Seizure control by electric field control

摘要 癫痫发作是大脑中异常的神经活动，是癫痫的主要特征。约三分之一 患者的癫痫发作对抗癫痫药物具有抵抗性，因此，替代治疗是 必要最近的研究表明，神经元可以招募和癫痫发作可以传播的机制， 称为电场耦合。我们的实验室已经证明，消除细胞外的电场 空间可以阻止神经传播和募集。我们现在打算开发一种新的神经技术 不仅可以控制癫痫发作的传播， 细胞外电场结合体外电生理学和最先进的 神经成像，计算机建模和啮齿动物体内制剂，我们将实施癫痫控制 系统，并研究其机制有四个具体目标：1）防止神经元同步化在过度兴奋 神经组织，2）开发一种新的细胞外电压钳技术来控制体内癫痫发作，3） 确定细胞外电压钳系统控制癫痫发作的机制，4）确定 细胞外间隙的夹紧效率。电流电反应控制疗法检测癫痫发作 然后施加刺激。提出的神经技术将阻止神经元之间的同步 从而提供了一种新颖的方法， 治疗癫痫的治疗范例

Abstract A seizure is an abnormal neural activity in the brain and the main characteristic of epilepsy. About one-third of the patients have seizures resistant to anti-epileptic medication and therefore, an alternative treatment is necessary. Recent studies show that neurons can be recruited and seizures can propagate by a mechanism known as electric field coupling. Our laboratory has shown that canceling the electric field in the extracellular space can prevent neural propagation and recruitment. We now propose to develop a novel neurotechnology that not only can control the propagation of seizures but prevent the seizure from being generated by controlling the extracellular electric field. With a combined methodology of in-vitro electrophysiology with state-of-the-art neural imaging, computer modeling and in-vivo preparations in rodents, we will implement the seizure control system and study its mechanism with four specific aims: 1) Prevent neuronal synchronization in hyperexcitable neural tissue, 2) Develop a novel technology of extracellular voltage clamp to control seizures in-vivo, 3) Determine the mechanisms of seizure control by an extracellular voltage clamp system, 4) Determine the role of the extracellular space in the clamping efficiency. Current electrical responsive control therapy detects a seizure and then applies stimulation. The proposed neurotechnology will prevent the synchronization between neurons to stop the generation of seizures before they arise at very low current amplitude thereby providing a novel therapeutic paradigm for treating epilepsy.