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用于抑制癫痫发作的局灶性脑冷却系统设计

Design of focal brain cooling system for suppressing epileptic seizures.

作者信息

Hata Kei, Fujiwara Koichi, Kano Manabu, Inoue Takao, Nomura Sadahiro, Imoto Hirochika, Suzuki Michiyasu

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:283-286. doi: 10.1109/EMBC.2017.8036817.

DOI:10.1109/EMBC.2017.8036817
PMID:29059865
Abstract

Epilepsy is a group of diseases caused by excessive neuronal activities, and one-quarter of the patients do not become seizure-free by the existing treatments. The potential treatments include focal brain cooling, which aims to cool the region where the excessive neuronal activities begin. We are developing a focal brain cooling system. The system delivers cold saline to a cranially implanted cooling device. The outflow is cooled by a Peltier device and pumped for circulation. The Peltier device and the pump are activated only when a seizure is predicted. In this research, the length of time for cooling the brain was calculated with a computational fluid dynamics (CFD)-based model of the focal brain cooling system. As a result, it takes less than 10 minutes for the average temperature 2 mm below the cooling device to reach 25.0 °C. It is much shorter than the time from seizure prediction to seizure onset when an existing algorithm for prediction is used.

摘要

癫痫是一组由神经元活动过度引起的疾病,现有治疗方法无法使四分之一的患者停止发作。潜在的治疗方法包括局灶性脑冷却,其目的是冷却神经元活动过度开始的区域。我们正在开发一种局灶性脑冷却系统。该系统将冷盐水输送到植入颅骨的冷却装置。流出物由珀耳帖装置冷却并泵送循环。珀耳帖装置和泵仅在预测到癫痫发作时才启动。在这项研究中,使用基于计算流体动力学(CFD)的局灶性脑冷却系统模型计算了冷却大脑的时间长度。结果,冷却装置下方2毫米处的平均温度达到25.0°C所需时间不到10分钟。这比使用现有预测算法从癫痫发作预测到发作开始的时间要短得多。

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Design of focal brain cooling system for suppressing epileptic seizures.用于抑制癫痫发作的局灶性脑冷却系统设计
Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:283-286. doi: 10.1109/EMBC.2017.8036817.
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Epileptic Seizure Suppression by Focal Brain Cooling With Recirculating Coolant Cooling System: Modeling and Simulation.局部脑冷却的复流冷却系统抑制癫痫发作:建模与仿真。
IEEE Trans Neural Syst Rehabil Eng. 2019 Feb;27(2):162-171. doi: 10.1109/TNSRE.2019.2891090. Epub 2019 Jan 7.
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Neocortical seizure termination by focal cooling: temperature dependence and automated seizure detection.通过局灶性冷却终止新皮层癫痫发作:温度依赖性和癫痫发作自动检测
Epilepsia. 2002 Mar;43(3):240-5. doi: 10.1046/j.1528-1157.2002.33301.x.
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Rapid focal cooling attenuates cortical seizures in a primate epilepsy model.快速局部冷却可减轻灵长类癫痫模型中的皮质癫痫发作。
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Rapid cooling aborts seizure-like activity in rodent hippocampal-entorhinal slices.快速冷却可终止啮齿动物海马-内嗅皮层切片中的癫痫样活动。
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Focal cooling rapidly terminates experimental neocortical seizures.局部冷却可迅速终止实验性新皮质癫痫发作。
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Feasibility of focal brain cooling for partial epilepsy with secondary generalization: A computational study.局灶性脑冷却治疗继发全面性发作的部分性癫痫的可行性:一项计算研究。
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Cooling of the epileptic focus suppresses seizures with minimal influence on neurologic functions.冷却癫痫病灶可抑制癫痫发作,对神经功能的影响最小。
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Effective suppression of hippocampal seizures in rats by direct hippocampal cooling with a Peltier chip.利用珀耳帖芯片直接冷却海马体有效抑制大鼠海马体癫痫发作。
J Neurosurg. 2008 Apr;108(4):791-7. doi: 10.3171/JNS/2008/108/4/0791.

引用本文的文献

1
Focal Cooling for Drug-Resistant Epilepsy: A Review.局部冷却治疗耐药性癫痫:综述。
JAMA Neurol. 2022 Sep 1;79(9):937-944. doi: 10.1001/jamaneurol.2022.1936.
2
A focal brain-cooling device as an alternative to electrical stimulation for language mapping during awake craniotomy: patient series.一种局灶性脑冷却装置,作为清醒开颅手术期间语言映射的电刺激替代方法:病例系列
J Neurosurg Case Lessons. 2021 Jul 12;2(2):CASE21131. doi: 10.3171/CASE21131.