Repetitive transcranial magnetic stimulation directed to a seizure focus localized by high-density EEG: A case report

Robert Fisher, Jing Zhou, Adam Fogarty, Aditya Joshi, Matthew Markert, Gayle K. Deutsch, Mariel Velez
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引用次数: 4

Abstract

We demonstrate feasibility of using high-density EEG to map a neocortical seizure focus in conjunction with delivery of magnetic therapy. Our patient had refractory seizures affecting the left leg. A five-day course of placebo stimulation followed a month later by active rTMS was directed to the mapped seizure dipole. Active rTMS resulted in reduced EEG spiking, and shortening of seizure duration compared to placebo. Seizure frequency, however, improved similarly in both placebo and active treatment stages. rTMS-evoked EEG potentials demonstrated that a negative peak at 40 ms - believed to represent GABAergic inhibition - was enhanced by stimulation.

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重复经颅磁刺激定向癫痫病灶定位高密度脑电图:1例报告
我们证明了使用高密度脑电图来绘制新皮层癫痫发作焦点的可行性,并结合磁疗的递送。我们的病人有影响左腿的顽固性癫痫发作。在为期五天的安慰剂刺激后,一个月后进行了活跃的rTMS,并将其指向癫痫发作偶极子。与安慰剂相比,活跃的rTMS导致脑电图尖峰减少,癫痫发作持续时间缩短。然而,在安慰剂和积极治疗阶段,癫痫发作频率的改善相似。rtms诱发的脑电图电位显示,在40 ms处出现负峰,被认为代表gaba能抑制,刺激增强。
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