Noninvasive Brain Stimulation in Epilepsy.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
Stephen VanHaerentsMouhsin M Shafi

Abstract

Neurostimulation in epilepsy is a long standing established concept, and through experimental and clinical uses, our understanding of neurostimulation and neuromodulation has grown substantially. Noninvasive brain stimulation techniques use electromagnetic principles to noninvasively modulate brain activity in a spatiotemporally targeted manner. This review focused on the two predominant forms of noninvasive neurostimulation: transcranial magnetic stimulation (TMS) and transcranial direct current stimulation, and their current applications in the diagnosis and management of epilepsy. A number of small randomized sham-controlled studies suggest that both TMS and transcranial direct current stimulation may have a beneficial effect in decreasing seizure frequency in patients with medically refractory epilepsy, without significant side effects. Small pilot studies also suggest that TMS in combination with EEG may be used to develop quantitative biomarkers of cortical hyperexcitability in patients with epilepsy. Furthermore, TMS is already Food and Drug Administration-cleared for presurgical mapping of eloquent cortex, and preliminary studies suggest that navigated TMS represents a highly valuable clinical supplement for preoperativ...Continue Reading

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Citations

Sep 29, 2020·Bioelectronic Medicine·Jens Ellrich
Jul 7, 2020·Clinical Therapeutics·Melissa TsuboyamaAlexander Rotenberg
Aug 15, 2020·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Faleh AlqahtaniMohammed Mufadhe Alanazi
Sep 7, 2021·Frontiers in Neurology·Ronald M HarperChristopher M De Giorgio

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