High and low frequency electrical stimulation in non-lesional temporal lobe epilepsy

被引:70
作者
Boex, Colette [1 ]
Vulliemoz, Serge
Spinelli, Laurent
Polio, Claudio
Seeck, Margitta
机构
[1] Univ Hosp Geneva, Dept Neurol, CH-1211 Geneva 14, Switzerland
[2] Univ Hosp Geneva, Dept Neurol, Presurg Epilepsy Evaluat Unit, Geneva, Switzerland
[3] Univ Lausanne Hosp, Dept Neurosurg, Lausanne, Switzerland
来源
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2007年 / 16卷 / 08期
关键词
deep brain stimulation; epilepsy;
D O I
10.1016/j.seizure.2007.05.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In patients with pharmacologically intractable epilepsy who are not eligible for surgery, deep brain stimulation is currently under evaluation as an alternative treatment. Optimal stimulation parameters, including high (HFS) versus low frequency (LFS) stimulation, are notwell defined. Here, we report the effects of HFS (130 pulses per second, pps) and LFS (5 pps) of the principal epileptogenic focus, in three patients with non-lesional temporal lobe epilepsy. HFS, but not LFS, was associated with a reduction of the interictal discharges and absence of seizures. HFS may be beneficial in patients with non-lesional temporal lobe epilepsy who are not surgical candidates. (c) 2007 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:664 / 669
页数:6
相关论文
共 20 条
[1]
MRI-negative PET-positive temporal lobe epilepsy: a distinct surgically remediable syndrome [J].
Carne, RP ;
O'Brien, TJ ;
Kilpatrick, CJ ;
MacGregor, LR ;
Hicks, RJ ;
Murphy, MA ;
Bowden, SC ;
Kaye, AH ;
Cook, MJ .
BRAIN, 2004, 127 :2276-2285
[2]
Electrophysiological effects and clinical results of direct brain stimulation for intractable epilepsy [J].
Chkhenkeli, SA ;
Sramka, M ;
Lortkipanidze, GS ;
Rakviashvili, TN ;
Bregvadze, ES ;
Magalashvili, GE ;
Gagoshidze, TS ;
Chkhenkeli, IS .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2004, 106 (04) :318-329
[3]
Implantation of a closed-loop stimulation in the management of medically refractory focal epilepsy - A technical note [J].
Fountas, KN ;
Smith, JR ;
Murro, AM ;
Politsky, J ;
Park, YD ;
Jenkins, PD .
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 2005, 83 (04) :153-158
[4]
ELECTROENCEPHALOGRAPHIC SPIKING ACTIVITY, DRUG LEVELS, AND SEIZURE OCCURRENCE IN EPILEPTIC PATIENTS [J].
GOTMAN, J ;
MARCIANI, MG .
ANNALS OF NEUROLOGY, 1985, 17 (06) :597-603
[5]
DOES INTERICTAL SPIKING CHANGE PRIOR TO SEIZURES [J].
KATZ, A ;
MARKS, DA ;
MCCARTHY, G ;
SPENCER, SS .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1991, 79 (02) :153-156
[6]
Electric cortical stimulation suppresses epileptic and background activities in neocortical epilepsy and mesial temporal lobe epilepsy [J].
Kinoshita, M ;
Ikeda, A ;
Matsuhashi, M ;
Matsumoto, R ;
Hitomi, T ;
Begum, T ;
Usui, K ;
Takayama, M ;
Mikuni, N ;
Miyamoto, S ;
Hashimoto, N ;
Shibasaki, H .
CLINICAL NEUROPHYSIOLOGY, 2005, 116 (06) :1291-1299
[7]
Effect of an external responsive neurostimulator on seizures and electrographic discharges during subdural electrode monitoring [J].
Kossoff, EH ;
Ritzl, EK ;
Politsky, JM ;
Murro, AM ;
Smith, JR ;
Duckrow, RB ;
Spencer, DD ;
Bergey, GK .
EPILEPSIA, 2004, 45 (12) :1560-1567
[8]
LITT B, 2004, EEG ANTERIOR THALAMI, P171
[9]
Automated seizure abatement in humans using electrical stimulation [J].
Osorio, I ;
Frei, MG ;
Sunderam, S ;
Giftakis, J ;
Bhavaraju, NC ;
Schaffner, SF ;
Wilkinson, SB .
ANNALS OF NEUROLOGY, 2005, 57 (02) :258-268
[10]
Mutual-information-based registration of medical images: A survey [J].
Pluim, JPW ;
Maintz, JBA ;
Viergever, MA .
IEEE TRANSACTIONS ON MEDICAL IMAGING, 2003, 22 (08) :986-1004