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Brain Stimulation in Psychiatry

Brain Stimulation in Psychiatry Book
Author : Charles H. Kellner
Publisher : Cambridge University Press
Release : 2012-05-31
ISBN : 1107375525
Language : En, Es, Fr & De

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Book Description :

The field of brain stimulation is advancing at rapid pace with a growing number of techniques now approved for the treatment of psychiatric illness. This text acts both as a concise, quick reference for experienced practitioners and a guidebook for residents learning about clinical brain stimulation techniques. The techniques covered include: • Electroconvulsive therapy (ECT) • Deep brain stimulation (DBS) • Transcranial magnetic stimulation (TMS) • Vagus nerve stimulation (VNS) • Magnetic seizure therapy (MST) • Transcranial direct current stimulation (TDCS) All aspects of these treatments are covered, from patient selection, through the implementation of the technique, to patient aftercare. Potential future applications are discussed and select, up-to-date reference lists guide practitioners to the most important further reading around each technique. Portable, concise and easy to navigate, covering all the need-to-know information, Brain Stimulation in Psychiatry is essential reading for practitioners, residents and medical students in psychiatry and neurology.

Deep Brain Stimulation

Deep Brain Stimulation Book
Author : Shilpa Chitnis,Pravin Khemani,Michael S. Okun
Publisher : Oxford University Press, USA
Release : 2020
ISBN : 0190647205
Language : En, Es, Fr & De

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Book Description :

"Tremor is an involuntary movement characterized by a rhythmic oscillation about a fixed point or trajectory. It can be classified based on its clinical features or underlying cause. Tremor was the first approved indication for DBS in the U.S. We now have almost three decades of experience of tremor treatment with DBS. Essential tremor (ET) is the most frequent movement disorder occurring at a frequency of about 5 times that of PD. ET commonly has an autosomal dominant transmission pattern with incomplete penetrance, therefore sporadic cases are not at all uncommon. In ET, most patients suffer from tremor of the hands and arms; approximately 40% suffer from head and 20% from voice tremor. The majority of candidates for functional neurosurgery belong to the ET subgroup which is commonly characterized by severe action or postural tremor that impairs function and quality of life to the extent that the risks, costs and inconvenience of DBS treatment are justified. Unilateral procedures (targeting the thalamus contralateral to the dominant and/or most affected hand) are commonly performed, though bilateral procedures should be considered when limb tremor is severe bilaterally, or when head, voice, or trunk tremors cause significant disability"--

Brain Stimulation

Brain Stimulation Book
Author : Irving Reti
Publisher : John Wiley & Sons
Release : 2015-05-11
ISBN : 111856829X
Language : En, Es, Fr & De

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Book Description :

Brain stimulation technologies are both tools to probe brain function and to provide therapeutic options for patients with neuropsychiatric disease where pharmacological options are not viable. Although the field has been in existence for over seventy years, research interest in brain stimulation has been on the rise particularly in the last two decades. Brain Stimulation: Methodologies and Interventions is an introduction to the field of brain stimulation technology and its applications. The book explores how brain stimulating technologies work in the context of brain pathways that mediate normal and abnormal brain function. Chapters cover neuroanatomy and activitydependent changes in neuronal function triggered by brain stimulation, as well as applications of brain stimulation technologies themselves, including noninvasive procedures that rely on convulsive or seizure therapeutics, and non-convulsive therapies such as magnetic and electrical brain stimulation. Authored by an international group of leaders in the field, Brain Stimulation is a valuable resource for both neuroscience researchers and clinicians. KEY POINTS • Includes introductory chapters on relevant neuroanatomy • Covers both invasive and noninvasive brain stimulation techniques • Explains basic mechanisms and therapeutic applications • Written by an international team of leaders in the field • Illustrated in full color

Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation

Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation Book
Author : Erwin B. Montgomery, Jr.,Erwin B. Montgomery (Jr.)
Publisher : Oxford University Press (UK)
Release : 2014-07-16
ISBN : 0199351007
Language : En, Es, Fr & De

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Book Description :

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.

