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Long-Term Follow-Up of EEG Neurofeedback With Absence Seizures

by Margaret Ayers

Neurofeedback has been published in several seizure disorders, primarily by Sterman using 12 to 15 hertz as reward and inhibition of either 4 to 7 hertz, 6 to 9 hertz, and/or 20 to 22 hertz. Tansey first published success with an absence seizure case. Kaplan reported success with rewarding presence of the mu rhythm but, no success with SMR or 12 to 15 hertz reward in seizures. However, no one has succeeded in getting rid of absence seizures or done long-term follow-up on absence seizures or tried other frequencies for reward or inhibition utilizing EEG neurofeedback.

Since 1978, I have followed ten absence seizure clients, ages twelve to twenty-five, to see if EEG neurofeedback training re-mained and clients were seizure-free. At times of treatment, five were medicated and five had no medication. All ten individuals were trained to inhibit 4 to 7 hertz and decrease its' voltage over time, then to produce 15 to 18 hertz for half a second, alternating between T4C4 and T3C3. Regardless of site of origin of seizures, absence seizure literature indicates these seizures change side of brain so all were trained on both T3C3 and T4C4. Reward for 15 to 18 hertz was chosen because its' production does not enhance slow wave activity in the alpha range. All ten absence seizure cases are medication and seizure-free to date.

From Biofeedback and Self-Regulation, volume 20, No. 3, Pages 309-310 September of 1995 Volume 20, No. 3, Page 318, September of 1995

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