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脑电图生物反馈治疗多发性硬化症中的心因性非癫痫性发作(PNES):一例报告

EEG Biofeedback for Treatment of Psychogenic Non-Epileptic Seizures (PNES) in Multiple Sclerosis: A Case Report.

作者信息

Shakibaei Fereshteh, Sabaghypour Saied, Isfahani Farzaneh Fani, Jazi Narges Darvishi

机构信息

Behavioral Sciences Research Center, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.

University of Tabriz Division of Cognitive Neuroscience, Tabriz, Iran.

出版信息

Appl Psychophysiol Biofeedback. 2021 Jun;46(2):175-181. doi: 10.1007/s10484-020-09496-7. Epub 2021 Jan 2.

Abstract

The objective of the present study was to evaluate the effectiveness of EEG biofeedback for treatment of psychogenic non-epileptic seizures (PNES) in a patient with multiple sclerosis. The patient was a 47-year-old female who has been experiencing several PNES types after being diagnosed with multiple sclerosis. She underwent 16 sessions of the EEG biofeedback over a period of two months. Following EEG biofeedback, the patient reported that her PNES attacks had stopped and the treatment resulted in significant abatement in her clinical seizure symptoms. The analysis of sensorimotor rhythm (SMR) values revealed reduction of psychogenic non-epileptic seizure. The Beck Anxiety Inventory (BAI) and Word Health Organization Quality of Life Questionnaire (WHOQOL) were used before and after treatment. Decreased anxiety as well as increased quality of life was observed after treatment. Generally, the results indicated that EEG biofeedback was a useful procedure in treating PNES, promoting quality of life and reducing anxiety in our patient with multiple sclerosis.

摘要

本研究的目的是评估脑电图生物反馈疗法对一名多发性硬化症患者的精神性非癫痫性发作(PNES)的治疗效果。该患者为一名47岁女性,在被诊断患有多发性硬化症后经历了几种类型的PNES。她在两个月的时间里接受了16次脑电图生物反馈治疗。经过脑电图生物反馈治疗后,患者报告其PNES发作已停止,且该治疗使其临床癫痫症状显著减轻。对感觉运动节律(SMR)值的分析显示精神性非癫痫性发作减少。在治疗前后使用了贝克焦虑量表(BAI)和世界卫生组织生活质量问卷(WHOQOL)。治疗后观察到焦虑减轻以及生活质量提高。总体而言,结果表明脑电图生物反馈疗法在治疗PNES、提高生活质量以及减轻我们这名多发性硬化症患者的焦虑方面是一种有效的方法。

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