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硬膜外电疗治疗癫痫。

Epidural Electrotherapy for Epilepsy.

机构信息

Department of Nano-Bioengineering, Incheon National University, Incheon, 22012, South Korea.

School of Electrical & Electronic Engineering, Yonsei University, Seoul, 03722, South Korea.

出版信息

Small. 2018 Jul;14(30):e1801732. doi: 10.1002/smll.201801732. Epub 2018 Jun 27.

DOI:10.1002/smll.201801732
PMID:29952144
Abstract

Penetrating electronics have been used for treating epilepsy, yet their therapeutic effects are debated largely due to the lack of a large-scale, real-time, and safe recording/stimulation. Here, the proposed technology integrates ultrathin epidural electronics into an electrocorticography array, therein simultaneously sampling brain signals in a large area for diagnostic purposes and delivering electrical pulses for treatment. The system is empirically tested to record the ictal-like activities of the thalamocortical network in vitro and in vivo using the epidural electronics. Also, it is newly demonstrated that the electronics selectively diminish epileptiform activities, but not normal signal transduction, in live animals. It is proposed that this technology heralds a new generation of diagnostic and therapeutic brain-machine interfaces. Such an electronic system can be applicable for several brain diseases such as tinnitus, Parkinson's disease, Huntington's disease, depression, and schizophrenia.

摘要

穿透式电子设备已被用于治疗癫痫,但由于缺乏大规模、实时和安全的记录/刺激,其治疗效果仍存在争议。在这里,所提出的技术将超轻薄的硬膜外电子设备集成到脑电图阵列中,以便同时在大面积范围内进行诊断目的的脑信号采样和传递电脉冲进行治疗。该系统经过实证测试,使用硬膜外电子设备在体外和体内记录丘脑皮质网络的类似癫痫发作活动。此外,新的研究表明,该电子设备可选择性地减少活体动物中的癫痫样活动,而不会影响正常的信号转导。据提议,该技术预示着新一代诊断和治疗性脑机接口的出现。这种电子系统可适用于多种脑部疾病,如耳鸣、帕金森病、亨廷顿病、抑郁症和精神分裂症等。

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1
Epidural Electrotherapy for Epilepsy.硬膜外电疗治疗癫痫。
Small. 2018 Jul;14(30):e1801732. doi: 10.1002/smll.201801732. Epub 2018 Jun 27.
2
Portable wireless electrocorticography system with a flexible microelectrodes array for epilepsy treatment.便携式无线脑电系统,带有用于癫痫治疗的柔性微电极阵列。
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In vivo modulation of hippocampal epileptiform activity with radial electric fields.利用径向电场对海马癫痫样活动进行体内调节。
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Simultaneous surface and depth neural activity recording with graphene transistor-based dual-modality probes.基于石墨烯晶体管的双模探针的表面和深度神经活动的同步记录。
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Brain stimulation as a neuromodulatory epilepsy therapy.脑刺激作为一种神经调节性癫痫治疗方法。
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Bioelectronic neural pixel: Chemical stimulation and electrical sensing at the same site.生物电子神经像素:同一部位的化学刺激与电传感
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Chronic unlimited recording electrocorticography-guided resective epilepsy surgery: technology-enabled enhanced fidelity in seizure focus localization with improved surgical efficacy.慢性无限期记录皮层脑电图引导下的切除性癫痫手术:技术助力提高癫痫病灶定位的准确性并提升手术疗效。
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[Novel electrophysiological approaches to clinical epilepsy: diagnosis and treatment].[临床癫痫的新型电生理方法:诊断与治疗]
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