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Related Experiment Video

Updated: Jun 2, 2026

Measuring and Manipulating Functionally Specific Neural Pathways in the Human Motor System with Transcranial Magnetic Stimulation

Measuring and Manipulating Functionally Specific Neural Pathways in the Human Motor System with Transcranial Magnetic Stimulation

Published on: February 23, 2020

[Transcranial magnetic stimulation for psychogenic tremor - a pilot study].

M Dafotakis¹, M Ameli, F Vitinius

¹Neurologische Klinik, Universitätsklinik der RWTH Aachen, Aachen. MDafotakis@ukaachen.de

Fortschritte Der Neurologie-Psychiatrie

|April 12, 2011

Summary

Transcranial magnetic stimulation (TMS) effectively diagnosed psychogenic tremor, reduced symptom severity, and improved patient insight. This pilot study highlights TMS as a valuable tool for managing this common psychogenic movement disorder.

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Published on: January 20, 2012

Area of Science:

Neurology
Psychiatry
Neuroscience

Context:

Psychogenic tremor, the most common psychogenic movement disorder, often has a poor prognosis.
Patient insight into the psychogenic nature of the disorder is crucial for treatment success.
Established diagnostic criteria for psychogenic tremor exist but require high certainty.

Purpose:

To evaluate the clinical utility of transcranial magnetic stimulation (TMS) in diagnosing and managing psychogenic tremor.
To assess TMS's ability to confirm the diagnosis with certainty.
To determine if TMS can modulate tremor severity and enhance patient insight into the condition's psychogenic origin.

Summary:

Eleven patients with psychogenic tremor underwent TMS targeting the primary motor cortex.
The procedure significantly reduced tremor frequency, aiding in diagnosis confirmation.
TMS also led to symptom relief, with lasting effects in some patients, and facilitated insight into the psychogenic nature of their condition.

Impact:

TMS provides a reliable method for diagnosing psychogenic hand tremor with high certainty.
The technique can modulate tremor severity, offering symptomatic relief.
Facilitating patient insight through TMS is a key step toward successful psychotherapy adherence for conversion disorder.