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长期间歇性低频重复经颅磁刺激有效控制了两名未服用药物的青少年患者的癫痫发作。

Long-term intermittent low-frequency repetitive transcranial magnetic stimulation effectively controls seizures in two drug-free adolescent patients.

作者信息

Li Hongzhan, Wang Chunyan, Zhang Shaotian, Zhang Chengliang, Lu Rulan, Yun Wenwei, Zhou Xianju

机构信息

1 Department of Neurology, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, China.

2 Laboratory of Neurological, Department of Neurology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, Jiangsu, China.

出版信息

J Int Med Res. 2019 Aug;47(8):3968-3971. doi: 10.1177/0300060519862950. Epub 2019 Jul 21.

DOI:10.1177/0300060519862950
PMID:31327281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6726801/
Abstract

Recently, repetitive transcranial magnetic stimulation (rTMS) has been widely used for treating neurological and psychiatric diseases. Low-frequency rTMS is used to effectively control the occurrence of seizures, including medication-refractory epilepsy and cortical dysplasia or neocortical epilepsy. However, there have been no reports on the effects of long-term rTMS on epilepsy. We observed the clinical effects of long-term rTMS in two drug-free adolescent epileptic patients with a preference for non-drug therapy. The two drug-free adolescent patients, who underwent intermittent low-frequency rTMS treatment for 36 weeks, obtained effective control of seizures (including episode and severity). However, a systematic study is required to confirm our observations.

摘要

最近,重复经颅磁刺激(rTMS)已被广泛用于治疗神经和精神疾病。低频rTMS可有效控制癫痫发作的发生,包括药物难治性癫痫、皮质发育异常或新皮质癫痫。然而,关于长期rTMS对癫痫影响的报道尚无。我们观察了长期rTMS对两名偏好非药物治疗的未服药青少年癫痫患者的临床效果。这两名未服药的青少年患者接受了为期36周的间歇性低频rTMS治疗,癫痫发作(包括发作次数和严重程度)得到了有效控制。然而,需要进行系统研究来证实我们的观察结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db83/6726801/0be514b2958e/10.1177_0300060519862950-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db83/6726801/0be514b2958e/10.1177_0300060519862950-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db83/6726801/0be514b2958e/10.1177_0300060519862950-fig1.jpg

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本文引用的文献

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Epilepsy Res. 2018 Sep;145:1-17. doi: 10.1016/j.eplepsyres.2018.05.006. Epub 2018 May 14.
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Repetitive transcranial magnetic stimulation for the treatment of drug-resistant epilepsy: A systematic review and individual participant data meta-analysis of real-world evidence.重复经颅磁刺激治疗耐药性癫痫:基于真实世界证据的系统评价和个体参与者数据荟萃分析
Epilepsia Open. 2017 Dec 27;3(1):55-65. doi: 10.1002/epi4.12092. eCollection 2018 Mar.
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A randomized clinical trial of repetitive transcranial magnetic stimulation in patients with refractory epilepsy.难治性癫痫患者重复经颅磁刺激的一项随机临床试验。
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