. In conclusion, continuous theta burst stimulation proves to be an effective and safe therapeutic approach for patients with post-stroke insomnia.

VL  - 7
IS  - 4
ER  -

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Author Information

Li-min Zhong

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China
Hong Wang

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China; Department of Rehabilitation, Guangzhou Tianhe District Traditional Chinese Medicine Hospital, Guangzhou, China

Contact Email
Yan-hong Dai

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yue-ting Deng

Department of Image, Guangzhou Tianhe District Traditional Chinese Medicine Hospital, Guangzhou, China
Yi-qi Cao

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ke-yi Chen

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China
Gang Wang

Department of Rehabilitation, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Zhong, L., Wang, H., Dai, Y., Deng, Y., Cao, Y., et al. (2023). Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clinical Neurology and Neuroscience, 7(4), 82-85. https://doi.org/10.11648/j.cnn.20230704.12

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ACS Style

Zhong, L.; Wang, H.; Dai, Y.; Deng, Y.; Cao, Y., et al. Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clin. Neurol. Neurosci. 2023, 7(4), 82-85. doi: 10.11648/j.cnn.20230704.12

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AMA Style

Zhong L, Wang H, Dai Y, Deng Y, Cao Y, et al. Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report. Clin Neurol Neurosci. 2023;7(4):82-85. doi: 10.11648/j.cnn.20230704.12

Copy | Download

@article{10.11648/j.cnn.20230704.12,
  author = {Li-min Zhong and Hong Wang and Yan-hong Dai and Yue-ting Deng and Yi-qi Cao and Ke-yi Chen and Gang Wang},
  title = {Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {7},
  number = {4},
  pages = {82-85},
  doi = {10.11648/j.cnn.20230704.12},
  url = {https://doi.org/10.11648/j.cnn.20230704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20230704.12},
  abstract = {The incidence of stroke has been increasing in recent years, and post-stroke insomnia, a common complication, also bothers many stroke patients. Post-stroke insomnia not only affects the quality of sleep and daily functioning of stroke patients, but it can also impacts stroke recovery and potentially lead to anxiety and depression disorders. This case report presents the case of a 47-year-old man who exhibited symptoms of early awakening, easy awakening, and daytime fatigue after suffering from a hypertensive cerebral hemorrhage. These symptoms occurred more than three times per week and persisted for six months. After giving treatments such as acupuncture and medication, this patient's sleep quality did not significantly improve. Considering the availability of noninvasive brain stimulation techniques, we opted to utilize continuous theta burst stimulation for the patient’s treatment. The stimulation was administered to the dorsolateral right frontal lobe, with an intensity set at 30% of resting motor thresholds. The treatment spanned 10 days, with one session per day lasting 48seconds. Following a single session, the patient's sleep quality and sleep structure showed improvement, and he did not experience any discomfort during this treatment. In conclusion, continuous theta burst stimulation proves to be an effective and safe therapeutic approach for patients with post-stroke insomnia.
},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Continuous Theta Burst Transcranial Magnetic Stimulation in Treating Post-Stroke Insomnia Monitored by Polysomnography: A Case Report
AU  - Li-min Zhong
AU  - Hong Wang
AU  - Yan-hong Dai
AU  - Yue-ting Deng
AU  - Yi-qi Cao
AU  - Ke-yi Chen
AU  - Gang Wang
Y1  - 2023/11/09
PY  - 2023
N1  - https://doi.org/10.11648/j.cnn.20230704.12
DO  - 10.11648/j.cnn.20230704.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 82
EP  - 85
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20230704.12
AB  - The incidence of stroke has been increasing in recent years, and post-stroke insomnia, a common complication, also bothers many stroke patients. Post-stroke insomnia not only affects the quality of sleep and daily functioning of stroke patients, but it can also impacts stroke recovery and potentially lead to anxiety and depression disorders. This case report presents the case of a 47-year-old man who exhibited symptoms of early awakening, easy awakening, and daytime fatigue after suffering from a hypertensive cerebral hemorrhage. These symptoms occurred more than three times per week and persisted for six months. After giving treatments such as acupuncture and medication, this patient's sleep quality did not significantly improve. Considering the availability of noninvasive brain stimulation techniques, we opted to utilize continuous theta burst stimulation for the patient’s treatment. The stimulation was administered to the dorsolateral right frontal lobe, with an intensity set at 30% of resting motor thresholds. The treatment spanned 10 days, with one session per day lasting 48seconds. Following a single session, the patient's sleep quality and sleep structure showed improvement, and he did not experience any discomfort during this treatment. In conclusion, continuous theta burst stimulation proves to be an effective and safe therapeutic approach for patients with post-stroke insomnia.

VL  - 7
IS  - 4
ER  -

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