Commentary Integrating electrodermal biofeedback into pharmacologic treatment of grand mal seizures.pdf (222.93 kB)
Commentary: Integrating electrodermal biofeedback into pharmacologic treatment of grand mal seizures
journal contribution
posted on 2023-06-09, 07:00 authored by Iliana Kotwas, Jean-Arthur Micoulaud-Franchi, Fabrice Bartolomei, Yoko NagaiYoko NagaiThirty percent of patients with epilepsy experience seizures despite optimal anticonvulsant drug treatment. Stress is frequently identified by patients with epilepsy as a precipitant of seizures (Spector et al., 2000; Ferlisi and Shorvon, 2014). Patients also often report using countermeasures to control the seizure onset. These are typically spontaneous and individualized such as increasing arousal by walking, breathing, standing, focusing attention, changing way of thinking, and more rarely inducing relaxation (Lee and No, 2005; Hether et al., 2013). In parallel, behavioral and psychological interventions, complementing conventional therapeutic methods for the management of epileptic seizures, have gained greater clinical attention over the past decade. Among these, Biofeedback (BFK) represents a noninvasive biobehavioral treatment that enables a patient to gain volitional control over a specific physiological process. BFK has already shown its value when applied to patients with epilepsy (Sterman and Friar, 1972; Rockstroh et al., 1993; Nagai et al., 2004a; Nagai, 2011; Micoulaud-Franchi et al., 2014a,b). Scrimali et al. (2015) have rightly pointed out the potential usefulness of electrodermal biofeedback in the management of refractory epilepsy. In a single case study, they report an effect of electrodermal activity (EDA) relaxation biofeedback in reducing seizures in a patient treated for 2 years. This case study supports the necessity to expand clinical armamentarium for treatment-resistant patients with few alternatives.
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- Published
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- Published version
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Frontiers in Human NeuroscienceISSN
1662-5161Publisher
Frontiers MediaExternal DOI
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9Department affiliated with
- BSMS Neuroscience Publications
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- Yes
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- Yes
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2017-07-05First Open Access (FOA) Date
2017-07-05First Compliant Deposit (FCD) Date
2017-07-05Usage metrics
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