Nagai Yoko
Nihon Rinsho. 2014 May;72(5):887-93.
Pharmacological treatment is the mainstay for the treatment of epilepsy. However concerns regarding long-term side effects of drugs are increasingly voiced. Behavioral treatments including biofeedback, represents an alternative management option for the control of epilepsy. Biofeedback is a non-invasive bio-behavioral procedure through which patients can learn to gain psychophysiological control over seizures. This article will first overview seizure precipitation from a psychological perspective, and then introduce three major biofeedback treatments. Sensory motor rhythm (SMR) and slow cortical potential(SCP) biofeedback uses electroencephalographic parameters and are categorized as neurofeedback. Electrodermal activity (EDA) biofeedback focuses on modulation of peripheral sympathetic tone. The neural mechanisms underlying biofeedback treatment will be discussed in relation to thalamo-cortical regulation(of neural excitability across brain networks).
药物治疗是癫痫治疗的主要手段。然而，人们越来越多地表达了对药物长期副作用的担忧。包括生物反馈在内的行为治疗是控制癫痫的另一种管理选择。生物反馈是一种非侵入性的生物行为程序，通过它患者可以学会对癫痫发作进行心理生理控制。本文将首先从心理学角度概述癫痫发作的诱发因素，然后介绍三种主要的生物反馈治疗方法。感觉运动节律（SMR）和慢皮层电位（SCP）生物反馈利用脑电图参数，被归类为神经反馈。皮肤电活动（EDA）生物反馈专注于外周交感神经张力的调节。将结合丘脑 - 皮层调节（跨脑网络的神经兴奋性）来讨论生物反馈治疗的神经机制。
