Computer-controlled electrical stimulation for quantitative mapping of human cortical function

2009 ◽  
Vol 110 (6) ◽  
pp. 1300-1303 ◽  
Author(s):  
Mario F. Dulay ◽  
Dona K. Murphey ◽  
Ping Sun ◽  
Yadin B. David ◽  
John H. R. Maunsell ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Detection Threshold ◽  
Electrical Current ◽  
Controlled Delivery ◽  
Cortical Mapping ◽  
Cortical Function ◽  
Quantitative Mapping ◽  
Neurosurgical Patients ◽  
Discrete Area ◽  
Computer Controlled

Cortical mapping with electrical stimulation (ES) in neurosurgical patients typically involves the manually controlled delivery of suprathreshold electrical current to a discrete area of the brain. Limited numbers of trials and imprecise current delivery methods increase the variability of the behavioral response and make it difficult to collect quantitative mapping data, which is especially important in research studies of human cortical function. To overcome these limitations, the authors developed a method for computer-controlled delivery of defined electrical current to implanted intracranial electrodes. They demonstrate that stimulation can be time locked to a behavioral task to rapidly and systematically measure the detection threshold for ES in human visual cortex over many trials. Computer-controlled ES is well suited for the systematic and quantitative study of the function of virtually any region of cerebral cortex. It may be especially useful for studying human cortical regions that are not well characterized and for verifying the presence of stimulation-evoked percepts that are difficult to objectively confirm.

Transcranial Electrical and Magnetic Stimulation

2017 ◽  
Author(s):  
Alexander Rotenberg ◽  
Alvaro Pascual-Leone ◽  
Alan D. Legatt
Keyword(s):  
Electrical Stimulation ◽  
Direct Current ◽  
Action Potentials ◽  
Magnetic Stimulation ◽  
Cortical Excitability ◽  
Electrical Current ◽  
Cortical Mapping ◽  
Transcranial Electrical Stimulation ◽  
Advanced Stages ◽  
Low Amplitude

Noninvasive magnetic and electrical stimulation of cerebral cortex is an evolving field. The most widely used variant, transcranial electrical stimulation (TES), is routinely used for intraoperative monitoring. Transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are emerging as clinical and experimental tools. TMS has gained wide acceptance in extraoperative functional cortical mapping. TES and TMS rely on pulsatile stimulation with electrical current intensities sufficient to trigger action potentials within the stimulated cortical volume. tDCS, in contrast, is based on neuromodulatory effects of very-low-amplitude direct current conducted through the scalp. tDCS and TMS, particularly when applied in repetitive trains, can modulate cortical excitability for prolonged periods and thus are either in active clinical use or in advanced stages of clinical trials for common neurological and psychiatric disorders such as major depression and epilepsy. This chapter summarizes physiologic principles of transcranial stimulation and clinical applications of these techniques.

scholarly journals Modulation of Human Mesenchymal Stem Cells by Electrical Stimulation Using an Enzymatic Biofuel Cell

Catalysts ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 62
Author(s):  
Won-Yong Jeon ◽  
Seyoung Mun ◽  
Wei Beng Ng ◽  
Keunsoo Kang ◽  
Kyudong Han ◽  
...  
Keyword(s):  
Gene Expression ◽  
Stem Cells ◽  
Mesenchymal Stem Cells ◽  
Electrical Stimulation ◽  
Regenerative Medicine ◽  
Cell Morphology ◽  
Electrical Current ◽  
Specific Gene ◽  
Next Generation ◽  
The Impact

Enzymatic biofuel cells (EBFCs) have excellent potential as components in bioelectronic devices, especially as active biointerfaces to regulate stem cell behavior for regenerative medicine applications. However, it remains unclear to what extent EBFC-generated electrical stimulation can regulate the functional behavior of human adipose-derived mesenchymal stem cells (hAD-MSCs) at the morphological and gene expression levels. Herein, we investigated the effect of EBFC-generated electrical stimulation on hAD-MSC cell morphology and gene expression using next-generation RNA sequencing. We tested three different electrical currents, 127 ± 9, 248 ± 15, and 598 ± 75 nA/cm2, in mesenchymal stem cells. We performed transcriptome profiling to analyze the impact of EBFC-derived electrical current on gene expression using next generation sequencing (NGS). We also observed changes in cytoskeleton arrangement and analyzed gene expression that depends on the electrical stimulation. The electrical stimulation of EBFC changes cell morphology through cytoskeleton re-arrangement. In particular, the results of whole transcriptome NGS showed that specific gene clusters were up- or down-regulated depending on the magnitude of applied electrical current of EBFC. In conclusion, this study demonstrates that EBFC-generated electrical stimulation can influence the morphological and gene expression properties of stem cells; such capabilities can be useful for regenerative medicine applications such as bioelectronic devices.

