Principles Of Brain Stimulation

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Deep Brain Stimulation Programming

Author : Erwin B. Montgomery, Jr., MD
Publisher : Oxford University Press
Page : 257 pages
File Size : 46,9 Mb
Release : 2010-04-13
Category : Medical
ISBN : 9780199890019

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Deep Brain Stimulation Programming by Erwin B. Montgomery, Jr., MD Pdf

Deep Brain Stimulation (DBS) is a remarkable therapy for an expanding range of neurological and psychiatric disorders. In many cases it is better than best medical therapy and succeeds even when brain transplants fail. Yet despite the remarkable benefits, many physicians and healthcare professionals seem hesitant to embrace this therapy. Post-operative programming of the DBS systems seems unfamiliar, even mysterious, and is viewed as difficult and time consuming. However, DBS programming is rational and can be efficient and effective if one understands the basing underlying concepts of electronics, electrophysiology, and the relevant regional anatomy. Even these principles can be relatively easy to grasp. The book helps the reader to obtain an intuitive understanding of the basic principles of electronics, electrophysiology and the relevant regional anatomy through the use of readily understood metaphors and numerous illustrations. In addition a number of tools are provided including algorithms to ensure efficient and thorough programming. Forms are provided to help with documentation. In addition, DBS related research provides a remarkable tool to understand how the brain works and what happens in diseases such as Parkinson's disease. Already long cherished theories of the pathophysiology of Parkinson's disease must be abandoned. Indeed, these DBS derived insights suggest fundamental revisions of theories of brain function are in order. The book provides an introduction to where some of the new theories may lead particularly with the growing awareness of the importance of oscillations in the brain's activities. The brain has more in common with electrical devices, such as computers, than it does to a stew of chemicals. DBS operates at the electrical level in the brain, which is fundamental to how the brain creates, manipulates and conveys information and may indeed be fundamental to the misinformation the results in the dysfunction related to disorders of the brain. For downloadable forms and other relevant material, please visit: http://www.uab.edu/DBS_PrinciplesAndPractice

Principles of Brain Stimulation

Author : John Stanton Yeomans
Publisher : New York : Oxford University Press
Page : 268 pages
File Size : 52,7 Mb
Release : 1990
Category : Medical
ISBN : UOM:39015018997463

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Principles of Brain Stimulation by John Stanton Yeomans Pdf

This text is aimed at the advanced undergraduate or graduate student in neuroscience, although there is some more advanced material for specialists.

Principles of Brain Stimulation

Author : John Stanton Yeomans
Publisher : New York : Oxford University Press
Page : 200 pages
File Size : 47,8 Mb
Release : 1990
Category : Brain stimulation
ISBN : UCAL:B5036353

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Principles of Brain Stimulation by John Stanton Yeomans Pdf

This text is aimed at the advanced undergraduate or graduate student in neuroscience, although there is some more advanced material for specialists.

Brain Stimulation

Author : David T. Brocker,Warren M. Grill
Publisher : Elsevier Inc. Chapters
Page : 784 pages
File Size : 48,5 Mb
Release : 2013-11-11
Category : Medical
ISBN : 9780128080078

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Brain Stimulation by David T. Brocker,Warren M. Grill Pdf

Deep brain stimulation is a remarkable therapy that has mainstreamed electrical stimulation of the brain for the treatment of neurological dysfunction. To appreciate the mechanisms of deep brain stimulation, we need to understand the excitability of neural tissue. Here, we survey the pertinent principles of electrical excitation in the brain. The amount of current delivered and the tissue conductivity together determine the strength and extent of potentials generated by stimulation. The electrode–tissue interface is an important junction where electrical charge carriers in the stimulation hardware are converted to ionic charge carriers in the tissue. Cathodic stimulation tends to depolarize neural elements more easily than anodic stimulation. The current–distance relationship describes how the amount of current needed to excite an axon increases as a function of its distance from the electrode. This relationship also depends on the axon’s diameter because large-diameter axons are excited more easily than small-diameter axons. For a given axon, the strength–duration relationship describes the inverse relationship between threshold current amplitude and pulse duration. Specific stimulation parameters must be considered to avoid stimulation-induced tissue damage. A strong foundation in these principles facilitates understanding of the complex effects of electrical stimulation in the brain.

