Case Studies

These Patient Experience Reports describe the effective use of the sTMS mini in treating migraine across a wide demographic range.

sTMS for Daily Persistent Headache, 62 yr old male

A 62-year-old Caucasian male with acute migraine presented for evaluation at a tertiary care medical center in the East. The patient reported a 25-year history of daily migraines of moderate to severe intensity. He stated that he is no longer employable, due to the debilitating daily effects of his migraine and his inability to sustain relationships with others secondary to poor neurological health and the demands of managing his medication schedule. According to the patient, the side effects of medications have outweighed the gains in health and quality of life. After obtaining the patient history, his neurologist diagnosed him with daily persistent headache.

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sTMS for Chronic Migraine with Aura, 69 yr old female

A 69-year-old female with symptoms of migraine presented for evaluation at a neurological center. The patient reported that her migraine symptoms had begun during childhood, then worsened with age until finally peaking in severity at peri-menopause (45 years). Her early medication regimens provided no relief until the availability of triptans. When using triptans, she experienced temporary relief from headache until the efficacy would inexplicably cease. Patient reported that rescue medication were “effective” but led to rebound headaches. Non-medication remedies either worked temporarily or not at all. Several years before presenting for evaluation, she had attended a 10-day inpatient pain program, where she received both medications (preventative and rescue) and lifestyle education. Not unlike the triptans, the helpful effects were temporary. At present, she experiences both prodromal and after-effects of severe fatigue and confusion; classic visual auras precede some headaches. After evaluation and examination, the neurologist confirmed the diagnosis of chronic migraine.

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sTMS for Chronic Migraine, 55 yr old female

A 55-year-old female patient with chronic migraine presented for evaluation and treatment at a neurological center in England. The patient reported that her symptoms had begun at age of 12. There was no known family history of migraines but she had suffered a significant concussion at 10, two years prior to migraine onset. During the past 15 years, she had experienced an increase in migraine severity, currently averaging 22 migraines per month. The patient stated that she had tried multiple therapeutic regimens aimed at reducing migraines: preventative medications, rescue medications (including triptans), aromatherapy, acupuncture, mouth guard, and occipital nerve blocks. In addition, she instituted such life style adjustments as bedtime routine, Pilates classes, and dietary changes leading to a weight loss of 75 Ibs. Each of these approaches provided limited and temporary relief. Continuous use of topriamate caused the patient to experience suicidal ideation, leading her to seek other approaches. Through social media and her Headache Specialist General Practitioner, she learned about sTMS therapy. Her GP subsequently referred her to a neurologist specializing in headache. At the conclusion of the intake interview, her neurologist prescribed sTMS.

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sTMS for Chronic Migraine with Aura, 69 yr old female

A 69 year-old female with a history of migraine symptoms presented at a neurologist’s office in the West. The patient stated that her migraine symptoms had begun at 8 years of age. Although symptomatic since 8 years of age, she did not experience frequent visual auras and head pain until her late 50s. In her first meeting, she reported 15 severe headache days and 7 minor headache days per month. In addition, she reported feeling tired and mild confusion, even on her pain-free days. She had been treated unsuccessfully as a teenager for sinus headaches, with progressive difficulties concentrating in school due to being in constant pain. After thorough neurologic and radiologic assessment, the neurologist diagnosed chronic migraine syndrome.

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Indication: The sTMS mini™ by eNeura is indicated for the treatment of pain associated with migraine headache with aura.