Doctors give a cautious welcome to epilepsy patch

Posted: Published on November 12th, 2012

This post was added by Dr Simmons

In some studies on patients with depression and post-traumatic stress disorder, the patch resulted in a 70 per cent reduction in symptoms.

Electrical pulses [from the patch] trigger sensory nerve impulses that travel along the trigeminal nerve and send the signal to a number of specific brain regions, says Dr DeGiorgio, who scanned patients undergoing tests to assess their brain activity.

Some regions of the brain, he says, show an increase in activity, which we believe is central to the mechanism for improving mood, while other regions show a decrease in activity, which may be key to preventing seizures.

Around 500,000 people in the UK suffer from epilepsy, which is the result of nerve cells misfiring in the brain. The causes include abnormal brain development and an imbalance of the brains neurotransmitters. Targeting the trigeminal nerve externally is thought to inhibit seizures.

While the eTNS has not been tested on patients in the UK, Jennifer Rees, from California, says the patch has changed her life. Mrs Rees, 50, has suffered from epilepsy since she was 14. Her condition did not respond to medication, and before starting to use eTNS six years ago she was having up to eight seizures a month.

Within a year of using eTNS, my seizures had gone down to one a year, she says. Now I havent had one for about two and a half years.

UK specialists have given the patch a cautious welcome. Prof John Duncan, consultant neurologist at the National Hospital for Neurology and Neurosurgery in London, says: A third of people affected by epilepsy in the UK are not controlled with medication. Brain surgery is not suitable for all and new treatment options are needed for the remainder.

Electrical stimulation of the vagus nerve in the neck is used to improve seizure control, but the treatment necessitates the implantation of a stimulator under the skin on the front of the chest.

Trigeminal stimulation offers an alternative, says Prof Duncan. But we would need to see whether the benefit was maintained long-term.

For more information, see neurosigma.com

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Doctors give a cautious welcome to epilepsy patch

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