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Chronic electrocorticography for sensing movement intention and closed-loop deep brain stimulation with wearable sensors in an essential tremor patient
Open accessAbstract
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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Self-citation
Metadata
- 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
- Venue
- Journal of Neurosurgery
- Published
- 2017-09
- Volume
- 127
- Issue
- 3
- Pages
- 580-587
- ISSN
- 0022-3085 (ISSN-L)
- 1933-0693
- 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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