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. Author manuscript; available in PMC: 2015 Aug 3.
Published in final edited form as: Epilepsy Behav. 2008 Oct 30;14(1):253–257. doi: 10.1016/j.yebeh.2008.09.007

Table 1.

Summary of EPC cases treated with rTMS in the Berenson-Allen Center for Noninvasive Brain Stimulation, and affiliated institutions.

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.