Orientation of Temporal Interference for Non-invasive Deep Brain Stimulation in Epilepsy - Archive ouverte HAL
Article Dans Une Revue Frontiers in Neuroscience Année : 2021

Orientation of Temporal Interference for Non-invasive Deep Brain Stimulation in Epilepsy

Résumé

In patients with focal drug-resistant epilepsy, electrical stimulation from intracranial electrodes is frequently used for the localization of seizure onset zones and related pathological networks. The ability of electrically stimulated tissue to generate beta and gamma range oscillations, called rapid-discharges, is a frequent indication of an epileptogenic zone. However, a limit of intracranial stimulation is the fixed physical location and number of implanted electrodes, leaving numerous clinically and functionally relevant brain regions unexplored. Here, we demonstrate an alternative technique relying exclusively on non-penetrating surface electrodes, namely an orientation-tunable form of temporally interfering (TI) electric fields to target the CA3 of the mouse hippocampus which focally evokes seizure-like events (SLEs) having the characteristic frequencies of rapid-discharges, but without the necessity of the implanted electrodes. The orientation of the topical electrodes with respect to the orientation of the hippocampus is demonstrated to strongly control the threshold for evoking SLEs. Additionally, we demonstrate the use of Pulse-widthmodulation of square waves as an alternative to sine waves for TI stimulation. An orientation-dependent analysis of classic implanted electrodes to evoke SLEs in the hippocampus is subsequently utilized to support the results of the minimally invasive temporally interfering fields. The principles of orientation-tunable TI stimulation seen here can be generally applicable in a wide range of other excitable tissues and brain regions, overcoming several limitations of fixed electrodes which penetrate tissue and overcoming several limitations of other non-invasive stimulation methods in epilepsy, such as transcranial magnetic stimulation (TMS).

Domaines

Neurosciences
Fichier principal
Vignette du fichier
10.3389:fnins.2021.633988.pdf (1.97 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-03553459 , version 1 (02-02-2022)

Identifiants

Citer

Florian Missey, Evgeniia Rusina, Emma Acerbo, Boris Botzanowski, Agnès Trébuchon, et al.. Orientation of Temporal Interference for Non-invasive Deep Brain Stimulation in Epilepsy. Frontiers in Neuroscience, 2021, 15, pp.633988. ⟨10.3389/fnins.2021.633988⟩. ⟨hal-03553459⟩
51 Consultations
121 Téléchargements

Altmetric

Partager

More