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右侧颞顶交界区经颅直流电刺激治疗功能性分离性发作:病例系列。

Right temporoparietal junction transcranial direct current stimulation in the treatment of functional dissociative seizures: a case series.

机构信息

Univ Lille, INSERM, CHU Lille, Lille Neuroscience and Cognition Centre (U-1172), Plasticity and SubjectivitY Team, CURE Platform, 59000, Lille, France.

General Psychiatry Department, CHU Lille, Fontan Hospital, 59037, Lille Cedex, France.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2024 Feb;274(1):83-86. doi: 10.1007/s00406-022-01533-2. Epub 2023 Jan 5.

Abstract

Functional dissociative seizures (FDSs) are clinical events that resemble epileptic seizures but are not associated with abnormal brain electrical discharges or other physiological problems. In this pilot case series, ten adults with FDSs were recruited from our psychiatry department after being referred by a neurologist who made the diagnosis of FDS based on video EEG results. Each subject received ten sessions of cathodal tDCS focused on the right temporoparietal junction. A significant decrease in weekly seizure frequency was seen in all participants between baseline (30.2 ± 70.3 events) and 1 month after tDCS treatment (0.2 ± 0.3events) (p = 0.006). Main predisposing factors were unchanged after treatment.

摘要

功能性分离性发作(FDS)是一种临床事件,其表现类似于癫痫发作,但与异常脑电放电或其他生理问题无关。在这项初步的病例系列研究中,我们从神经内科转诊而来的 10 名 FDS 成人患者被招募到我们的精神病学部,神经内科医生根据视频脑电图的结果做出了 FDS 的诊断。每位受试者都接受了 10 次基于右颞顶交界处的阴极经颅直流电刺激(tDCS)治疗。在 tDCS 治疗后 1 个月,所有参与者的每周癫痫发作频率均显著下降(基线时为 30.2±70.3 次,治疗后为 0.2±0.3 次)(p=0.006)。治疗后主要的诱发因素没有改变。

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