Seizure Risk Associated With the Use of Transcranial Magnetic Stimulation for Coma Recovery in Individuals With Disordered Consciousness After Severe Traumatic Brain Injury.
David RipleyKelly KreseJoshua M RosenowVijaya PatilStephan SchueleMarilyn S PachecoEliot RothSandra KletzelSherri LivengoodAlexandra AaronsonAmy HerroldBrett BlabasRuna BhaumikAnn GuernonCatherine Burress KestnerElyse WalshDulal BhaumikTheresa L Bender PapePublished in: The Journal of head trauma rehabilitation (2024)
Collectively, findings indicate a low-likelihood that the specified rTMS protocol exacerbates baseline seizure rates in persons with DoC after TBI. In presence of VP shunts, however, rTMS likely elevates baseline seizure risk and mitigation of this increased risk with pharmacological seizure prophylaxis should be considered.