Basic Concepts and Clinical Findings in the Treatment of Seizure Disorders with EEG Operant Conditioning

@article{Sterman2000BasicCA,
  title={Basic Concepts and Clinical Findings in the Treatment of Seizure Disorders with EEG Operant Conditioning},
  author={Maurice B. Sterman},
  journal={Clinical EEG and Neuroscience},
  year={2000},
  volume={31},
  pages={45 - 55}
}
  • M. Sterman
  • Published 1 January 2000
  • Psychology, Medicine
  • Clinical EEG and Neuroscience
Two issues concerning sensorimotor EEG operant conditioning, or biofeedback, as a therapeutic modality for the treatment of seizure disorders are the focus of this review. The first relates to the question of whether relevant physiological changes are associated with this procedure. This question is addressed through review of an extensive neurophysiological literature that is likely unfamiliar to many clinicians but that documents both immediate and sustained functional changes that are… 

Figures and Tables from this paper

Foundation and Practice of Neurofeedback for the Treatment of Epilepsy
TLDR
The research literature reviewed in this article justifies the assertion that neurofeedback treatment of epilepsy/seizure disorders constitutes a well-founded and viable alternative to anticonvulsant pharmacotherapy.
Neurofeedback treatment of epilepsy: from basic rationale to practical application
TLDR
The treatment of epilepsy through operant conditioning of the sensorimotor rhythm electroencephalogram with neurofeedback therapy results in an upregulation of excitation thresholds within the thalamocortical sensory and motor circuitry, which is associated with reduced susceptibility to seizures.
Biofeedback in the treatment of epilepsy
  • M. Sterman
  • Psychology, Biology
    Cleveland Clinic Journal of Medicine
  • 2010
TLDR
This review traces the application of electroencephalographic (EEG) operant conditioning, or biofeedback, from animal research to its emergence as an alternative treatment for the major types of seizure disorder, resulting in numerous well-controlled group and single-case studies summarized in recent meta-analyses.
Neurofeedback treatment of epilepsy.
Neurofeedback treatments enable the EEG-normalization and total seizure control of epilepsy – A Case Study
TLDR
Two cases of epilepsy patients who were treated with QEEG guided neurofeedback experienced total cessation of seizures at an early stage in the treatment and displayed substantial behavioral and cognitive improvement during the course of treatment.
Meta-Analysis of EEG Biofeedback in Treating Epilepsy
TLDR
A meta-analysis of existing research on neurofeedback and epilepsy found EEG operant conditioning was found to produce a significant reduction on seizure frequency, especially noteworthy given the patient group, individuals who had been unable to control their seizures with medical treatment.
Role of Quantitative Electroencephalography, Neurotherapy, and Neuroplasticity in Recovery from Neurological and Psychiatric Disorders
TLDR
The case of a 19-year-old man with severe, partial secondarily generalized seizures that did not respond to extensive conventional treatments including all antiepilepsy drugs is described.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 76 REFERENCES
Operant conditioning of the EEG in two patients with epilepsy: Methodologic and clinical considerations
  • W. W. Finley
  • Psychology, Medicine
    The Pavlovian journal of biological science
  • 1977
TLDR
Clinical information regarding the effect of anticonvulsant medications on the course and therapeutic outcome of SMR training are described and corresponding changes for other EEG parameters are examined.
EEG Operant Conditioning for Control of Epilepsy
TLDR
Although a few patients were significantly helped by this training, only 43% of patients showed significant changes in seizure occurrence and a lesser number were felt to have benefited clinically.
Operant Conditioning of Single Neurons in Monkeys and Its Theoretical Application to EEG Operant Conditioning in Human Epilepsy
TLDR
Physicians who treat patients with epilepsy are frequently frustrated by the fact that many seizure disorders are refractory to control with standard anticonvulsive drugs, so the idea that some seizure disorders may be controlled by means of noninvasive, low-risk psychophysiological techniques is appealing.
Effects of Sensorimotor EEG Feedback Training on Sleep and Clinical Manifestations of Epilepsy
The formal application of behavioral conditioning techniques for therapeutic purposes in epilepsy is of relatively recent origin. A comprehensive review of this area of investigation is currently
Recent developments in the diagnosis and therapy of epilepsy.
TLDR
Advances in x-ray computed tomography, long-term electroencephalographic telemetry, and video monitoring have aided the development of a clinically useful classification of epileptic seizures and the recognition of specific epileptic disorders.
EEG feedback training of epileptic patients: clinical and electroencephalographic analysis.
  • J. W. Kuhlman
  • Psychology, Medicine
    Electroencephalography and clinical neurophysiology
  • 1978
Neuropsychological Assessment of Subjects with Uncontrolled Epilepsy: Effects of EEG Feedback Training
TLDR
Psychological functioning, as measured by the Minnesota Multiphasic Personality Inventory (MMPI), improved in both outcome groups but MMPI improvement, unlike cognitive improvement, was as likely to occur after control conditions, when seizure reduction had not yet occurred, as after EEG training.
EEG biofeedback and relaxation training in the control of epileptic seizures.
  • C. Tozzo, L. Elfner, J. May
  • Psychology, Medicine
    International journal of psychophysiology : official journal of the International Organization of Psychophysiology
  • 1988
Conditioned EEG desynchronization and seizure occurrence in patients.
...
1
2
3
4
5
...