Deep Brain Stimulation Programming

Author : Erwin B. Montgomery, Jr.
Publisher : Oxford University Press
Page : 249 pages
File Size : 55,7 Mb
Release : 2016-04-26
Category : Medical
ISBN : 9780190259600

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Deep Brain Stimulation Programming by Erwin B. Montgomery, Jr. Pdf

Principles of DBS electronics -- Principles of electrophysiology -- Controlling the flow of electrical charges -- DBS safety -- Nervous system responses to DBS -- DBS effects on motor control -- Pathophysiological mechanisms -- Approaches to programming -- Clinical assessments -- Approach to subthalamic nucleus -- Approach to globus pallidus internal -- Approach to thalamic DBS -- Algorithm for selecting electrode configurations and stimulation parameters -- Helpful programming hints -- Oscillator basics -- Discrete neural oscillators

Deep Brain Stimulation Management

Author : William J. Marks, Jr
Publisher : Cambridge University Press
Page : 251 pages
File Size : 40,7 Mb
Release : 2015-09-03
Category : Medical
ISBN : 9781107084254

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Deep Brain Stimulation Management by William J. Marks, Jr Pdf

Essential reference guide for clinicians working with DBS patients, fully revised throughout with new chapters on epilepsy and psychiatric disorders.

Deep Brain Stimulation Programming

Author : Erwin B. Montgomery
Publisher : Oxford University Press
Page : 200 pages
File Size : 46,5 Mb
Release : 2010-04-13
Category : Medical
ISBN : 9780199738526

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Deep Brain Stimulation Programming by Erwin B. Montgomery Pdf

The book is a guide to the principles of electronics, electrophysiology and regional neuroanatomy that allows the rational use of Deep Brain Stimulation. Practical issues are addressed and algorithms and tools are provided. Also, how DBS is leading to new and revolutionary theories of brain function and dysfunction are described.

Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation

Author : Erwin B. Montgomery, Jr.
Publisher : Oxford University Press, USA
Page : 417 pages
File Size : 43,7 Mb
Release : 2014
Category : Medical
ISBN : 9780199351008

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Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation by Erwin B. Montgomery, Jr. Pdf

Thorough understanding of electricity, electronics, biophysics, neurophysiology, and neuroanatomy renders more tractable otherwise complex electrophysiologically-based targeting. The textbook integrates these subjects in a single resource. Ultimately, electrophysiological monitoring required controlling the movement of electrons in electronic circuits. Thus, the textbook begins with fundamental discussions of electrons, the forces moving electrons, and the electrical circuits controlling these forces. The forces that allow recording and analysis also permeate the environment producing interference, such as noise and artifact. The textbook discusses noise and artifact and the measures to avoid or suppress them. The textbook discusses interpretive principles and methods for translating electrophysiological information collected along a trajectory into an understanding of the trajectory's functional-anatomical location, as well as its optimal location and direction. Forms included allow one to document observations, consult algorithms, and interpret data. Other discussions cover safe brain stimulation, correct interpretation of patient responses, procedures of targeted neurological examinations to assess patients' condition in response to stimulation and any surgical consequences, various aspects and limitations of image-based surgical planning, and principles governing use of electrode-guiding mechanical devices.

Deep Brain Stimulation

Author : Peter Bain,Tipu Aziz,Xuguang Liu,Dipankar Nandi
Publisher : Oxford University Press
Page : 227 pages
File Size : 45,9 Mb
Release : 2009-03-05
Category : Medical
ISBN : 9780199543717

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Deep Brain Stimulation by Peter Bain,Tipu Aziz,Xuguang Liu,Dipankar Nandi Pdf

This handbook provides an overview of the use of deep brain stimulation (DBS) for the treatment of movement disorders as well as an introduction to the developing area of DBS for the management of psychiatric disease.

