CORTICAL EXCITABILITY AND REFRACTORY EPILEPSY: A THREE-YEAR LONGITUDINAL TRANSCRANIAL MAGNETIC STIMULATION STUDY

被引:61
作者
Badawy, Radwa A. B. [1 ]
Jackson, Graeme D.
Berkovic, Samuel F.
Macdonell, Richard A. L.
机构
[1] Austin Hlth, Dept Neurol, Heidelberg, Vic, Australia
关键词
Cortical excitability; refractory epilepsy; seizures; seizure freedom; transcranial magnetic stimulation; TEMPORAL-LOBE EPILEPSY; JUVENILE MYOCLONIC EPILEPSY; MOTOR CORTEX EXCITABILITY; FOCAL EPILEPSY; GENERALIZED EPILEPSY; HIPPOCAMPAL DAMAGE; SLEEP-DEPRIVATION; SEIZURES; TMS; INHIBITION;
D O I
10.1142/S012906571250030X
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
Transcranial magnetic stimulation was used to study the effect of recurrent seizures on cortical excitability over time in epilepsy. 77 patients with firm diagnoses of idiopathic generalized epilepsy (IGE) or focal epilepsy were repeatedly evaluated over three years. At onset, all groups had increased cortical excitability. At the end of follow-up the refractory group was associated with a broad increase in cortical excitability. Conversely, cortical excitability decreased in all seizure free groups after introduction of an effective medication.
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页数:18
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