4.3 Article

The Effect of Spinal Cord Stimulation on Epileptic Seizures

Journal

NEUROMODULATION
Volume 19, Issue 2, Pages 154-160

Publisher

WILEY
DOI: 10.1111/ner.12362

Keywords

Epidural; epilepsy; pentylenetetrazole; spike-and-wave seizures; spinal cord stimulation

Funding

  1. China Scholarship Council [2011617177]

Ask authors/readers for more resources

ObjectiveSpinal cord stimulation (SCS) has been applied to relieve chronic pain for decades. Recent studies suggested that SCS also might alleviate epileptic seizures, but the most effective stimulation parameters are not known. The objective of this work was to investigate the role of SCS frequency in alleviating spike-and-wave (SW) discharges induced in rats by pentylenetetrazole (PTZ) infusion. Materials and MethodsThe SW discharges were induced in nine rats. An epidural electrode was placed in the spinal canal at the cervical level. SCS was delivered at four frequencies (30, 80, 130 and 180Hz) and compared with control intervals without stimulation. The effect was evaluated by analyzing electrocorticographic and intracortical (IC) signals. The means of normalized SW spike power (mSP) and frequency (mSF) were derived from the IC recordings and used to estimate the seizure severity. ResultsCompared with the control intervals, SCS conducted at 30Hz significantly increased the mSP and mSF indicating an increase of the SW spiking activity; 80Hz did not induce significant changes of the features. In contrast, 130- and 180-Hz SCS reduced both mSP and mSF significantly indicating a reduction of the SW spiking activity. ConclusionsThe present results showed that 130-Hz and 180-Hz SCS reduced the SWs power and frequency which may indicate an anticonvulsive effect of these SCS frequencies, whereas 30-Hz SCS induced the opposite effects and, therefore, may be proconvulsive.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Engineering, Biomedical

Short-Term Suppression of Somatosensory Evoked Potentials and Perceived Sensations in Healthy Subjects Following TENS

Ali Asghar Zarei, Armita Faghani Jadidi, Eugen Romulus Lontis, Winnie Jensen

Summary: TENS has been reported to alleviate pain by cortical inhibition, and high-frequency TENS intervention significantly suppresses cortical activity and reduces the intensity and area size of perceived sensations.

IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING (2021)

Review Veterinary Sciences

A systematic review of porcine models in translational pain research

Suzan Meijs, Martin Schmelz, Sigal Meilin, Winnie Jensen

Summary: The authors reviewed and compared available pig models in pain research, as well as different pain assessment methods used in pigs and humans. Despite the overlap in assessment methodologies, further development is needed for objective pain assessment methods in both species.

LAB ANIMAL (2021)

Article Chemistry, Analytical

The Use of the Velocity Selective Recording Technique to Reveal the Excitation Properties of the Ulnar Nerve in Pigs

Felipe Rettore Andreis, Benjamin Metcalfe, Taha Al Muhammadee Janjua, Winnie Jensen, Suzan Meijs, Thomas Gomes Norgaard dos Santos Nielsen

Summary: The VSR technique can improve the classification of neural traffic and enhance the performance of neural prostheses and bioelectronic medicine applications.

SENSORS (2022)

Article Neurosciences

The effect of peripheral high-frequency electrical stimulation on the primary somatosensory cortex in pigs

Taha Al Muhammadee Janjua, Thomas Gomes Norgaard dos Santos Nielsen, Felipe Rettore Andreis, Suzan Meijs, Winnie Jensen

Summary: This study successfully utilized Danish Landrace pigs as subjects for the LTP-like pain model, demonstrating the impact of HFS on the cortical response in S1. The results indicate that this pain model can be effectively implemented in pigs.

IBRO NEUROSCIENCE REPORTS (2021)

Article Engineering, Biomedical

Gamma-band enhancement of functional brain connectivity following transcutaneous electrical nerve stimulation

Ali Asghar Zarei, Winnie Jensen, Armita Faghani Jadidi, Eugen Romulus Lontis, S. Farokh Atashzar

Summary: This study investigated the effect of high-frequency TENS on functional brain network connectivity and corresponding topographical changes. The results showed that the FC between the primary somatosensory cortex and the anterior cingulate cortex, as well as the FC between the somatosensory cortex and the medial prefrontal cortex, significantly increased in the gamma-band after TENS intervention. Significant changes in global and local characteristics of functional brain connectivity in the gamma-band were also observed using graph theory.

JOURNAL OF NEURAL ENGINEERING (2022)

Article Neurosciences

Effect of Modulated TENS on Corticospinal Excitability in Healthy Subjects

Armita Faghani Jadidi, Andrew James Thomas Stevenson, Ali Asghar Zarei, Winnie Jensen, Romulus Lontis

Summary: Transcutaneous electrical nerve stimulation (TENS) has been reported to effectively alleviate chronic pain, including phantom limb pain (PLP). The study focuses on the effects of modulated TENS patterns on corticospinal and motor cortex activity, and finds that these patterns can enhance excitability and increase the volume of the motor cortical map.

NEUROSCIENCE (2022)

Article Chemistry, Multidisciplinary

Geometric Characterization of Local Changes in Tungsten Microneedle Tips after In-Vivo Insertion into Peripheral Nerves

Pier Nicola Sergi, Winnie Jensen, Ken Yoshida

Summary: This study investigated the changes in the tip shape of microneedles after insertion into peripheral nerves. The interaction between peripheral nerves and tungsten microneedles was quantified using the Oliver-Pharr formula, and it was found that the interaction force was directly proportional to the power of the normalized indentation depth. Experimental correlations between insertion force and the opening tip angle were described, and the minimum diameter for effective puncture of peripheral nervous tissue was assessed. A computational framework was also presented to describe the local changes affecting the microneedles' tip shape.

