标题：Evaluation of the effectiveness of neurofeedback in the reduction of Posttraumatic stress disorder (PTSD) in a patient following high-voltage electric shock with the use of ERPs
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：3
页码：556-563
DOI：10.5604/12321966.1167734
出版社：Institute of Agricultural Medicine in Lublin
摘要：Background. The aim of our research was an evaluation of the effectiveness of neurofeedback in reducing the symptoms ofPost-trauma stress disorder (PTSD), which had developed as a result of a high-voltage electric burn to the head. QuantitativeEEG (QEEG) and Event related potentials (ERPs) were utilised in the evaluation.Case study. A 21-year-old patient, experienced 4th degree burns to his head as a result of a high-voltage electric burn. Thepatient was repeatedly operated on and despite the severity of the injuries was to recover. However the patient complainedof flashbacks, difficulties with sleeping as well as an inability to continue work in his given profession. Specialist tests wereto show the presence within him of PTSD. As a result of which the patient was provided with neurofeedback therapy. Theeffectiveness of this therapy in the reduction (eradication) of the symptoms of PTSD were evaluated through the utilisationof qantitative EEG (QEEG) and Event related potentials (ERPs).Results. It was found that in the first examination that ERPs display the most significant deviations from the reference inthe two components: (1) the one component is generated within the cingulate cortex. The pattern of its deviation fromthe norms is similar to that found in a group of OCD patients. In contrast to healthy subjects the component repeats itselftwice; (2) the second component is generated in the medial prefrontal cortex. Its pattern (neuromarker) is similar to thatfound in PTSD patients. There is a delay in the late part of the component, which probably reflects the flashbacks. In thesecond examination, after neurofeedback training, the ERPs were similar to the norm. The patient returned to work.Conclusions. Chronic PTSD developed within the patient as a result of a high-voltage electric burn. The application of amethod of therapy (neurofeedback) resulted in the withdrawal of the syndrome symptoms. ERPs in a GO/NOGO task can beused to plan neurofeedback and in the assessment of functional brain changes induced by neurotherapeutic programmes.Funds Collection: Private sources