scholarly journals Tenderness of the Skin after Chemical Stimulation of Underlying Temporal and Thoracolumbar Fasciae Reveals Somatosensory Crosstalk between Superficial and Deep Tissues

Life ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 370
Author(s):  
Walter Magerl ◽  
Emanuela Thalacker ◽  
Simon Vogel ◽  
Robert Schleip ◽  
Thomas Klein ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Hypertonic Saline ◽  
Detection Threshold ◽  
Constant Current ◽  
Iliotibial Band ◽  
Deep Tissue ◽  
Test Parameter ◽  
Temporal Fascia ◽  
Sufficient Stimulus ◽  
Stimulation Of

Musculoskeletal pain is often associated with pain referred to adjacent areas or skin. So far, no study has analyzed the somatosensory changes of the skin after the stimulation of different underlying fasciae. The current study aimed to investigate heterotopic somatosensory crosstalk between deep tissue (muscle or fascia) and superficial tissue (skin) using two established models of deep tissue pain (namely focal high frequency electrical stimulation (HFS) (100 pulses of constant current electrical stimulation at 10× detection threshold) or the injection of hypertonic saline in stimulus locations as verified using ultrasound). In a methodological pilot experiment in the TLF, different injection volumes of hypertonic saline (50–800 µL) revealed that small injection volumes were most suitable, as they elicited sufficient pain but avoided the complication of the numbing pinprick sensitivity encountered after the injection of a very large volume (800 µL), particularly following muscle injections. The testing of fascia at different body sites revealed that 100 µL of hypertonic saline in the temporal fascia and TLF elicited significant pinprick hyperalgesia in the overlying skin (–26.2% and –23.5% adjusted threshold reduction, p < 0.001 and p < 0.05, respectively), but not the trapezius fascia or iliotibial band. Notably, both estimates of hyperalgesia were significantly correlated (r = 0.61, p < 0.005). Comprehensive somatosensory testing (DFNS standard) revealed that no test parameter was changed significantly following electrical HFS. The experiments demonstrated that fascia stimulation at a sufficient stimulus intensity elicited significant across-tissue facilitation to pinprick stimulation (referred hyperalgesia), a hallmark sign of nociceptive central sensitization.

Intraligamentary and Supraperiosteal Anesthesia Efficacy Using a Computer Controlled Delivery System in Mandibular Molars

2016 ◽  
Vol 40 (3) ◽  
pp. 193-199 ◽  
Author(s):  
Ülkü Şermet Elbay ◽  
Mesut Elbay ◽  
Emine Kaya ◽  
Ülkem Cilasun
Keyword(s):  
Postoperative Complications ◽  
Delivery System ◽  
Rating Scale ◽  
Needle Insertion ◽  
Controlled Delivery ◽  
Restorative Treatment ◽  
Randomized Controlled ◽  
Mandibular Molars ◽  
Computer Controlled ◽  
Pain Rating Scale

Purpose: The purpose of this study was to compare pain, efficacy and postoperative complications of anesthesia in first primary mandibular molars anesthetized with either intraligamentary (IL) or supraperiosteal (SP) anesthesia using a computer-controlled delivery system (CCDS). Study design: This randomized, controlled-crossover, blind clinical trial was conducted with 90 children requiring bilateral extraction, pulpotomy or restorative treatment of first mandibular primary molars. A CCDS was used to deliver IL anesthesia to 1 deciduous tooth and SP anesthesia to the contralateral tooth in each patient. Severity of pain and efficacy of anesthesia during the treatments were evaluated using the Wong-Baker Faces Pain Rating Scale (PRS) and comfort and side effects were assessed using post-injection and post-treatment questionnaires. Data were analyzed using χ2 and Mann-Whitney U tests. Results: According to PRS scores, pain levels during extraction were significantly higher with IL when compared to SP. Patients reported significantly less pain during needle insertion with SP when compared to IL; however, rates of postoperative complications were significantly higher with SP when compared to IL. Conclusions: CCDS-administered IL anesthesia and SP anesthesia were similarly effective when used during restorative treatment and pulpotomy of primary mandibular molars; however, SP was more effective than IL when used during extraction procedures.

