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Incidence and risk factors of posttraumatic seizures following traumatic brain injury: A Traumatic Brain Injury Model Systems Study.创伤性脑损伤后创伤后癫痫的发病率及危险因素:一项创伤性脑损伤模型系统研究。
Epilepsia. 2016 Dec;57(12):1968-1977. doi: 10.1111/epi.13582. Epub 2016 Oct 14.
3
Chronic Subthreshold Cortical Stimulation to Treat Focal Epilepsy.慢性阈下皮层刺激治疗局灶性癫痫
JAMA Neurol. 2016 Nov 1;73(11):1370-1372. doi: 10.1001/jamaneurol.2016.2857.
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Moving Forward by Stimulating the Brain: Transcranial Direct Current Stimulation in Post-Stroke Hemiparesis.通过刺激大脑向前迈进:经颅直流电刺激治疗中风后偏瘫
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9
Cranioplasty using custom-made hydroxyapatite versus titanium: a randomized clinical trial.使用定制羟基磷灰石与钛进行颅骨修复术:一项随机临床试验。
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10
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一种用于优化嵌入颅骨或损伤后使用的人工颅骨替代物中的电极的试验台。

A testbed for optimizing electrodes embedded in the skull or in artificial skull replacement pieces used after injury.

作者信息

Jiang JingLe, Marathe Amar R, Keene Jennifer C, Taylor Dawn M

机构信息

Department of Neurosciences, The Cleveland Clinic, Cleveland, OH 44195, United States; Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, United States; Cleveland Functional Electrical Stimulation (FES) Center of Excellence, Louis Stokes VA Medical Center, Cleveland, OH 44106, United States.

Department of Neurosciences, The Cleveland Clinic, Cleveland, OH 44195, United States; Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, United States; Cleveland Functional Electrical Stimulation (FES) Center of Excellence, Louis Stokes VA Medical Center, Cleveland, OH 44106, United States; Human Research and Engineering Directorate, US Army Research Laboratory, Aberdeen Proving Ground, MD 21005, United States.

出版信息

J Neurosci Methods. 2017 Feb 1;277:21-29. doi: 10.1016/j.jneumeth.2016.12.005. Epub 2016 Dec 12.

DOI:10.1016/j.jneumeth.2016.12.005
PMID:27979758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5253247/
Abstract

BACKGROUND

Custom-fitted skull replacement pieces are often used after a head injury or surgery to replace damaged bone. Chronic brain recordings are beneficial after injury/surgery for monitoring brain health and seizure development. Embedding electrodes directly in these artificial skull replacement pieces would be a novel, low-risk way to perform chronic brain monitoring in these patients. Similarly, embedding electrodes directly in healthy skull would be a viable minimally-invasive option for many other neuroscience and neurotechnology applications requiring chronic brain recordings.

NEW METHOD

We demonstrate a preclinical testbed that can be used for refining electrode designs embedded in artificial skull replacement pieces or for embedding directly into the skull itself. Options are explored to increase the surface area of the contacts without increasing recording contact diameter to maximize recording resolution.

RESULTS

Embedding electrodes in real or artificial skull allows one to lower electrode impedance without increasing the recording contact diameter by making use of conductive channels that extend into the skull. The higher density of small contacts embedded in the artificial skull in this testbed enables one to optimize electrode spacing for use in real bone.

COMPARISON WITH EXISTING METHODS

For brain monitoring applications, skull-embedded electrodes fill a gap between electroencephalograms recorded on the scalp surface and the more invasive epidural or subdural electrode sheets.

CONCLUSIONS

Embedding electrodes into the skull or in skull replacement pieces may provide a safe, convenient, minimally-invasive alternative for chronic brain monitoring. The manufacturing methods described here will facilitate further testing of skull-embedded electrodes in animal models.

摘要

背景

定制的颅骨替代物常用于头部受伤或手术后,以替换受损的骨骼。受伤/手术后进行长期脑部记录有助于监测脑部健康和癫痫发展。将电极直接嵌入这些人工颅骨替代物中,将是对这些患者进行长期脑部监测的一种新颖、低风险的方法。同样,对于许多其他需要长期脑部记录的神经科学和神经技术应用而言,将电极直接嵌入健康颅骨将是一种可行的微创选择。

新方法

我们展示了一个临床前测试平台,可用于改进嵌入人工颅骨替代物中的电极设计,或直接嵌入颅骨本身。探索了在不增加记录接触直径的情况下增加接触表面积的方法,以最大限度地提高记录分辨率。

结果

将电极嵌入真实或人工颅骨中,可以利用延伸至颅骨内的导电通道,在不增加记录接触直径的情况下降低电极阻抗。该测试平台中嵌入人工颅骨的高密度小触点,能够优化电极间距,以便在真实骨骼中使用。

与现有方法的比较

对于脑部监测应用,颅骨嵌入电极填补了头皮表面记录的脑电图与侵入性更强的硬膜外或硬膜下电极片之间的空白。

结论

将电极嵌入颅骨或颅骨替代物中,可能为长期脑部监测提供一种安全、便捷、微创的替代方法。本文所述的制造方法将有助于在动物模型中进一步测试颅骨嵌入电极。