AN EVALUATION OF PERSONALIZED NEUROFEEDBACK TRAINING FOR ROLANDIC EPILEPSY: A CASE STUDY
Journal Title: Acta Neuropsychologica - Year 2014, Vol 12, Issue 3
Abstract
The aim of this study was to determine whether relative beta neurofeedback training (RBNT), applied to regulate brain dynamics, would be useful for a patient with benign partial epilepsy with Rolandic Spikes (BPERS), accompanied by symptoms of attention deficit-hyperactivity disorder (ADHD).The patient, AG, age 8:2, presented with neuropsychiatric symptoms, cognitive dysfunction (especially attention deficits), and behavioral disorders, rendering her unable to function independently in many home, preschool and school situations. She was being treated for epilepsy, without apparent progress. Forty sessions of RBNT were applied to regulate the dynamics of frontal lobe functioning. In standardized neuropsychological testing and ERPs before and after the neurotherapy program, there were multiple cog ni tive and neurobehavioral deficits at baseline, along with Rolandic spikes. After RBNT, there was a statistically significant reduction of slow activity frontally and a considerable lowering of the theta:beta ratio. These changes were accompanied by decreased reaction time and fewer omission errors in the cued GO/NOGO task. The post-training changes in EEG spectra were also accompanied by complete cessation of Rolandic spikes in resting EEG. AG’s verbal and non-verbal IQ also increased significantly, and her cognitive functions improved, including immediate and delayed logical and visual recall on the WMS-III, attention on the WMS-III, and executive functions. RBNT was effective in the treatment of this patient with BPERS, accompanied by ADHD symptoms. ERPs in a GO/NOGO task can be used to assess functional brain changes induced by neurotherapeutic programs.
Authors and Affiliations
Andrzej Mirski, Maria Pachalska, Natalia Mirska, Olga Niworowska, Kinga Gryglicka, Iurii Kropotov
Keywords
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