, de la rTMS pour les patients présentant une épilepsie. La rTMS à basse fréquence, réduisant l'excitabilité corticale, est en émergence comme nouvel outil technique pour traiter les crises réfractaire, Ces données sont conflictuels mais restent émergeantes

, Les autres effets indésirables potentiels sont la syncope, les vertiges, les irritations ou brûlures du scalp, les céphalées

, Une étude de cohorte sur 78 patients présentant une épilepsie du lobe temporale a mis en évidence qu'une crise de faible intensité était associée à une diminution des décharges inter ictales sur l'EEG et associée à une augmentation de symptômes psychiatriques (65)

. Initialement, Il s'agit en quelque sorte le phénomène inverse de celui qui se produit lors de l'électroconvulsivothérapie, où la crise d'épilepsie provoquée permet une diminution de la symptomatologie psychiatrique, ce qui est au final l'objectif de ces séances d'ECT. Tout se passe comme s'il existait un antagonisme strict au niveau cérébral entre épilepsie et les troubles psychotiques (12). C'est-à-dire que la symptomatologie psychiatrique est soulagée par les crises convulsives, Landolt en 1953 et consistait en la co-occurrence chez un patient de symptômes psychotiques et d'une normalisation de l'électroencéphalogramme (diminution ou disparition des anomalies inter critiques), 1988.

, Le terme de psychose alternante, introduit par Tellenbach (1965) pourrait être préférable en cela qu'il se réfère plus à la clinique qu'à l'EEG ; il estime que « les crises et la psychose sont deux aspects d'un même désordre fondamental et qu'elles ne, estime sa prévalence à 1% chez les patients souffrant d'épilepsie réfractaire et montre donc la rareté de ce phénomène

, Une distinction importante avait été faite à l'époque , d'une part la « normalisation forcée de l'EEG » concept électroencéphalographique, et d'autre part la disparition des crises qui précèdent un épisode psychotique, conception clinique. L'acceptation moderne du concept de normalisation forcée semble cependant impliquer ces deux phénomènes (66). L'EEG de surface n'est pas un outil d'analyse pertinent quand il s'applique à l

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