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Optimizing Parameters for Terminating Cortical Afterdischarges with Pulse Stimulation
Open accessAbstract
Summary: Purpose: We previously reported that brief pulses of electrical stimulation (BPSs) can terminate afterdischarges (ADs) during cortical stimulation. We investigated conditions under which BPS is more likely to suppress ADs. Methods: We analyzed parameters altering BPS effectiveness on 200 ADs in seven patients with implanted subdural electrodes. Results: The odds of BPSs stopping ADs was 8.6 times greater at primary sites (directly stimulated electrodes) than at secondary sites (adjacent electrodes) (p = 0.016). BPS applied within 4.5 s after onset of AD had 2 times greater odds of stopping ADs (p = 0.014). BPS applied when AD voltage was negative was 1.9 times more likely to stop ADs (p = 0.012). ADs with rhythmic pattern responded best (p < 0.0001). BPS stopped 100% of ADs not starting immediately after localization stimulus (LS) versus 29% of those starting immediately (p < 0.0001). Conclusions: BPS is more likely to terminate ADs at primary electrodes, if given early, if applied to the negative peak of the AD waveform, if AD has a rhythmic pattern, and if AD did not start immediately after LS.
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Ben‐Menachem, E., Mañon‐Espaillat, R., Ristanovic, R., Wilder, B. J., Stefan, H., Mirza, W., Tarver, W. B., Wernicke, J. F., & First International Vagus Nerve Stimulation Study Group (1994) · Epilepsia · doi:10.1111/j.1528-1157.1994.tb02482.x · Cited by 683
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Iasemidis, L. D. (2003) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2003.810705 · Cited by 363
Local field potential phase modulates the evoked response to electrical stimulation in visual cortex
Allison-Walker, T., Hagan, M. A., Meikle, S. J., Price, N. S. C., & Wong, Y. T. (2025) · Journal of Neural Engineering · doi:10.1088/1741-2552/ada828 · Cited by 3
Metadata
- Authors
- Motamedi, G. K., Lesser, R. P., Miglioretti, D. L., Mizuno‐Matsumoto, Y., Gordon, B., Webber, W. R. S., Jackson, D. C., Sepkuty, J. P., & Crone, N. E.
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2002-08
- Volume
- 43
- Issue
- 8
- Pages
- 836-846
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W1989189053
- Cited by
- 179
- References
- 1
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Motamedi, G. K., Lesser, R. P., Miglioretti, D. L., Mizuno‐Matsumoto, Y., Gordon, B., Webber, W. R. S., Jackson, D. C., Sepkuty, J. P., & Crone, N. E. (2002). Optimizing Parameters for Terminating Cortical Afterdischarges with Pulse Stimulation. Epilepsia. https://doi.org/10.1046/j.1528-1157.2002.24901.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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