Details

Autor(en) / Beteiligte

• Meidahl, Anders Christian
• Tinkhauser, Gerd
• Herz, Damian Marc
• Cagnan, Hayriye
• Debarros, Jean
• Brown, Peter

Titel

Adaptive Deep Brain Stimulation for Movement Disorders: The Long Road to Clinical Therapy

Ist Teil von

• Movement disorders, 2017-06, Vol.32 (6), p.810-819

Ort / Verlag

United States: John Wiley and Sons Inc

Erscheinungsjahr

2017

Link zum Volltext

Quelle

Wiley-Blackwell Full Collection

Beschreibungen/Notizen

• ABSTRACT Continuous high‐frequency DBS is an established treatment for essential tremor and Parkinson's disease. Current developments focus on trying to widen the therapeutic window of DBS. Adaptive DBS (aDBS), where stimulation is dynamically controlled by feedback from biomarkers of pathological brain circuit activity, is one such development. Relevant biomarkers may be central, such as local field potential activity, or peripheral, such as inertial tremor data. Moreover, stimulation may be directed by the amplitude or the phase (timing) of the biomarker signal. In this review, we evaluate existing aDBS studies as proof‐of‐principle, discuss their limitations, most of which stem from their acute nature, and propose what is needed to take aDBS into a chronic setting. © 2017 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society