Practical Guide to Transcranial Direct Current Stimulation

Author : Helena Knotkova,Michael A. Nitsche,Marom Bikson,Adam J. Woods
Publisher : Springer
Page : 651 pages
File Size : 50,5 Mb
Release : 2019-01-23
Category : Medical
ISBN : 9783319959481

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Practical Guide to Transcranial Direct Current Stimulation by Helena Knotkova,Michael A. Nitsche,Marom Bikson,Adam J. Woods Pdf

This book provides a comprehensive overview on Transcranial Direct Current Stimulation (tDCS) and the clinical applications of this promising technique. Separated into three parts, the book begins with basic principles, mechanisms and approaches of tDCS. This is followed by a step-by-step practicum, methodological considerations and ethics and professional conduct pertaining to this novel technique. Chapters are authored by renowned experts who also direct and plan tDCS educational events worldwide. Bridging the existing gap in instructional materials for tDCS while addressing growing interest in education in this field, professionals within a broad range of medical disciplines will find this text to be an invaluable guide.

Deep Brain Stimulation

Author : Shilpa Chitnis MD, PhD,Pravin Khemani MD,Michael S. Okun MD
Publisher : Oxford University Press
Page : 256 pages
File Size : 49,5 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9780190647216

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Deep Brain Stimulation by Shilpa Chitnis MD, PhD,Pravin Khemani MD,Michael S. Okun MD Pdf

Deep Brain Stimulation addresses the practical tips required to program and manage deep brain stimulation devices in the clinic. The number of deep brain stimulation devices worldwide will soon eclipse 200,000 and is an approved surgical treatment for medically refractory neurological movement disorders such as Parkinson disease, tremors, and dystonia. It is, therefore, inevitable that clinicians and nurses will require the necessary tools, and exemplary real-life cases, to manage these complex patients. This book offers a case-based approach to common and uncommon neurologic problems related to deep brain stimulator problems. Each case is a clinical pearl, accompanied by a discussion as well as practical tips to improve patient management.

Electrical Stimulation Research Techniques

Author : Michael Patterson
Publisher : Elsevier
Page : 387 pages
File Size : 46,6 Mb
Release : 2013-07-10
Category : Science
ISBN : 9780323152754

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Electrical Stimulation Research Techniques by Michael Patterson Pdf

Methods in Psychological Physiology, Volume 3: Electrical Stimulation Research Techniques is a compilation of papers that focus on the different theories and techniques of electrical stimulation and its applications to psychology. The first five chapters cover different kinds of electrical stimulation, their basic principles, and techniques involved. These include extracellular and intracellular stimulation, the microstimulation technique, and the stimulation of the brain. Chapters 6 to 9 discuss the beneficial effects and uses of these stimulation techniques, such as motivation and reinforcement, memory research, its relation to brain lesions, and the implications for electroconvulsive therapy. The last two chapters talk about the electrical stimulation of the peripheral nerve and the grid and peripheral shock stimulation. The book is recommended for psychotherapists who wish to learn more about the use of electrical stimulation techniques as treatment, and for neurologists who would like to further understand the effects of electrical stimulation.

Neurostimulation

Author : Sam Eljamel,Konstantin Slavin
Publisher : John Wiley & Sons
Page : 311 pages
File Size : 45,6 Mb
Release : 2013-05-29
Category : Medical
ISBN : 9781118346365

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Neurostimulation by Sam Eljamel,Konstantin Slavin Pdf

Could neurostimulation be a management option for your patients? Neurostimulation techniques present real management options for patients with a range of neurologic and psychiatric disorders, such as movement disorders, pain, and depression. They should be actively considered when conventional medical approaches have failed or are inappropriate. But for many clinicians, these new methods pose many questions. What are the available modalities? How do they work? Which patients might benefit from them? How do I explain the processes to patients? How do I monitor my patient’s progress after implantation? Neurostimulation: Principles and Practice provides a concise, easy-to-read fusion of the clinical applications of implanted neurostimulators. It demystifies selection and referral criteria, maximizing therapy, programming the implanted neuromodulators, monitoring progress, and troubleshooting problems associated with neurostimulation. Neurostimulation: Principles and Practice covers the modalities available for your patients: Deep brain stimulation Motor cortex stimulation Vagus nerve stimulation Spinal cord stimulation Peripheral nerve stimulation Written by an international cast of experts, Neurostimulation: Principles and Practice sets the stage for you to provide real clinical benefit to your patients who might receive, or are already using, neurostimulators.

