• 제목/요약/키워드: brain stimulation

검색결과 473건 처리시간 0.024초

Phrenic Nerve Stimulation for Diaphragm Pacing in a Quadriplegic Patient

  • Son, Byung-Chul;Kim, Deog-Ryung;Kim, Il-Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • 제54권4호
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    • pp.359-362
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    • 2013
  • Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent nosocomial pneumonia, and prolonged hospitalization. Diaphragm pacing through electrical stimulation of the phrenic nerve is an established treatment for central hypoventilation syndrome. We performed chronic phrenic nerve stimulation for diaphragm pacing with the spinal cord stimulator for pain control in a quadriplegic patient with central apnea due to complete spinal cord injury at the level of C2 from cervical epidural hematoma. After diaphragmatic pacing, the patient who was completely dependent on the mechanical ventilator could ambulate up to three hours every day without aid of mechanical ventilation during the 12 months of follow-up. Diaphragm pacing through unilateral phrenic nerve stimulation with spinal cord stimulator was feasible in an apneic patient with complete quadriplegia who was completely dependent on mechanical ventilation. Diaphragm pacing with the spinal cord stimulator is feasible and effective for the treatment of the central hypoventilation syndrome.

A Study on the Effects of Needle Electrode Electrical Stimulation on the Number of c-Fos Response Cells and c-Fos Expression in the Global Ischemic Rats

  • Kim, Sung Won;Song, Young Wha;Lee, Jung Sook
    • 국제물리치료학회지
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    • 제7권2호
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    • pp.1031-1036
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    • 2016
  • c-Fos is known to related to synaptic plasticity and apoptosis in damage from ischemia or external injury. The purpose of this study was to investigate whether needle electrode electrical stimulation(NEES) is effective in increasing the number of c-Fos response cells and c-Fos expression in striatum after global ischemia in rats. There were no treatment and occlusion in the control group, global ischemia(GI) group were no treatment after carotid artery occlusion, and needle electrode electrical stimulation(NEES) group were treated with NEES after GI induced. The number of striatum c-Fos response cells and c-Fos protein expression significantly decreased in the NEES group compared to the GI group after 12, 24, 48 hours. The results of the present study suggest that NEES is ineffective in improving global ischemia in rats and may also be ineffective in the globally ischemic human brain.

The Present and Future of Vagus Nerve Stimulation

  • Yang, Jeyul;Phi, Ji Hoon
    • Journal of Korean Neurosurgical Society
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    • 제62권3호
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    • pp.344-352
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    • 2019
  • Epilepsy is one of the major chronic neurological diseases affecting many patients. Resection surgery is the most effective therapy for medically intractable epilepsy, but it is not feasible in all patients. Vagus nerve stimulation (VNS) is an adjunctive neuromodulation therapy that was approved in 1997 for the alleviation of seizures; however, efforts to control epilepsy by stimulating the vagus nerve have been studied for over 100 years. Although its exact mechanism is still under investigation, VNS is thought to affect various brain areas. Hence, VNS has a wide indication for various intractable epileptic syndromes and epilepsy-related comorbidities. Moreover, recent studies have shown anti-inflammatory effects of VNS, and the indication is expanding beyond epilepsy to rheumatoid arthritis, chronic headaches, and depression. VNS yields a more than 50% reduction in seizures in approximately 60% of recipients, with an increase in reduction rates as the follow-up duration increases. The complication rate of VNS is 3-6%, and infection is the most important complication to consider. However, revision surgery was reported to be feasible and safe with appropriate measures. Recently, noninvasive VNS (nVNS) has been introduced, which can be performed transcutaneously without implantation surgery. Although more clinical trials are being conducted, nVNS can reduce the risk of infection and subsequent device failure. In conclusion, VNS has been demonstrated to be beneficial and effective in the treatment of epilepsy and various diseases, and more development is expected in the future.

전침자극이 Spontaneously Hypertensive Rat의 대뇌겉질, 뇌줄기, 소뇌 부위의 Nitric Oxide Synthase 신경세포에 미치는 영향 (Difference in NOS between 2 Hz and 100 Hz EA in cerebral cortex, brain stem and cerebellum of spontaneously hypertensive rats)

  • 김종인;김용석;김창환
    • Journal of Acupuncture Research
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    • 제18권4호
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    • pp.116-124
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    • 2001
  • Background and Objetive : The aim of this study was to investigate the effect of various electroacupuncture stimulation on NADPH-diaphorase in cerebral cortex, brain stem, cerebellum of spontaneously hypertensive rats. Materials and Methods : We evaluated the changes of NADPH-d-positive neurons using a histochemical method. The staining intensity of NADPH-d-positive neurons was assessed in a quantitative fashion using a microdensitometrical method based on optical density by means of an image analyzer. Results and Conculsion : The average optical density of NADPH-d-positive neurons of 100 Hz (bipolar square wave 0.2 ms duration and 100 Hz frequency) electroacupuncture treatment group significantly increased in most cortical areas comparison between the manual acupuncture and 2 Hz (bipolar square wave 0.2 ms duration and 2 Hz frequency) electroacupuncture groups. In the brain stem, the optical density of NADPH-d-positive neuron at only superficial gray layer of the superior colliculus area was same as cerebral cortex. We conclude that the morphological evidence for NADPH-d-positive neurons may be have regional change in cerebral cortex brain stem and cerebellum according to various electroacupuncture stimulations.