Electromyography-Based Functional Electrical Stimulation (FES) in Rehabilitation

2020 ◽  
pp. 833-851
Author(s):  
Poulami Ghosh ◽  
Ankita Mazumder ◽  
Anwesha Banerjee ◽  
D.N. Tibarewala
Keyword(s):  
Spinal Cord ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Muscle Activity ◽  
Small Amplitude ◽  
Electrical Current ◽  
Metabolic Responses ◽  
Stroke Patients ◽  
Cord Injury ◽  
The Brain

Loss or impairment in the ability of muscle movement or sensation is called Paralysis which is caused by disruption of communication of nerve impulses along the pathway from the brain to the muscles. One of the principal reasons causing paralysis is Spinal Cord Injury (SCI) and Neurological rehabilitation by using neuro-prostheses, based on Functional Electrical Stimulation (FES) is extensively used for its treatment. Impaired muscles are activated by applying small amplitude electrical current. Electromyography (EMG), the recording of biosignals generated by muscle activity during the application of FES can be used as the control signal for FES based rehabilitative devices. This method is predominantly used for restoring upper extremity functioning (wrist, hand, elbow, etc.), standing, walking (speed, pattern) in stroke patients. FES, collaborated with conventional methods, has the potential to be utilized as a useful tool for rehabilitation and restoration of muscle strength, metabolic responses etc. in paralyzed patients.

Magnetically Evoked Facial Nerve Potential

1989 ◽  
Vol 100 (4) ◽  
pp. 345-347 ◽  
Author(s):  
Ian M. Windmill ◽  
Serge A. Martinez ◽  
Christopher B. Shields ◽  
Markku Paloheimo
Keyword(s):  
Electrical Stimulation ◽  
Facial Nerve ◽  
Nerve Stimulation ◽  
Magnetic Stimulation ◽  
Electrical Current ◽  
Facial Muscle ◽  
Facial Nerve Stimulation ◽  
Muscle Responses ◽  
Stimulation Of

Facial nerve stimulation by electrical current is painful and tends to discourage serial studies. Transcutaneous magnetic stimulation of the facial nerve is painless, easily reproducible, and elicits facial muscle responses identical to electrical stimulation.

scholarly journals Precentral Knob Corresponds to the Primary Motor and Premotor Area

2009 ◽  
Vol 36 (2) ◽  
pp. 227-233 ◽  
Author(s):  
N. Shinoura ◽  
Y. Suzuki ◽  
R. Yamada ◽  
Y. Tabei ◽  
K. Saito ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Electrical Stimulation ◽  
Awake Surgery ◽  
Cortical Mapping ◽  
Resonance Imaging ◽  
Primary Motor Area ◽  
Unaffected Side ◽  
Premotor Area ◽  
Anatomical Localization ◽  
Neurological Change

Purpose:Cortical mapping during awake surgery assesses intraoperative neurological change in response to electrical stimulation to provide direct information regarding the anatomical localization of the primary motor area (M1). The goal of the present study was to analyze the reliability of the identification of the precentral knob in the axial image of magnetic resonance imaging or functional MRI (fMRI) for the detection of M1.Materials and Methods:Among patients with brain tumors within or near M1 in whom awake surgery was employed from April 2004 through March 2007, 14 cases were analyzed in which either the M1 or premotor area (PMA) was successfully detected by mapping during awake surgery.Results:The precentral knob was localized to the PMA in 4 cases and to M1 in 10 cases. By contrast, the gyrus activated by hand clenching in fMRI on the affected side at least partially corresponded to M1 in all cases, while those on the unaffected side corresponded to M1 in 12 of 12 cases.Conclusion:These results indicate that the precentral knob corresponds to PMA as well as to M1, whereas the gyrus activated in fMRI corresponds to M1 on the affected and unaffected side.

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