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Updated: May 11, 2026

Simultaneous EEG Monitoring During Transcranial Direct Current Stimulation
Published on: June 17, 2013
Commentary on stimulus-induced arousal with transient electroencephalographic improvement distinguishes nonictal from
Marcus C Ng1, Sahar Zafar2, Brandon Foreman3
1Section of Neurology, University of Manitoba, Winnipeg, Manitoba, Canada.
Abstract:
Here we critique recent arguments proposing to distinguish ictal from non-ictal generalized periodic discharges (GPDs) based on etiology and stimulation response, arguing that these are unreliable. We advocate for an empirical approach to GPDs: describe objectively, interpret through medication trials, and base further treatment on response. We call for evidence-based approaches considering meaningful clinical outcomes.
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