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长期经颅直流电刺激成功治疗耐药性癫痫:一例报告

Successful Treatment of a Drug-Resistant Epilepsy by Long-term Transcranial Direct Current Stimulation: A Case Report.

作者信息

San-Juan Daniel, Sarmiento Carlos Ignacio, González Katia Márquez, Orenday Barraza José Manuel

机构信息

Department of Clinical Research, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Department of Basic Sciences and Engineering, Autonomous Metropolitan University Campus Iztapalapa, Mexico City, Mexico.

出版信息

Front Neurol. 2018 Feb 9;9:65. doi: 10.3389/fneur.2018.00065. eCollection 2018.

Abstract

Transcranial direct current stimulation (tDCS) is a reemerged noninvasive cerebral therapy used to treat patients with epilepsy, including focal cortical dysplasia, with controversial results. We present a case of a 28-year-old female with left frontal cortical dysplasia refractory to antiepileptic drugs, characterized by 10-15 daily right tonic hemi-body seizures. The patient received a total of seven sessions of cathodal tDCS (2 mA, 30 min). The first three sessions were applied over three consecutive days, and the remaining four sessions of tDCS were given each at 2-week intervals. At the 1-year follow-up, the patient reported to have a single seizure per month and only mild adverse events.

摘要

经颅直流电刺激(tDCS)是一种重新出现的非侵入性脑治疗方法,用于治疗癫痫患者,包括局灶性皮质发育异常,但结果存在争议。我们报告一例28岁女性,患有抗癫痫药物难治性左额叶皮质发育异常,其特征为每天有10 - 15次右侧强直性半身发作。该患者总共接受了7次阴极tDCS治疗(2毫安,30分钟)。前三次治疗连续三天进行,其余四次tDCS治疗每隔两周进行一次。在1年的随访中,患者报告每月仅有一次发作,且只有轻微的不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654b/5811469/bf89f8a87fec/fneur-09-00065-g001.jpg

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