Cited by 139Deep Brain Stimulation and Movement DisordersObsessive-Compulsive Spectrum DisordersVagus Nerve Stimulation Research

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Chronic electrocorticography for sensing movement intention and closed-loop deep brain stimulation with wearable sensors in an essential tremor patient

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Herron, Jeffrey A., Thompson, Margaret C., Brown, Timothy, Chizeck, Howard J., Ojemann, Jeffrey G., Ko, Andrew L.·2017·Journal of Neurosurgery

DOI 10.3171/2016.8.jns16536

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Abstract

Deep brain stimulation (DBS) has become a widespread and valuable treatment for patients with movement disorders such as essential tremor (ET). However, current DBS treatment constantly delivers stimulation in an open loop, which can be inefficient. Closing the loop with sensors to provide feedback may increase power efficiency and reduce side effects for patients. New implantable neuromodulation platforms, such as the Medtronic Activa PC+S DBS system, offer important data sources by providing chronic neural sensing capabilities and a means of investigating dynamic stimulation based on symptom measurements. The authors implanted in a single patient with ET an Activa PC+S system, a cortical strip of electrodes on the hand sensorimotor cortex, and therapeutic electrodes in the ventral intermediate nucleus of the thalamus. In this paper they describe the effectiveness of the platform when sensing cortical movement intentions while the patient actually performed and imagined performing movements. Additionally, they demonstrate dynamic closed-loop DBS based on several wearable sensor measurements of tremor intensity.

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Authors: Herron, J. A., Thompson, M. C., Brown, T., Chizeck, H. J., Ojemann, J. G., & Ko, A. L.
Affiliations: U.S. National Science Foundation (US)
ORCID: Herron, Jeffrey A.
Thompson, Margaret C.
Brown, Timothy
Chizeck, Howard J.
Ojemann, Jeffrey G.
Ko, Andrew L.
Venue: Journal of Neurosurgery
Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
Published: 2017-09
Volume: 127
Issue: 3
Pages: 580-587
ISSN: 0022-3085 (ISSN-L)
1933-0693
DOI: 10.3171/2016.8.jns16536
OpenAlex: W2556228493
Semantic Scholar: 07b5bcc93073bae9ff055d42c3cdaaffed19a0df
Cited by: 139
References: 14
Citations by year: 2026: 5 · 2025: 10 · 2024: 12 · 2023: 17 · 2022: 13 · 2021: 22 · 2020: 22 · 2019: 13 · 2018: 17 · 2017: 8
FWCI: 9.52
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of neurosurgery (publishedVersion)
PubMed (publishedVersion)
Funders: National Science Foundation (EEC-1 028725, 1028725)
U.S. Department of Defense
National Defense Science and Engineering Graduate
Topics: Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
Keywords: essential tremor, deep brain stimulation, closed-loop stimulation, wearable sensors, ventral intermediate nucleus, movement intention
MeSH terms: Electrocorticography, Electrodes, Equipment Design, Humans, Male, Middle Aged, Movement, Essential Tremor, Intention, Deep Brain Stimulation

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Chronic electrocorticography for sensing movement intention and closed-loop deep brain stimulation with wearable sensors in an essential tremor patient

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