Development of a large animal model for investigation of deep brain stimulation for epilepsy.
| Autor: | Stypulkowski PH; Medtronic Neuromodulation, Minneapolis, MN 55432, USA. paul.stypulkowski@medtronic.com, Giftakis JE, Billstrom TM |
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| Jazyk: | angličtina |
| Zdroj: | Stereotactic and functional neurosurgery [Stereotact Funct Neurosurg] 2011; Vol. 89 (2), pp. 111-22. Date of Electronic Publication: 2011 Feb 17. |
| DOI: | 10.1159/000323343 |
| Abstrakt: | Background/objectives: To better understand the mechanism of action of deep brain stimulation (DBS) for epilepsy and to investigate implantable device features, it is desirable to have a large animal model to evaluate clinical-grade systems. This study assessed the suitability of an ovine model of epilepsy for this purpose. Methods: Animals were anesthetized for surgery and 1.5 T MRIs collected. Unilateral anterior thalamic DBS leads, hippocampal depth electrodes and catheters were implanted using a frameless stereotactic system. Evoked responses and local field potentials were collected and stored for off-line analysis. Results: Despite limited neuroanatomic information for this species, it was possible to reliably implant leads into the target structures using MR-guided techniques. Stimulation of these regions produced robust evoked potentials within this circuit that were dependent on stimulus location and parameters. High-frequency thalamic DBS produced a clear inhibition of both spontaneous and penicillin-induced ictal activity in the hippocampus which far outlasted the duration of the stimulation. Conclusions: These preliminary results suggest that the sheep model may be useful for further investigation of DBS for epilepsy. The demonstration of marked suppression of network excitability with high-frequency stimulation supports a potential therapeutic mechanism for this DBS therapy. (Copyright © 2011 S. Karger AG, Basel.) |
| Databáze: | MEDLINE |
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