Non-invasive therapeutic brain stimulation for treatment of resistant focal epilepsy in a teenager
| Autor: | Jaana Lähdetie, Satu K. Jääskeläinen, Janne Nordberg, Miguel Muñoz-Ruiz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_treatment
behavioral disciplines and activities lcsh:RC321-571 03 medical and health sciences Epilepsy 0302 clinical medicine Maintenance therapy Physiology (medical) mental disorders Medicine lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry DNET Transcranial direct-current stimulation business.industry musculoskeletal neural and ocular physiology Dysembryoplastic Neuroepithelial Tumor 030208 emergency & critical care medicine medicine.disease Transcranial magnetic stimulation nervous system Neurology Clinical and Research Article Brain stimulation Anesthesia Transcranial direct current stimulation Neurology (clinical) medicine.symptom business psychological phenomena and processes 030217 neurology & neurosurgery Tinnitus |
| Zdroj: | Clinical Neurophysiology Practice, Vol 5, Iss, Pp 142-146 (2020) Clinical Neurophysiology Practice |
| Popis: | Highlights • rTMS and tDCS could be more often used for treatment-resistant focal epilepsy and tinnitus. • tDCS can be used as maintenance treatment after initial successful rTMS treatment. • rTMS and tDCS are safe in adolescents when current safety instructions are followed. Aims A 13-year-old boy with symptomatic focal epilepsy due to a right parietal dysembryoplastic neuroepithelial tumor (DNET) presented pre- and post-operatively fluctuating tinnitus and sensory symptoms which became persistent after incomplete tumor resection. He received low-frequency rTMS treatment and cathodal tDCS treatment. Methods Case report with clinical details and pictures from rTMS and tDCS stimulation targets. Results The patient became symptom free with an initial low-frequency rTMS treatment series targeted to the EEG-verified epileptic zone followed by maintenance therapy at the same region with cathodal tDCS at home. Conclusions Both rTMS and tDCS could be more often used in adolescents when drug treatment and surgery do not cease focal epilepsy, here with fluctuating tinnitus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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