Deep Brain Stimulation

Deep Brain Stimulation Book
Author : Kendall H. Lee,Penelope S. Duffy,Allan J. Bieber
Publisher : CRC Press
Release : 2016-12-08
ISBN : 1315341093
Language : En, Es, Fr & De

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Book Description :

Deep brain stimulation (DBS) is a widely used therapy for movement disorders such as Parkinson's disease, essential tremor, and dystonia. Its therapeutic success has led to the application of DBS for an increasing spectrum of conditions. However, the fundamental relationships between neural activation, neurochemical transmission, and clinical outcomes during DBS are not well understood. Drawing on the clinical and research expertise of the Mayo Clinic Neural Engineering Laboratories, this book addresses the history of therapeutic electrical stimulation of the brain, its current application and outcomes, and theories about its underlying mechanisms. It reviews research on measures of local stimulation–evoked neurochemical release, imaging research on stimulation-induced neural circuitry activation, and the state of the art on closed-loop feedback devices for stimulation delivery.

Brain Stimulation

Brain Stimulation Book
Author : David T. Brocker,Warren M. Grill
Publisher : Elsevier Inc. Chapters
Release : 2013-11-11
ISBN : 0128080078
Language : En, Es, Fr & De

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Book Description :

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

Deep Brain Stimulation Book
Author : Peter Bain
Publisher : Oxford University Press
Release : 2009-03-05
ISBN : 0199543712
Language : En, Es, Fr & De

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Book Description :

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.

Deep Brain Stimulation Programming

Deep Brain Stimulation Programming Book
Author : Erwin B. Montgomery, Jr.
Publisher : Oxford University Press
Release : 2016-09-22
ISBN : 0190259604
Language : En, Es, Fr & De

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Book Description :

Deep brain stimulation programming (DBS) continues to grow as an effective therapy for a wide range of neurological and psychiatric disorders, helping patients reach optimal control of their disorder. With the technique finding so much success, the next question is how to make the complexities of post-operative programming cost-effective, especially when traditional medications and treatments can no longer do the job. The second edition of Deep Brain Stimulation Programming is fully revised and up-to-date with the latest technologies and focuses on post-operative programing, which no other text does. This book provides programmers with a foundation of the brain as an electrical device, focusing on the mechanisms by which neurons respond to electrical stimulation, how to control the stimulation and the regional anatomy, and the many variations that influence a patient's response to DBS. Dr. Montgomery explores new techniques of programming; including those based on stimulation frequency, closed-loop DBS, and the roles of oscillators in DBS; and new technological advances that make pre-existing theories of pathophysiology obsolete. Key Features of the Second Edition Include . Highlights post-operative deep brain stimulation; . Includes the most recent discoveries in deep brain stimulation programming; . Highly illustrated with figures for absorption of key programming and techniques; . Provides an appendix of additional resources available through the Greenville Neuromodulation Center. "

Brain Stimulation

Brain Stimulation Book
Author : Filippo Agnesi,Matthew D. Johnson,Jerrold L. Vitek
Publisher : Elsevier Inc. Chapters
Release : 2013-11-11
ISBN : 0128080108
Language : En, Es, Fr & De

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Book Description :

Chronic deep brain stimulation (DBS) has become a widely accepted surgical treatment for medication-refractory movement disorders and is under evaluation for a variety of neurological disorders. In order to create opportunities to improve treatment efficacy, streamline parameter selection, and foster new potential applications, it is important to have a clear and comprehensive understanding of how DBS works. Although early hypothesis proposed that high-frequency electrical stimulation inhibited neuronal activity proximal to the active electrode, recent studies have suggested that the output of the stimulated nuclei is paradoxically activated by DBS. Such regular, time-locked output is thought to override the transmission of pathological bursting and oscillatory activity through the stimulated nuclei, as well as inducing synaptic plasticity and network reorganization. This chapter reviews electrophysiological experiments, biochemical analyses, computer modeling and imaging studies positing that, although general principles exist, the therapeutic mechanism(s) of action depend both on the site of stimulation and on the disorder being treated.

Twenty Things to Know about Deep Brain Stimulation

Twenty Things to Know about Deep Brain Stimulation Book
Author : Erwin B. Montgomery, Jr.
Publisher : Oxford University Press, USA
Release : 2015-01-30
ISBN : 0199338825
Language : En, Es, Fr & De

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Book Description :

Twenty Things to Know About Deep Brain Stimulation is an extensive and in-depth critical analysis of the field of Deep Brain Stimulation (DBS) from what many may consider a revolutionary perspective. This book demonstrates the unique nature and incredible promise of DBS and shows how it is unparalleled as a therapeutic intervention. Dr. Montgomery provides an epistemic analysis of the presuppositions, assumptions and fallacies underlying current clinical understanding of DBS as well as the physiology and pathophysiology affected by DBS. Reviews of the safety and efficacy for a number of conditions, patient selections and issues in the post-operative management are also included. Given the revolutionary potential and the complexity of DBS in an ever changing healthcare delivery context, the ethics of DBS are discussed in detail.

