Format

Send to

Choose Destination
Seizure. 2013 Dec;22(10):893-6. doi: 10.1016/j.seizure.2013.06.014. Epub 2013 Jul 19.

Transcranial magnetic stimulation for refractory focal status epilepticus in the intensive care unit.

Author information

1
New York University Comprehensive Epilepsy Center, 223 East 34th Street, New York, NY 10016, USA; New York University Langone Medical Center and School of Medicine, 550 First Avenue, New York, NY 10016 USA. Electronic address: anli.liu@nyumc.org.

Abstract

PURPOSE:

To examine the efficacy and safety profile of antiepileptic repetitive transcranial magnetic stimulation (rTMS) for refractory status epilepticus (RSE) in the intensive care unit (ICU) setting. In addition, hypothetical concerns about electrical interference of rTMS with ICU equipment have been previously raised.

METHODS:

We describe two cases of RSE treated with rTMS in the ICU.

RESULTS:

In one case, rTMS contributed to decreased seizure frequency; in the second case, rTMS transiently decreased seizure frequency. In both cases, rTMS was safe and did not interfere with the functioning of the ICU equipment.

CONCLUSION:

rTMS is a potential therapy for RSE when conventional therapies have failed. Future studies should investigate the efficacy of various rTMS stimulation parameters, safety issues, and bioengineering considerations in the ICU setting.

KEYWORDS:

Epilepsia partialis continua; Intensive care unit; Refractory status epilepticus; Transcranial magnetic stimulation

PMID:
23876929
PMCID:
PMC4517181
DOI:
10.1016/j.seizure.2013.06.014
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center