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CEREBRAL HEMODYNAMICS AND ELECTROENCEPHALOGRAPHIC PATTERN IN PATIENTS WITH SYMPTOMATIC EPILEPSY AT COMBINED TREATMENT WITH TRANSCRANIAL DIRECT CURRENT STIMULATION
K.V. Yatsenko
- Bogomoletz Institute of Physiology of NAS of Ukraine, Kyiv, Ukraine
- “Neurological clinic of doctor Yatsenko”, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz64.01.052
Abstract
The effect of combined treatment with transcranial direct
current stimulation (tDCS) on cerebral blood flow in patients
with symptomatic epilepsy was studied. 29 patients with
symptomatic epilepsy were examined and received the
course of treatment. The comparison group was formed from
14 children who received the course of basic medical and
rehabilitation procedures. The main group included 15 children
who, in addition to the same therapy, received a course of
tDCS. A transcranial Doppler ultrasound examination of head
blood vessels was used for the study of cerebral hemodynamics
in children with symptomatic epilepsy before and after
combined treatment with tDCS. After the course of tDCS,
the children had a marked improvement in the EEG pattern,
and also tDCS significantly reduced the high mean blood flow
velocity per cycle (MFV) in the basilar artery (BA), MCA and
ACA (20.5, 17.2 and 7.9%, respectively); in the comparison
group no statistically significant positive dynamics was
observed. tDCS significantly increased the low MVF in the
BA, MCA and ACA (25.1, 20.9 and 10.2%, respectively); a
statistically significant increase of MVF by 12.7% was only in
the CMA in the comparison group of patients. Our data indicate
that the use of tDCS in the combined treatment of patients with
epilepsy improves cerebral hemodynamics in 84% of patients,
in contrast to 528% in the comparison group. Including the
method of tDCS to the complex treatment of patients with
epilepsy improves the effectiveness of treatment and may also
positively influence the clinical course of the disease.
Keywords:
Transcranial Doppler, Epilepsy, Transcranial Direct Current Stimulation.
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© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2024.
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