CORTICAL EXCITABILITY AS A POTENTIAL CLINICAL MARKER OF EPILEPSY: A REVIEW OF THE CLINICAL APPLICATION OF TRANSCRANIAL MAGNETIC STIMULATION

Prisca R. Bauer*, Stiliyan Kalitzin, Maeike Zijlmans, Josemir W. Sander, Gerhard H. Visser

*Corresponding author for this work

Research output: Contribution to journalLiterature reviewpeer-review

Abstract

Transcranial magnetic stimulation (TMS) can be used for safe, noninvasive probing of cortical excitability (CE). We review 50 studies that measured CE in people with epilepsy. Most showed cortical hyperexcitability, which can be corrected with anti-epileptic drug treatment. Several studies showed that decrease of CE after epilepsy surgery is predictive of good seizure outcome. CE is a potential biomarker for epilepsy. Clinical application may include outcome prediction of drug treatment and epilepsy surgery.

Original languageEnglish
Article number1430001
Number of pages21
JournalInternational Journal of Neural Systems
Volume24
Issue number2
DOIs
Publication statusPublished - Mar 2014

Keywords

  • TMS
  • epilepsy
  • cortical excitability
  • TMS-EEG
  • HUMAN MOTOR CORTEX
  • JUVENILE MYOCLONIC EPILEPSY
  • IDIOPATHIC GENERALIZED EPILEPSIES
  • THRESHOLD TRACKING TECHNIQUES
  • MOBILE PHONE EMISSIONS
  • SILENT PERIOD
  • INTRACORTICAL INHIBITION
  • FOCAL EPILEPSY
  • BRAIN-STIMULATION
  • SLEEP-DEPRIVATION

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