<![CDATA[Introduction : Central post stroke pain (CPSP) is a chronic central neuropathic pain syndrome associated with somatosensory abnormalities caused by stroke lesion in central nervous system (CNS). Pain which occurs either with a stimulus or spontaneous, usually exist 1-6 months after ischemic or hemorrhagic stroke. CPSP can cause anxiety, depression, sleeping disorder that lead to decrease quality of life in patient due to chronic pain. Transcranial Magnetic Stimulation (TMS) is a non-pharmacological, as well a non-invasive intervention therapy used to relieve chronic pain and anxiety disorders by using a magnetic field converted by electricity through a coild placed on the skull bone, which useful for reorganizing intracranial structures and functions disturbed by stroke lesion. Case : A 49 year-old patient came to clinic with pain in the left arm and leg, suffered since 5 months before admission, occurred with or without stimulus, reduced with analgetic drug but it came again soon after drug consumption. She felt a continuous stabbing and burning sensation with neurological pain rating scale (NPRS) : 6-7. Stroke history 3 years ago and routinely control to neurologist for medication. She felt difficult to sleep and anxiety because this pain. Hamilton Anxiety Rating Scale (HARS) was measured before and after rTMS. Discussion : Improvement in HARS and NPRS score was noted after rTMS, thought to occur due to reorganization of neurotransmitters involved in chronic pain pathophysiology. Conclusion : rTMS helped to improve quality of life in patient with CPSP. Keyword : Central Post Stroke Pain, Repetitive Transcranial Magnetic Stimulation, Anxiety Disorder, Hamilton Anxiety Rating Scale, Neurological Pain Rating Scale.]]>
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