Department of Electrical, Computer, and Biomedical Engineering, University of Rhode Island, Kingston, RI 02881 USA.
IEEE Trans Neural Syst Rehabil Eng. 2013 May;21(3):383-90. doi: 10.1109/TNSRE.2012.2198244. Epub 2012 Jun 5.
Epilepsy affects approximately 1% of the world population. Antiepileptic drugs are ineffective in approximately 30% of patients and have side effects. We have been developing a noninvasive transcranial focal electrical stimulation with our novel tripolar concentric ring electrodes as an alternative/complementary therapy for seizure control. In this study we demonstrate the effect of focal stimulation on behavioral seizure activity induced by two successive pentylenetetrazole administrations in rats. Seizure onset latency, time of the first behavioral change, duration of seizure, and maximal seizure severity score were studied and compared for focal stimulation treated (n = 9) and control groups (n = 10). First, we demonstrate that no significant difference was found in behavioral activity for focal stimulation treated and control groups after the first pentylenetetrazole administration. Next, comparing first and second pentylenetetrazole administrations, we demonstrate there was a significant change in behavioral activity (time of the first behavioral change) in both groups that was not related to focal stimulation. Finally, we demonstrate focal stimulation provoking a significant change in seizure onset latency, duration of seizure, and maximal seizure severity score. We believe that these results, combined with our previous reports, suggest that transcranial focal stimulation may have an anticonvulsant effect.
癫痫影响全球约 1%的人口。大约 30%的患者使用抗癫痫药物无效且有副作用。我们一直在开发一种非侵入性的经颅聚焦电刺激,使用新型的三极同心环电极作为控制癫痫发作的替代/补充治疗方法。在这项研究中,我们展示了聚焦刺激对大鼠连续两次戊四氮给药引起的行为性癫痫发作活动的影响。研究并比较了聚焦刺激治疗组(n = 9)和对照组(n = 10)的癫痫发作起始潜伏期、首次行为改变时间、癫痫持续时间和最大癫痫严重程度评分。首先,我们证明在第一次戊四氮给药后,聚焦刺激治疗组和对照组的行为活动没有发现显著差异。其次,比较第一次和第二次戊四氮给药,我们发现两组的行为活动(首次行为改变时间)都有显著变化,与聚焦刺激无关。最后,我们证明聚焦刺激可引起癫痫发作起始潜伏期、癫痫持续时间和最大癫痫严重程度评分的显著变化。我们认为这些结果与我们之前的报告相结合,表明经颅聚焦刺激可能具有抗惊厥作用。