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Development of Demand-Controlled Deep Brain Stimulation Techniques Based on Stochastic Phase Resetting

机译:基于随机相位重置的需求控制的深部脑刺激技术的发展

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Stimulation techniques are discussed here which make it possible to effectively desyn-chronize a synchronized cluster of globally coupled phase oscillators in the presence of noise. To this end composite stimuli are used which consist of a first, stronger stimulus followed by a second, weaker stimulus after a constant time delay. The first stimulus controls the dynamics of the cluster by resetting it, whereas the second stimulus desynchronizes the cluster by hitting it in a vulnerable state. The first, resetting stimulus can be a strong single pulse, a high-frequency pulse train or a low-frequency pulse train. The cluster's resynchronization can effectively be blocked by repeated administration of a composite stimulus. Demand controlled deep brain stimulation with these desynchronizing stimulation techniques is suggested for the therapy of patients suffering from tremor-dominant Parkinson's disease or essential tremor as a milder and more efficient therapy compared to the standard permanent high-frequency deep brain stimulation.
机译:这里讨论了激励技术,该技术可以在存在噪声的情况下有效地使全局耦合的相位振荡器的同步集群去同步。为此,使用了复合刺激,其包括在恒定的时间延迟之后的第一,较强的刺激,然后是第二,较弱的刺激。第一个刺激通过重置群集来控制群集的动态,而第二个刺激则通过使群集处于易受攻击状态来使群集不同步。首先,重置刺激可以是强单个脉冲,高频脉冲序列或低频脉冲序列。重复管理复合刺激可以有效地阻止群集的重新同步。与标准的永久性高频深部脑部刺激相比,建议使用这些不同步刺激技术对脑部进行需求控制的刺激来治疗患有震颤为主的帕金森氏病或原发性震颤的患者,这是一种较温和,更有效的治疗方法。

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