Table 1.
Patient | Age (Years) | Etiology | Coil Position | rTMS Intensity | rTMS Frequency | Train Duration | # Trains | Outcome | Adverse Events |
---|---|---|---|---|---|---|---|---|---|
1 | 42 | Hypoglycemia | Seizure Focus | 100% MT | 1 Hz | 1800 sec | 3 | Clinical seizures stopped for 30 min after each train, then resumed | none |
2 | 56 | Stroke, Hypoglycemia | Seizure Focus | 100% MT | 1st Session: 1 Hz 2nd Session: 20 Hz, then 1 Hz, |
20 Hz: 2 sec 1 Hz: 1600 sec |
1st Session: 1 (1 Hz) 2nd Session: 40 at 20 Hz, then 1 at 1 Hz |
1st Session: No effect 2nd Session: clinical seizures stopped for 20 min, then resumed |
|
3 | 33 | Unknown | Seizure Focus | 100% MT | 6 Hz then 1 Hz | 6 Hz priming then 1 Hz for 1600 sec | 2 | 1st Session 1: Clinical seizures improved during rTMS 2nd Session: Clinical seizures improved during stimulation, stopped for 20 minutes, then resumed |
none |
4 | 18 | Unknown | Seizure Focus | 100% MT | 1 Hz | 2000 sec | 1 | Clinical seizures stopped, and were absent for remainder of 2-day inpatient stay* | none |
5 | 46 | Resected cortical vascular malformation | Seizure Focus | 90–100% MO | 100 Hz, 1 Hz | 100 Hz: 0.05–1.25 sec 1 Hz: 1600–1800 sec |
1st Session: 15 at100 Hz†, then 1 at1 Hz) 2nd Session: 10 at 1 Hz, daily |
1st Session: Clinical seizures improved after stimulation, however resumed within 3 months 2nd Session: Clinical seizures improved and were suppressed at last follow-up (>4 months after rTMS) |
none |
6 [1] | 11 | Rasmussen’s Encephalitis | Seizure Focus | 100% MT | 1 Hz | 1800 sec | 9, daily | Clinical and EEG seizures were improved during stimulation, but returned to baseline within 30 min after each daily session | none |
7 | 79 | Stroke | Seizure Focus | 100% MT | 20 Hz, 1 Hz | 20 Hz: 4 sec 1Hz: 30 min | 1st session >20 (20 Hz) 2nd Session 1 (1 Hz) |
1st session: No effect 2nd Session: Clinical seizures involving face arm and leg improved slightly to involve arm and leg only** |
Scalp, arm and leg pain with 20 Hz |
MO: machine output; MT: motor threshold;
100 Hz trains were delivered at successively increasing durations ranging from 0.05 to 1.25 secs;
further follow-up is not available;
patient sedated and intubated within one day of rTMS, thereafter lost to follow-up.