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Self-regulation of slow cortical potentials in epilepsy: A retrial with analysis of influencing factors
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Study at a glance
- Area
- Epilepsy & Seizures
- Study type
- Pilot / open study
- Authors
- Kotchoubey B, Schneider D, Schleichert H, Strehl U, Uhlmann C, Blankenhorn V, Fröscher W, Birbaumer N
- Journal
- Epilepsy Research
- Year
- 1996
- Participants
- 12 adults with drug-resistant focal epilepsy (ages 21-44)
- Population
- Adults
- Protocol
- slow cortical potential neurofeedback
- Sessions
- 20 sessions (two daily over two weeks; first phase of a 35-session program)
Key findings
- Patients significantly differentiated positive from negative shifts, more so with feedback than in transfer trials
- Positivity amplitude rose steadily across sessions in both feedback and transfer trials
- Largest negativity came in session 5; later negative shifts were briefer and faded within trials
- Mean seizure severity (frequency weighted by strength) fell significantly compared with before training
Twelve adults with drug-resistant focal epilepsy completed 20 sessions of biofeedback training to shift their slow cortical potentials (SCPs) at the top of the head in either a negative or positive direction, including transfer trials without feedback. Patients learned to tell the two conditions apart, and seizure severity dropped after training. The authors conclude patients could learn to calm cortical activity, and suggest they grew reluctant to produce strong negative shifts because these may signal over-excitation.