Magnetic Stimulation Can Modulate Seizures in Epileptic Patients

Objective: The aim of this study is to investigate the influence of external magnetic stimulation (EMS) in epileptic patients using magnetoencephalographic (MEG) measurements and non-linear analytic techniques. Methods: The examined group consisted of 15 men aged 19-56 years (mean: 39.5±11.3) and 15 women aged 15-53 years (mean: 36.7±11.4 ). For each one the magnetic activity was recorded from 32 points for each temporal lobe. External magnetic stimulation (EMS) with proper field characteristics (intensity: 1-7.5 pT, frequency: the α-rhythm of the patient (8-13 Hz)) was applied in the frontal, occipital and temporal lobes for 2 to 6 minutes and the emitted brain magnetic activity was recorded again. In order to investigate if there is any alteration in the MEG complexity underlying the neural dynamics characterizing the pathologic brain before and after the EMS, chaotic analysis approach was applied for the estimation of the dimensional analysis of the existing strange attractors. Results: The application of EMS resulted in rapid attenuation of the MEG activity of epileptic patients. The obtained results of the dimensionality calculation provide a shift from lower to higher dimensional values. Such a shift is an indication that we are dealing with a chaotic system similar with the one characterizing normal subjects. Conclusions: The increased values of the dimensional complexity and the lower activity of the MEG after the application of EMS strongly supports the beneficial effects of EMS in epileptic patients.

[1]  G. Migliaretti,et al.  Cortical Excitability in Cryptogenic Localization‐Related Epilepsy: Interictal Transcranial Magnetic Stimulation Studies , 2000, Epilepsia.

[2]  L. Morrell,et al.  Some characteristics of stimulus-provoked alpha activity. , 1966, Electroencephalography and clinical neurophysiology.

[3]  G. Delitala,et al.  A clinical study on the relationship between the pineal gland and the opioid system , 2005, Journal of Neural Transmission.

[4]  W Paulus,et al.  Transcranial magnetic stimulation: its current role in epilepsy research , 1998, Epilepsy Research.

[5]  G Zaccara,et al.  Interictal inhibitory mechanisms in patients with cryptogenic motor cortex epilepsy: a study of the silent period following transcranial magnetic stimulation. , 1998, Electroencephalography and clinical neurophysiology.

[6]  P. Anninos,et al.  Mapping of MEG Amplitude Spectra: Its Significance for the Diagnosis of Focal Epilepsy , 1989 .

[7]  P A Anninos Electromagnetic fields generated from neuronal activity. , 1973, T.-I.-T. journal of life sciences.

[8]  H. Jasper,et al.  The ten-twenty electrode system of the International Federation. The International Federation of Clinical Neurophysiology. , 1999, Electroencephalography and clinical neurophysiology. Supplement.

[9]  Walter Paulus,et al.  Low-frequency repetitive transcranial magnetic stimulation improves intractable epilepsy , 1999, The Lancet.

[10]  P. Grassberger,et al.  Measuring the Strangeness of Strange Attractors , 1983 .

[11]  S. Sato,et al.  Magnetoencephalography and epilepsy research. , 1987, Science.

[12]  D. Cain,et al.  Inhibitory effects of acute exposure to low-intensity 60-Hz magnetic fields on electrically kindled seizures in rats , 1988, Brain Research.

[13]  G. Leonhardt,et al.  Cortical motor reorganization following early brain damage and hemispherectomy demonstrated by transcranial magnetic stimulation , 2000, Clinical Neurophysiology.

[14]  Jerome Engel,et al.  The magnetic field of complex partial seizures agrees with intracranial localizations , 1987, Annals of neurology.

[15]  G Anogianakis,et al.  Biomagnetic measurements using squids. , 1987, The International journal of neuroscience.

[16]  P. Anninos,et al.  The biological effects of magnetic stimulation in epileptic patients. , 1999, Panminerva Medica (Testo stampato).

[17]  K Lehnertz,et al.  Non-linear time series analysis of intracranial EEG recordings in patients with epilepsy--an overview. , 1999, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[18]  C. Elger,et al.  Safety of single and repetitive focal transcranial magnetic stimuli as assessed by intracranial EEG recordings in patients with partial epilepsy , 1999, Journal of Neurology.

[19]  M. Aldegunde,et al.  Effects of pinealectomy on regional brain serotonin metabolism. , 1985, The International journal of neuroscience.

[20]  Rodney Cotterill,et al.  Models of brain function , 1989 .

[21]  P. Rapp,et al.  Re-examination of the evidence for low-dimensional, nonlinear structure in the human electroencephalogram. , 1996, Electroencephalography and clinical neurophysiology.

[22]  E. Wassermann Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. , 1998, Electroencephalography and clinical neurophysiology.

[23]  B. Steinhoff,et al.  Transcranial Magnetic Stimulation (TMS) of the Brain in Patients with Mesiotemporal Epileptic Foci , 1993, Clinical EEG.

[24]  D. Cohen,et al.  MEG versus EEG localization test using implanted sources in the human brain , 1990, Annals of neurology.

[25]  H G Wieser,et al.  Changes in paroxysmal brainwave patterns of epileptics by weak-field magnetic stimulation. , 2000, Bioelectromagnetics.

[26]  秦 浩起,et al.  Characterization of Strange Attractor (カオスとその周辺(基研長期研究会報告)) , 1987 .

[27]  D. Ruelle,et al.  Ergodic theory of chaos and strange attractors , 1985 .

[28]  P H Crandall,et al.  The magnetic field of epileptic spikes agrees with intracranial localizations in complex partial epilepsy , 1988, Neurology.

[29]  Hatsuo Hayashi,et al.  Chaotic responses of the hippocampal CA3 region to a mossy fiber stimulation in vitro , 1995, Brain Research.

[30]  K Lehnertz,et al.  Nonlinear EEG Analysis and Its Potential Role in Epileptology , 2000, Epilepsia.

[31]  P. Grassberger,et al.  Characterization of Strange Attractors , 1983 .

[32]  P. Anninos,et al.  A brain model theory for epilepsy and the mechanism of treatment with experimental verification using SQUID measurements , 1989 .

[33]  A. Smith Localization and cure of epileptic foci, with the use of MEG measurements. , 1990, The International journal of neuroscience.

[34]  P A Anninos,et al.  Magnetic stimulation in the treatment of partial seizures. , 1991, The International journal of neuroscience.

[35]  A. Babloyantz,et al.  Low-dimensional chaos in an instance of epilepsy. , 1986, Proceedings of the National Academy of Sciences of the United States of America.

[36]  G. Holmes,et al.  Lateral Asymmetry in Activation of Hypothalamic Neurons with Unilateral Amygdaloid Seizures , 1997, Epilepsia.