APPLIED SCIENCES-BASEL (2022)

Article Engineering, Biomedical

Alteration in Cortical Activity and Perceived Sensation Following Modulated TENS

Armita Faghani Jadidi, Winnie Jensen, Ali Asghar Zarei, Eugen Romulus Lontis

Summary: Conventional TENS has been used for chronic pain relief, including PLP. However, there is increasing interest in alternative temporal stimulation patterns such as PWM. This study investigated the cortical modulation by PWM TENS for the first time and compared it to conventional TENS. The results suggest that PWM TENS may be a potential therapeutic intervention for PLP reduction.

IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING (2023)

Article Anatomy & Morphology

Morphology and morphometry of the ulnar nerve in the forelimb of pigs

Felipe Rettore Andreis, Benjamin Metcalfe, Taha Al Muhammadee Janjua, Valeria Paula Sassoli Fazan, Winnie Jensen, Suzan Meijs, Thomas Gomes Norgaard dos Santos Nielsen

Summary: This study investigated the morphological characteristics of the Ulnar Nerve (UN) in pigs and found that the proximal segment of the UN had a larger diameter and a higher number of fascicles compared to the distal segment and the dorsal cutaneous branch (DCBUN). Additionally, the mean fascicle diameter was smaller at the DCBUN compared to the other segments.

ANATOMIA HISTOLOGIA EMBRYOLOGIA (2023)

Article Neurosciences

From pulse width modulated TENS to cortical modulation: based on EEG functional connectivity analysis

Armita Faghani Jadidi, Winnie Jensen, Ali Asghar Zarei, Eugen Romulus Lontis, S. Farokh Atashzar

Summary: By recording cortical activity using EEG from 12 healthy subjects, this study investigated the effects of PWM TENS on cortical network connectivity. The results showed that PWM TENS had better pain-alleviating effects compared to conventional TENS, supporting its potential as a therapeutic intervention in clinical research.

FRONTIERS IN NEUROSCIENCE (2023)

Proceedings Paper Computer Science, Artificial Intelligence

Modulation of Intracortical S1 Responses Following Peripheral Nerve High-Frequency Electrical Stimulation in Danish Landrace Pigs

Taha Al Muhammadee Janjua, Thomas Gomes Norgaard dos Santos Nielsen, Felipe Rettore Andreis, Suzan Meijs, Winnie Jensen

Summary: This study investigated changes in the spike activity in the primary somatosensory cortex of Danish landrace pigs in response to LTP-like neuroplasticity induced by high-frequency electrical stimulation. The results showed a significant increase in cortical excitability after intervention, highlighting the potential for developing a translational, large-animal model of LTP-like pain.

2023 11TH INTERNATIONAL IEEE/EMBS CONFERENCE ON NEURAL ENGINEERING, NER (2023)

Proceedings Paper Computer Science, Artificial Intelligence

First Demonstration of Nociceptive and Non-Nociceptive Responses from Spinal Neurons in a Porcine Model

Suzan Meijs, Carsten Reidies Bjarkam, Felipe Rettore Andreis, Winnie Jensen

Summary: We developed a method to record spinal neuron activity in pigs and found that most activity was recorded at the C7 level. The response of the neurons differed based on the depth of the neural signal, opening new possibilities for studying pain and other spinal mechanisms.

2023 11TH INTERNATIONAL IEEE/EMBS CONFERENCE ON NEURAL ENGINEERING, NER (2023)

Proceedings Paper Computer Science, Artificial Intelligence

On the Relationship Between Fascicle Diameter and Perineurium Thickness in the Ulnar Nerve of Pigs

Felipe Rettore Andreis, Benjamin Metcalfe, Taha Al Muhammadee Janjua, Valeria Paula Sassoli Fazan, Winnie Jensen, Suzan Meijs, Thomas Gomes Norgaard dos Santos Nielsen

Summary: This study measured the perineurium thickness in the ulnar nerve of pigs and found that the thickness was influenced by the location of the nerve section. Equations were provided to estimate the perineurium thickness based on the fascicle diameter, which can be used to develop more realistic peripheral nerve models and improve the selectivity and reliability of neural interfaces.

2023 11TH INTERNATIONAL IEEE/EMBS CONFERENCE ON NEURAL ENGINEERING, NER (2023)

Article Clinical Neurology

On determining the mechanical nociceptive threshold in pigs: a reliability study

Felipe Rettore Andreis, Carsten Dahl Morch, Winnie Jensen, Suzan Meijs

Summary: This study evaluated the reliability of measuring the mechanical nociceptive threshold (MNT) in the forelimb of pigs using a pressure algometer. The results showed that the relative reliability between sessions was 0.71 and within-session was 0.45. The absolute reliability (SEM and CV) was assessed to be 19.1%, with an average SEM of 249.5 kPa. These findings support the use of the pressure algometer as a valuable tool to investigate the nociceptive system in pigs.

FRONTIERS IN PAIN RESEARCH (2023)

Article Neurosciences

Differences in intracortical responses following non-noxious and noxious stimulation in anaesthetized rats

L. E. D. Lykholt, C. D. Morch, W. Jensen

Summary: This study aimed to investigate the possibility of distinguishing between non-noxious and noxious cortical responses with two different types of anesthesia. The results showed that it was possible to differentiate between different levels of stimulation intensities based on specific features in one type of anesthesia.

BRAIN RESEARCH (2023)

No Data Available