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External trial deep brain stimulation device for the application of desynchronizing stimulation techniques

C Hauptmann1, J-C Roulet2, J J Niederhauser2, W Döll2, M E Kirlangic1,3, B Lysyansky1, V Krachkovskyi1, M A Bhatti4, U B Barnikol1,3, L Sasse5, C P Bührle3, E-J Speckmann5, M Götz4, V Sturm3, H-J Freund1, U Schnell2 and P A Tass1,3,6

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In the past decade deep brain stimulation (DBS)—the application of electrical stimulation to specific target structures via implanted depth electrodes—has become the standard treatment for medically refractory Parkinson's disease and essential tremor. These diseases are characterized by pathological synchronized neuronal activity in particular brain areas. We present an external trial DBS device capable of administering effectively desynchronizing stimulation techniques developed with methods from nonlinear dynamics and statistical physics according to a model-based approach. These techniques exploit either stochastic phase resetting principles or complex delayed-feedback mechanisms. We explain how these methods are implemented into a safe and user-friendly device.


PACS

87.80.-y Biophysical techniques (research methods)

87.19.R- Mechanical and electrical properties of tissues and organs

87.19.L- Neuroscience

87.19.X- Diseases

Subjects

Instrumentation and measurement

Medical physics

Biological physics

Dates

Issue 6 (December 2009)

Received 29 May 2009, accepted for publication 24 September 2009

Published 16 October 2009



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