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A Study of Driver Brain Wave Characteristics through Changes in Headlamp Brightness

  • Kim, Hyun-Ji;Kim, Hyun-Jin;Kim, Gi-Hoon;Lee, Chang-Mo;Kim, Hoon;An, Ok-Hee
    • 조명전기설비학회논문지
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    • 제21권9호
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    • pp.1-6
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    • 2007
  • In this study, tests of brain waves were carried out to investigate the physiological characteristics of drivers during a change of headlight brightness. The participants were 20 males in their 20s. Twenty-three different conditions combining the waveform of light, voltage, and alteration time were used. The measurement of brain waves was performed by an internationally standardized 10-20 method using LXE3232-RF. The results were as follows. 1. From the results of the brain wave map analysis, it was suggested that waveform A increases mental stress and waveform B affects mental and visual stress. The longer the stimulation time, the more stress level was detected. 2. The voltage alteration time of the B waveform should be kept to less than 1500msec, while the voltage should not fall below 11.5[V].

Central Nervous Pathway for Heating Pain and Acupuncture Stimulation: Localization of Processing with Functional MR Imaging of the Brain -Preliminary Experience

  • Yoon, Moon-Hyun;Choe, Bo-Young;Choi, Gi-Soon;Yoon, Sung-Ik;Woo, Dong-Cheol
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2005년도 제30회 춘계학술대회
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    • pp.89-92
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    • 2005
  • The effects of acupuncture are complex and how it works is not entirely clear. Research suggests that the needling process, and other modalities used in acupuncture, may produce their complex effects on a wide variety of ways in the brain and the body. For example, it is theorized that stimulated nerve fibers transmit signals to the spinal cord and brain, thus activating parts of what is called the central nervous system. The spinal cord and brain then release certain hormones responsible for making us feel better overall and, more specifically, feel less pain. In fact, a study using images of the brain confirmed that acupuncture increases our pain threshold, which may explain its ability to produce long-term pain relief. Also, acupuncture may increase blood circulation and body temperature. It may also affect white blood cell activity (responsible for our immune function).

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Effects of fragrance on brain activity

  • Lee, Koo-Hyoung;Kim, Dong-Yool;Jeong, So-Ra
    • 대한인간공학회지
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    • 제13권2호
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    • pp.43-48
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    • 1994
  • Among many kinds of odors, some are known to have effects of sedation or stimulation on brain activity. In this study, brain activity levels affected by four kinds of fragrance0lemon, lavender, jasmine, and rose-were tested using EEG recording. In the first experiment, the quality of alpha wave was examined under controlled rest condition. In the second experiment, the event-related potential (ERP) and contingent negative variation (CNV) were investigated during a simple reaction tasks (SRT) against auditory signal. EEG data obtained for the rest condition were analyzed suing "3-Dimensional Viewer)" which was developed by ourselves to show the chaotic attractor of the signal. Power spectrum were also calculated using FET. EEG data obtained during the SRT were analyzed by comparing CNV amplitudes about each odor condition. Results confirmed the sedative effect of the lemon and the lavender, and the stimulative effect of the jasmine and the rose.

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능동형 임플란터블 디바이스 기술동향: BCI 응용 중심 (Active Implantable Device Technology Trend: BCI Application Focus)

  • 이성규;변춘원;김이경;박형일
    • 전자통신동향분석
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    • 제32권6호
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    • pp.27-39
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    • 2017
  • A variety of medical devices are utilized to repair or help injured body functions after accidental injury(such as a traffic accident), population aging, or disease. Such medical devices are being actively researched and developed in portable form, skin patchable type, and further, implantable form. In the future, active implantable medical devices for neuro and brain sciences are expected to be developed. Active implantable medical devices that detect brain signals and control neurology for a wider understanding of human cognition and nerve functions, and for an understanding and treatment of various diseases, are being actively pursued for future use. In this paper, the core elements of implantable devices that can be applied to neuro and brain sciences are classified into electrode technologies for bio-signal acquisition and stimulation, analog/digital circuit technologies for signal processing, human body communication technologies, wireless power transmission technologies for continuous device use, and device integration technologies to integrate them. In each chapter, the latest technology development trends for each detailed technology field are reviewed.

Contribution of ERP/EEG Measurements for Monitoring of Neurological Disorders

  • Lamia Bouafif;Cherif Adnen
    • International Journal of Computer Science & Network Security
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    • 제24권6호
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    • pp.59-66
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    • 2024
  • Measurable electrophysiological changes in the scalp are frequently linked to brain activities. These progressions are called related evoked potentials (ERP), which are transient electrical responses recorded by electroencephalography (EEG) in light of tactile, mental, or motor enhancements. This painless strategy is gradually being used as a conclusion and clinical help. In this article, we will talk about the main ways to monitor brain activities in people with neurological diseases like Alzheimer's disease by analyzing EEG signals using ERP. We will also talk about how this method helps to detect the disease at an early stage.