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Objectives. The short-term effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) in the patients withcatastrophic and intractable tinnitus were investigated. Methods. Fifteen participants were recruited among patients with catastrophic intractable tinnitus to receive 1 Hz rTMStreatment. Tinnitus severity was assessed before rTMS and directly after sham or real rTMS using the tinnitus handicapinventory (THI) and visual analog scale (VAS). Results. There was no statistical difference in the THI score before and after sham stimulation. However, after 5 replicationsof real rTMS there was statistically significant reduction in THI score. Eight patients showed a decrease of more than10 in THI score. Patients who showed a vast change in THI score after rTMS also showed a large decrease in their VASscore (r=0.879, P<0.001). Duration of tinnitus and change of THI score showed statistically significant moderatenegative correlation (r=-0.637, P=0.011). But in case of VAS, there was no significant difference between VAS andduration of tinnitus. Conclusion. Among total 15 patients with catastrophic intractable chronic tinnitus, eight patients showed some improvementin symptoms after 1 Hz rTMS. rTMS can be considered management modality for intractable tinnitus evenwith distress as severe as catastrophic stage.

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