Phase resetting using DC stimulation for seizure blockage
Principal Investigator: I Osorio
Affiliation: University of Kansas Medical Center
Abstract: Biological oscillators, of which neurons are a special class, generate oscillations with characteristic frequencies and phases. These oscillations can be investigated from a topological perspective to identify regions ("null spaces") into which they can be "pushed" (or their phases reset), using DC stimuli delivered at a "critical" time during their cycle. Conventional AC stimulation pulses are unsuitable for this purpose. Oscillations pushed into the "null space" are annihilated, but phase resetting of "finite magnitude" (phase delays or advances) are a common occurrence. The existence of this phenomenon has been convincingly demonstrated in neuronal and axonal preparations. The cathodal or anodal depolarization blocks and the recently described "delayed responses" to single cathodal pulses delivered to human epileptogenic cortex, may in fact be examples of phase resetting. Preliminary results in our lab suggest that seizure onset may be consistently delayed, blocked or annihilated, but also precipitated, using DC stimulation, as a function of when in the cycle they are delivered. This proposal will investigate phase resetting as a tool for control of abnormal oscillations such as seizures, using: 1. Single DC (monophasic) pulses delivered automatically (in response to seizure detections) and directly to a discrete cortical region in rabbits that has been made epileptogenic with topical penicillin; 2. Transcranial continuous DC stimulation of rats with 3-MPA-induced generalized seizures; and, 3. Histopathologic effects of single DC pulses delivered to epileptogenic cortex, for which there is no literature. Electrical cortical activity will be recorded with high-precision DC amplifiers, since the long time constant of DC oscillations associated with seizures (several seconds to minutes) provide a unique opportunity to systematically and thoroughly scan their "phase space", increasing the probability of locating the "null space." The potential contributions of this study will be substantive: 1. It will provide insight into a phenomenon that plays a fundamental role in the pathophysiology of disorders of neuronal synchronization such as epilepsy and movement disorders; 2. It will provide scientific bases for developing successful therapies; 3. It will improve quality of life of those with these disorders and in the case of epilepsy it may decrease annual costs of care by $4.3B. The significant advances made in the control of fatal arrhythmias are in part attributable to the use by cardiologists of phase resetting as an investigative and therapeutic tool.
Funding Period: 2006-09-01 - 2010-03-31
more information: NIH RePORT
- Seizure abatement with single dc pulses: is phase resetting at play?Ivan Osorio
The University of Kansas Medical Center, Kansas, USA
Int J Neural Syst 19:149-56. 2009..Seizure blockage using single or brief DC pulse trains and its effects on neural tissue merit further investigation. The clinical applicability of this therapeutic modality and means to enhance it are discussed...
- Pharmaco-resistant seizures: self-triggering capacity, scale-free properties and predictability?Ivan Osorio
Department of Neurology, The University of Kansas Medical Center, Kansas City, KS, USA
Eur J Neurosci 30:1554-8. 2009....