1. QUALITATIVE CHANGES IN PARAMETERS OF PSYCHOGENIC NON-EPILEPTIC SEIZURES IN CHILDREN AND ADOLESCENTS WITH ADJUVANT LOW FREQUENCY RTMS AS COMPARED TO SHAM STIMULATION.
- Author
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Pany, Sanjaya kumar, Pattojoshi, Amrit, Idrees, S. A., and Sethi, Rati Ranjan
- Abstract
Objective: This study investigated the efficacy of adjunctive low-frequency repetitive transcranial magnetic stimulation (rTMS) compared to sham stimulation for treating psychogenic non-epileptic seizures (PNES) in children and adolescents. Methods: Twenty patients diagnosed with PNES were randomized to receive either active rTMS or sham stimulation over the supplementary motor area (SMA) for ten sessions over two weeks. Clinical severity, seizure frequency and duration, dissociative experiences, anxiety, and depression were assessed before, after treatment, and at two weeks follow-up. Results: Both groups showed improvements in clinical parameters. However, the active rTMS group demonstrated a significantly greater reduction in overall clinical severity compared to sham at the four-week follow-up. This improvement was not sustained after treatment ended. Additionally, patients with more severe PNES (higher seizure frequency and duration) showed greater improvement with rTMS. There were no significant differences between groups in anxiety or depression scores. Conclusion: Low-frequency rTMS may offer some benefits for PNES, particularly for patients with severe symptoms. However, the short-lived effects and potential for placebo response necessitate further research with larger sample sizes, longer follow-up periods, and optimized stimulation parameters. [ABSTRACT FROM AUTHOR]
- Published
- 2024