Effects of repetitive transcranial magnetic stimulation on spike-and-wave discharges

Neurosci Res. 2007 Jan;57(1):140-2. doi: 10.1016/j.neures.2006.09.015. Epub 2006 Nov 7.

Abstract

Aim of this study was to evaluate the effect of 5Hz-suprathreshold repetitive transcranial magnetic stimulation (rTMS) on the duration of the spike-and-wave discharges (SWDs) in a patient presenting idiopathic absence seizures. At the moment of the study the patient presented a mild blunting of consciousness due to the high frequency of absences and EEG recordings showed sub-continuous, generalized, symmetrical and synchronous 3c/s SWDs, petit mal status. Trains of 10 stimuli (120% resting motor threshold) were delivered at 5Hz frequency at the beginning of the SWDs. 5Hz-rTMS trains significantly changed the EEG activity by reducing the duration of SWDs without changing the intervals between two consecutive discharges. rTMS had not significant after-effects on the epileptic activity and patient's clinical status. Despite the limitations of a single case report, our neurophysiological findings suggest that 5Hz-suprathreshold rTMS delivered in short trains induces a transitory interference of the ongoing epileptic activity.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Adult
  • Electroencephalography / methods
  • Epilepsy, Absence / physiopathology
  • Epilepsy, Absence / therapy*
  • Humans
  • Male
  • Time Factors
  • Transcranial Magnetic Stimulation*