Literature DB >> 23094990

On-demand control system for deep brain stimulation for treatment of intention tremor.

Takamitsu Yamamoto1, Yoichi Katayama, Junichi Ushiba, Hiroko Yoshino, Toshiki Obuchi, Kazutaka Kobayashi, Hideki Oshima, Chikashi Fukaya.   

Abstract

OBJECTIVES: Intention tremor becomes evident only when patients intend to move their body and is characterized by dysmetria. We have developed an on-demand control system that triggers the switching on/off of deep brain stimulation (DBS) instantly for the control of intention tremor.
MATERIAL AND METHODS: We used surface electrodes for the recording of electromyographic (EMG) activity, and the power of EMG activity was analyzed instantly employing the fast Fourier transform. The on-demand control system switched on DBS when only the power of tremor frequency exceeded the on-trigger threshold, and the system switched off DBS when the total power of EMG activity decreased below the off-trigger threshold.
RESULTS: The on-demand control system triggered the switching on/off of DBS accurately, and controlled intention tremor completely. Our on-demand control system is small and portable, and suitable for clinical use.
CONCLUSIONS: The on-demand control system for DBS is useful for controlling intention tremor and may decrease the incidence of tolerance to DBS and may be a powerful tool for various applications of neuromodulation therapy.
© 2012 International Neuromodulation Society.

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Mesh:

Year:  2012        PMID: 23094990     DOI: 10.1111/j.1525-1403.2012.00521.x

Source DB:  PubMed          Journal:  Neuromodulation        ISSN: 1094-7159


  27 in total

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10.  Closed-loop DBS triggered by real-time movement and tremor decoding based on thalamic LFPs for essential tremor.

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