Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Lam SKS(1), Hung CY(1), Chan TL(3), Chin YMD(3), Chan Charles(2), Wu Anna(2), Pang KY(1)
Affiliation :
(1)Department of Neurosurgery, (2)Department of Psychiatry, (3) Occupational therapy department, Pamela Youde Nethersole Eastern Hospital
Introduction :
rTMS is an evidence-based treatment in various psychiatric and neurological disorders. However, this is a time consuming and labor-intensive treatment. In the current situation of manpower shortage, TMS machine could not be well utilized. Only few patients can be catered and neurosurgical patients were seldom selected. On the other hands, there are expanding indications for various psychiatric illness such as depression, post-traumatic stress disorder and addiction etc. In 2023, we have piloted a shared machine model with the Department of Psychiatry for better utilization and started TMS service for neurosurgical patients with motor deficit.
Objectives :
To evaluate the treatment safety and efficacy; To establish a sustainable care model and workflow to better utilize the resources; To explore future direction of this powerful tools.
Methodology :
A pilot case series of 5 patients was included. Patient demographics, etiology of motor deficit, treatment protocol, premorbid functional status and post treatment outcome as well as patient satisfaction were assessed. Care model and workflow as well as future direction and service expansion are also evaluated.
Result & Outcome :
5 patients were included, there were 4 male and 1 female. Age was ranged from 30 to 60. Etiology included ruptured AVM, hemorrhagic stroke, ischemic stroke. There was no complication such as seizure after treatment. Patient satisfaction and subjective improvement were achieved in all 5 patients. There was significant improvement in action research arm test (ARAT) and upper limb functional grade (FTHUE-HK) was one level up in 4 patients.
