Alternative patterns of deep brain stimulation in neurologic and neuropsychiatric disorders

Autor: Ricardo A. Najera, Anil K. Mahavadi, Anas U. Khan, Ujwal Boddeti, Victor A. Del Bene, Harrison C. Walker, J. Nicole Bentley
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Neuroinformatics, Vol 17 (2023)
Druh dokumentu: article
ISSN: 1662-5196
49749188
DOI: 10.3389/fninf.2023.1156818
Popis: Deep brain stimulation (DBS) is a widely used clinical therapy that modulates neuronal firing in subcortical structures, eliciting downstream network effects. Its effectiveness is determined by electrode geometry and location as well as adjustable stimulation parameters including pulse width, interstimulus interval, frequency, and amplitude. These parameters are often determined empirically during clinical or intraoperative programming and can be altered to an almost unlimited number of combinations. Conventional high-frequency stimulation uses a continuous high-frequency square-wave pulse (typically 130–160 Hz), but other stimulation patterns may prove efficacious, such as continuous or bursting theta-frequencies, variable frequencies, and coordinated reset stimulation. Here we summarize the current landscape and potential clinical applications for novel stimulation patterns.
Databáze: Directory of Open Access Journals