Effects of direct brain stimulation depend on seizure dynamics.

Abstract:

:Brain stimulation is currently used as an experimental treatment for patients with medically refractory epilepsy. However, the results of such stimulation are still less than optimal. A major factor is the lack of understanding of the mechanisms of applied stimuli. Herein we review evidence on the effects of stimulation in models of epileptic seizures. We show that the effects of stimulation during epileptic seizures can differ from those observed under normal conditions. Several studies suggest a potentially greater beneficial therapeutic effect of strong depolarizing and overactivating stimulations than hyperpolarizing ones in the treatment of seizures. The potential relevance of these results to other therapeutic stimulation protocols is discussed.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Jiruska P,Powell AD,Deans JK,Jefferys JG

doi

10.1111/j.1528-1167.2010.02619.x

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

93-7

eissn

0013-9580

issn

1528-1167

pii

EPI2619

journal_volume

51 Suppl 3

pub_type

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