Motor Recovery after Seizure Induced by Repetitive Transcranial Magnetic Stimulation
- Author:
Jinyoung PARK
1
;
Young Seok KIM
;
Eu Jeong KO
;
Yoon Ghil PARK
Author Information
- Publication Type:Case Report
- Keywords: Transcranial Magnetic Stimulation; Seizures; Muscle Strength; Stroke
- MeSH: Adult; Basal Ganglia; Extremities; Hand; Hemiplegia; Humans; Incidence; Infarction; Motor Cortex; Muscle Strength; Seizures; Stroke; Transcranial Magnetic Stimulation; Unconsciousness
- From:Brain & Neurorehabilitation 2019;12(1):e3-
- CountryRepublic of Korea
- Language:English
- Abstract: Despite the low incidence, seizures induced by repetitive transcranial magnetic stimulation (rTMS) have been studied as they may cause neurological and functional regression. Seizures may predict poor outcomes in stroke patients, with no reports of improved neurological status after seizures. This is the first Korean report of a seizure induced by rTMS, and the first report in the literature of prompt motor recovery following a seizure induced by high-frequency rTMS of the primary motor cortex in a stroke patient. A 43-year-old man with left hemiplegia due to infarction in the right basal ganglia was enrolled 10 sessions of rTMS (each session consisted of 15 trains, with each train consisting of 5 seconds of stimulation at 20 Hz and 90% of resting motor threshold for each session followed by 55 seconds of rest). The self-limited seizure occurred within 5 seconds after the 10th session. It lasted for 60 seconds, with generalized tonic features in all four extremities and the trunk and loss of consciousness followed by prompt improvement in left hand muscle strength and coordination. Though the seizure is known to usually cause neurologic regression, this case showed neurologic improvement after rTMS even after the rTMS-induced seizure.
