Non-invasive therapeutic brain stimulation for treatment of resistant focal epilepsy in a teenager

: Miguel Muñoz-Ruiz, Janne Nordberg, Jaana Lähdetie, Satu K. Jääskeläinen

Publisher: International Federation of Clinical Neurophysiology

: 2020

: Clinical neurophysiology practice

: Clin Neurophysiol Pract

: 5

: 142

: 146

: 5

: 2467-981X

DOI: https://doi.org/10.1016/j.cnp.2020.07.003(external)

: https://research.utu.fi/converis/portal/detail/Publication/50154785(external)

A 13-year-old boy with symptomatic focal epilepsy due to a right parietal dysembryoplastic neuroepithelial tumor (DNET) presented pre- and post-operatively fluctuating tinnitus and sensory symptoms which became persistent after incomplete tumor resection. He received low-frequency rTMS treatment and cathodal tDCS treatment.Case report with clinical details and pictures from rTMS and tDCS stimulation targets.The patient became symptom free with an initial low-frequency rTMS treatment series targeted to the EEG-verified epileptic zone followed by maintenance therapy at the same region with cathodal tDCS at home.Both rTMS and tDCS could be more often used in adolescents when drug treatment and surgery do not cease focal epilepsy, here with fluctuating tinnitus.\nAims\nMethods\nResults\nConclusions

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