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The impact of Transcranial Magnetic Stimulation (TMS) on seizure course in people with and without epilepsy

Pang, Serena; D'Ambrosio, Sasha; Battaglia, Giulia; Jiménez-Jiménez, Diego; Perulli, Marco; Silvennoinen, Katri; Zagaglia, Sara; ... Balestrini, Simona; + view all (2022) The impact of Transcranial Magnetic Stimulation (TMS) on seizure course in people with and without epilepsy. Clinical Neurophysiology Practice , 7 pp. 174-182. 10.1016/j.cnp.2022.05.005. Green open access

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Abstract

Objective: To elucidate the effects of single and paired-pulse TMS on seizure activity at electrographic and clinical levels in people with and without epilepsy. Methods: A cohort of 35 people with epilepsy, two people with alternating hemiplegia of childhood (AHC) with no epilepsy, and 16 healthy individuals underwent single or paired-pulse TMS combined with EEG. Clinical records and subject interviews were used to examine seizure frequency four weeks before and after TMS. Results: There were no significant differences in seizure frequency in any subject after TMS exposure. There was no occurrence of seizures in healthy individuals, and no worsening of hemiplegic attacks in people with AHC. Conclusions: No significant changes in seizure activity were found before or after TMS. Significance: This study adds evidence on the safety of TMS in people with and without epilepsy with follow-up of four weeks after TMS.

Type: Article
Title: The impact of Transcranial Magnetic Stimulation (TMS) on seizure course in people with and without epilepsy
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.cnp.2022.05.005
Publisher version: https://doi.org/10.1016/j.cnp.2022.05.005
Language: English
Additional information: © 2022 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: AHC, Alternating Hemiplegia of Childhood, ASM, Anti-Seizure Medication, Alternating hemiplegia of childhood, CNS, Central Nervous System, E:I Ratio, Excitation: Inhibition Ratio, EEG, Electroencephalography, EMG, Electromyography, EOG, Electrooculography, FDI, First Dorsal Interosseus, HD-EEG, High-Density EEG, ICF, Intracortical Facilitation, LICI, Long Interval Cortical Inhibition, MEP, Motor Evoked Potential, MRI, Magnetic Resonance Imaging, MSO, Maximum Stimulator Output, MT, Motor Threshold, PWE, People with Epilepsy, Paired pulse, QoL, Quality of Life, RMT, Resting Motor Threshold, SCORE, Standardized Computer-based Organized Reporting of EEG, SICI, Short-Interval Intracortical Inhibition, Safety, Single pulse, TEP, TMS-evoked Potential, TMS, TMS, Transcranial Magnetic Stimulation, ppTMS, Paired-pulse TMS, rTMS, Repetitive TMS, spTMS, Single-pulse TMS
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/10152019
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