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经颅磁刺激治疗癫痫:一项对照研究。

Transcranial magnetic stimulation for the treatment of seizures: a controlled study.

作者信息

Theodore W H, Hunter K, Chen R, Vega-Bermudez F, Boroojerdi B, Reeves-Tyer P, Werhahn K, Kelley K R, Cohen L

机构信息

Clinical Epilepsy, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

Neurology. 2002 Aug 27;59(4):560-2. doi: 10.1212/wnl.59.4.560.

DOI:10.1212/wnl.59.4.560
PMID:12196649
Abstract

OBJECTIVE

To perform a controlled trial of transcranial magnetic stimulation (TMS).

METHODS

Twenty-four patients with localization-related epilepsy were randomized to blinded active or placebo stimulation. Weekly seizure frequency was compared for 8 weeks before and after 1 week of 1-Hz TMS for 15 minutes twice daily.

RESULTS

When the 8-week baseline and post-stimulation periods were compared, active patients had a mean seizure frequency reduction of 0.045 +/- 0.13 and sham-stimulated control subjects -0.004 +/- 0.20. Over 2 weeks, actively treated patients had a mean reduction in weekly seizure frequency of 0.16 +/- 0.18 and sham-stimulated control subjects 0.01 +/- 0.24. Neither difference was significant.

CONCLUSION

The effect of TMS on seizure frequency was mild and short lived.

摘要

目的

进行一项经颅磁刺激(TMS)的对照试验。

方法

24例定位相关癫痫患者被随机分为接受盲法主动刺激或安慰剂刺激组。在每天两次15分钟的1赫兹TMS治疗1周前后,比较8周的每周癫痫发作频率。

结果

比较8周的基线期和刺激后期,主动刺激组患者的癫痫发作频率平均降低0.045±0.13,假刺激对照组患者降低0.004±0.20。在2周内,接受积极治疗的患者每周癫痫发作频率平均降低0.16±0.18,假刺激对照组患者降低0.01±0.24。两者差异均无统计学意义。

结论

TMS对癫痫发作频率的影响轻微且短暂。

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