Behavioral psychophysiological intervention in a mentally retarded epileptic patient with brain lesion.

Abstract:

:Behavioral psychophysiological treatment entailing Slow Cortical Potential (SCP) biofeedback training and behavioral self-control training was conducted with a 27-year-old male epileptic patient (seizures for 23 years) with Wechsler IQ 64 who underwent callosotomy. The patient had 12/week secondary generalized tonic-clonic seizures. The treatment, consisting of 43 SCP training sessions and 22 behavioral control sessions, yielded a highly significant reduction of seizure frequency to about 7.5/week; such a decrease had never been observed after administration of new anticonvulsant drugs, nor after the callosotomy. During SCP feedback training, the patient was able to produce highly-significant cortical differentiation of SCPs of about 4 microV. In addition, he developed several new behaviors indicating growing ability of self-perception and self-regulation. These findings suggest that a combination of SCP biofeedback with behavioral treatment of epilepsy can be used even in mentally retarded patients with organic brain disorders.

authors

Holzapfel S,Strehl U,Kotchoubey B,Birbaumer N

doi

10.1023/a:1022299422116

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

189-202

issue

3

eissn

1090-0586

issn

1573-3270

journal_volume

23

pub_type

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