Deep Brain Stimulation Programming

Deep Brain Stimulation Programming Book
Author : Erwin B. Montgomery, Jr., MD
Publisher : Oxford University Press
Release : 2010-04-13
ISBN : 0199890013
Language : En, Es, Fr & De

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Book Description :

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

Brain stimulation Reward

Brain stimulation Reward Book
Author : Albert Wauquier,Edmund T. Rolls
Publisher : Elsevier Science & Technology
Release : 1976
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Download Brain stimulation Reward book written by Albert Wauquier,Edmund T. Rolls, available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

The Stimulated Brain

The Stimulated Brain Book
Author : Roi Cohen Kadosh
Publisher : Elsevier
Release : 2014-06-01
ISBN : 0124047122
Language : En, Es, Fr & De

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Book Description :

The Stimulated Brain—which garnered an Honorable Mention for Biomedicine & Neuroscience at the 2015 PROSE Awards from the Association of American Publishers—presents the first integration of findings on brain stimulation from different research fields with a primary focus on Transcranial Electrical Stimulation (tES), one of the most frequently used noninvasive stimulation methods. The last decade has witnessed a significant increase in the amount of research exploring how noninvasive brain stimulation can not only modulate but also enhance cognition and brain functions. However, although Transcranial Magnetic Stimulation (TMS) and particularly tES have the potential to become more widely applicable techniques (as they come with none of the risks associated with deep brain stimulation) the reference literature on these neurotechnologies has been sparse. This resource provides a broad survey of current knowledge, and also marks future directions in cognitive and neuro-enhancement. It expands our understanding of basic research findings from animals and humans, including clear translational benefits for applied research and the therapeutic use of noninvasive brain stimulation methods. The book's coverage includes a primer that paves the way to a more advanced knowledge of tES and its physiological basis; current research findings on cognitive and neuro-enhancement in animals and typical and atypical human populations, such as neurological patients; and discussions of future directions, including specific neuroethical issues and pathways for collaboration and entrepreneurialism. The Stimulated Brain is the first book to provide a comprehensive understanding of different aspects of noninvasive brain stimulation that are critical for scientists, clinicians, and those who are interested in “stimulating their minds by exploring this fascinating field of research. Honorable Mention for Biomedicine & Neuroscience in the 2015 PROSE Awards from the Association of American Publishers The only reference on the market to focus on transcranial electrical stimulation (tES) Coverage across technical, historical, and application topics makes this the single, comprehensive resource for researchers and students Edited book with chapters authored by international leaders in the fields of medicine, neuroscience, psychology, and philosophy—providing the broadest, most expert coverage available

Brain Stimulation

Brain Stimulation Book
Author : Andres M. Lozano,Mark Hallett
Publisher : Newnes
Release : 2013-11-11
ISBN : 0444534989
Language : En, Es, Fr & De

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Book Description :

The field of brain stimulation is expanding rapidly, with techniques such as DBS, TMS, and tDCS moving from the research community into clinical diagnosis and treatment. Clinical applications include treating disorders such as Parkinson's disease, dystonia, and even depression. The chapters of Brain Stimulation are written by leading international researchers and clinical specialists include coverage of techniques, modes of action and applications in physiology and therapeutics. The combination of research and clinical coverage will be of interest to neurologists, neurosurgeons, psychiatrists, neuroscientists, and health care workers. A comprehensive introduction and overview of deep brain stimulation (DBS) Coverage of DBS, transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) Details the basic science and research utility of DBS and clinical application

Transcranial Brain Stimulation

Transcranial Brain Stimulation Book
Author : Carlo Miniussi,Walter Paulus,Paolo M. Rossini
Publisher : CRC Press
Release : 2012-12-03
ISBN : 1439875715
Language : En, Es, Fr & De

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Book Description :

Since the discovery of transcranial magnetic stimulation (TMS) and transcranial electrical stimulation (tES), these non-invasive brain stimulation (NIBS) techniques have been used to investigate the state of cortical excitability, and the excitability of the cortico-cortical and corticospinal pathways. In addition, these techniques have been found to induce neuroplasticity—a significant breakthrough in our understanding of the brain at work. Transcranial Brain Stimulation presents a wide range of possible brain stimulation applications and discusses what new information can be gained from using this technique on the dynamics of brain functions, hierarchical organization, and effective connectivity. Implications of recent findings related to the therapeutic application are discussed by an international group of leading experts, who present practical guidance on the use of each technique, and catalog the results of numerous TMS and tES studies on biological and behavioral effects.