Brain Stimulation Therapies for Clinicians

Author : Edmund S. Higgins,Mark S. George
Publisher : American Psychiatric Pub
Page : 220 pages
File Size : 48,8 Mb
Release : 2019-08-13
Category : Medical
ISBN : 9781615372706

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Brain Stimulation Therapies for Clinicians by Edmund S. Higgins,Mark S. George Pdf

A comprehensive survey of the state of current practice, this new edition of Brain Stimulation Therapies for Clinicians provides thoroughly updated information on the growing list of electrical stimulation therapies now in use or under study, including electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), cortical stimulation (CS), and transcranial direct current stimulation (TDCS), as well as new coverage of promising treatments such as low intensity focused ultrasound pulsation (LIFUP) and temporal interference stimulation (TI). After a brief course on the fundamentals of electricity and a refresher on neuroanatomy, the text explores how electricity works within biological systems before progressing to the chapters on individual therapies, which cover the history and evolution of the treatment, the techniques involved, clinical indications, side effects, and an up-to-date review of the evidence base supporting its use. The book is designed to help the reader cut through the initially daunting "alphabet soup" (e.g., ECT, TMS) by providing a clear and straightforward analysis of the prevailing techniques -- an indispensable resource for both clinicians and patients seeking in-depth knowledge of these acronyms and methods. The book's noteworthy features are many: Refinements in treatment protocols since the last edition are discussed in detail. For example, the sections on ECT cover advances such as focal electrically administered seizure therapy (FEAST) and magnetic seizure therapy (MST), while the TMS chapter covers theta burst and recent approval for obsessive-compulsive disorder. The underlying science is addressed in the initial review of electricity and physics, information that is foundational to these treatment modalities, but that clinicians do not encounter in the medical school curriculum. The section also addresses the parameters for brain stimulation and how to determine the right dose. A separate chapter is devoted to low intensity focused ultrasound pulsations (LIFUP) and temporally interfering (TI) electric fields, emerging treatments that have the potential to noninvasively stimulate focal locations deep in the brain without surgery or the implantation of hardware. The section on using DBS for treatment-resistant Parkinson's disease (PD) is thorough, authoritative, and a boon to clinicians assessing the viability and efficacy of treatment options for their PD patients. The new edition retains the amusing, but always informative sidebars highlighting the history of brain experimentation and applications of brain stimulation techniques Written in a down-to-earth, accessible style by authors at the forefront of progress in the field, Brain Stimulation Therapies for Clinicians is a rigorous, evidence based review of clinical data that focuses on what we know, what we don't know, and the strength of the evidence.

Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation

Author : Erwin B Montgomery, Jr
Publisher : Oxford University Press
Page : 352 pages
File Size : 40,7 Mb
Release : 2014-07-10
Category : Medical
ISBN : 9780199351022

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Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation by Erwin B Montgomery, Jr Pdf

A thorough understanding of electricity, electronics, biophysics, neurophysiology, and neuroanatomy is important to render more tractable, and otherwise complex, electrophysiologically-based targeting in the brain during operative manipulations. Most importantly, electrophysiological monitoring requires controlling the movement of electrons in electronic circuits in order to prevent irreversible damage. This new textbook presents a fundamental discussion of electrons, the forces moving these electrons, and the electrical circuits controlling these forces. The forces that allow recording and analysis also permeate the environment producing interference, such as noise and artifacts. Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation discusses how to avoid or suppress noise and artifacts for the most successful surgical outcome.