Brain Stimulation in Psychiatric Treatment

Brain Stimulation in Psychiatric Treatment Book
Author : Sarah H. Lisanby
Publisher : Amer Psychiatric Pub Incorporated
Release : 2004
ISBN : 9781585621750
Language : En, Es, Fr & De

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Book Description :

This reference provides an introduction to the emerging field of brain stimulation in psychiatry. Eight experts present the latest research and results for new techniques to electrically stimulate the central nervous system, including transcranial magnetic stimulation, magnetic seizure therapy, deep brain stimulation, and vagus nerve stimulation.

Brain Stimulation

Brain Stimulation Book
Author : Alfredo Berardelli,Antonio Suppa
Publisher : Elsevier Inc. Chapters
Release : 2013-11-11
ISBN : 0128080507
Language : En, Es, Fr & De

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Book Description :

Several important advances in the pathophysiology of Huntington’s disease (HD) have been achieved by means of neurophysiological techniques designed to investigate the excitability and plasticity of brainstem and cortical circuits in patients with the condition. Studies designed to investigate brainstem reflexes, with paired-pulse and repetitive stimulation of the supraorbital nerve (blink reflex), have demonstrated abnormal excitability and plasticity of brainstem interneurons. In addition, several authors have tested the excitability of the primary motor cortex (M1) with the transcranial magnetic stimulation (TMS) technique and reported abnormal excitability of inhibitory intracortical circuits (cortical silent period, short afferent inhibition). Studies investigating plasticity processes by means of repetitive TMS (rTMS) protocols have demonstrated altered short-term as well as long-term M1 plasticity. Abnormal cortical excitability and plasticity can be present in the early phase of HD and in asymptomatic HD carriers. Evidence from a single study of small cohorts of patients with HD supports the therapeutic application of rTMS for symptomatic improvement of chorea in HD.

Brain Stimulation

Brain Stimulation Book
Author : Yasin Temel
Publisher : Elsevier Inc. Chapters
Release : 2013-11-11
ISBN : 0128080086
Language : En, Es, Fr & De

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Book Description :

Deep brain stimulation (DBS) as a therapy in neurological and psychiatric disorders is applied widely. In this respect, DBS in animal models is performed to study the underlying mechanisms and to evaluate new indications and technology. This chapter summarizes our experience with DBS in animal models, and relevant literature. Electrodes for DBS in animal models have been developed using translational principles, to allow DBS under anesthesia and in freely moving conditions. The stimulation parameters have been adjusted for the animals using current density calculations. This paradigm of experimental DBS has been validated in a variety of animal models of neurological and psychiatric disorders. During the process of development and validation of DBS in animal models, specific problems have been encountered, which are discussed in the chapter. DBS in animal models is an adequate paradigm to explore the underlying mechanisms and new indications for DBS, and to refine DBS technology.

Principles of brain stimulation

Principles of brain stimulation Book
Author : Anonim
Publisher : Unknown
Release : 1990
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Download Principles of brain stimulation book written by , available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Brain Stimulation

Brain Stimulation Book
Author : Vincenzo Di Lazzaro
Publisher : Elsevier Inc. Chapters
Release : 2013-11-11
ISBN : 0128080361
Language : En, Es, Fr & De

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Book Description :

By incorporating the known physiology of the spinal cord epidural activity evoked by single-pulse, paired-pulse, and repetitive transcranial magnetic stimulation (TMS) with the anatomical and computational characteristics of the canonical model of the cerebral cortex circuit, and composed of layer II and III and layer V excitatory pyramidal cells, inhibitory interneurons, corticocortical and thalamocortical inputs, the characteristics and nature of the corticospinal activity evoked by TMS including its regular and rhythmic nature, the dose dependence, and pharmacological modulation of the discharge might be explained elegantly. TMS inducing strong depolarization of the superficial excitatory cells of the circuit may lead to the recruitment of fully synchronized clusters of excitatory neurons, including layer V pyramidal tract neurons (PTNs), and inhibitory neurons producing a high-frequency (~670Hz) repetitive discharge of the corticospinal axons. The role of the inhibitory circuits is crucial to entrain the firing of the excitatory networks to produce a high-frequency discharge. The integrative properties of the circuit might also provide a good framework for interpretation of the changes in corticospinal activity produced by paired and repetitive TMS. The changes can be produced presynaptically to PTN cells or at the level of these cells, depending mainly on the intensity of magnetic stimuli.