Neuromodulation Using Spatiotemporally Complex Patterns

Neuromodulation Using Spatiotemporally Complex Patterns

Recent studies have highlighted that stimulation of the nervous system with spatiotemporal patterns may engage the nervous system in fundamentally different ways than can be achieved with conventional single-frequency stimulation. Coordinated Reset deep brain stimulation (DBS) may affect synaptic plasticity and result in long-lasting (after stimulation is turned off) effects. Spatio-temporal paired pulse stimulation can be used to induce spike timing dependent strengthening or weakening of synaptic connections between brain regions for therapeutic purposes. Burst stimulation may enable cell-type specific targeting, as recently shown in rodent models of DBS for Parkinson’s Disease and in thalamic DBS in humans. Burst stimulation has also shown promise in spinal cord for chronic pain and vagus nerve stimulation for cardiac applications. And multiple hierarchies of temporal patterning may have their own unique effect on the nervous system as evidenced by data on intermittent theta-burst transcranial magnetic stimulation for the control of depression.

Deep Brain Stimulation Think Tank: Updates in Neurotechnology and Neuromodulation, Volume IV

In recent years, numerous developments have taken place in the field of neuromodulation. The introduction of newer technologies, software and increasing understanding of brain physiology in neurological and psychiatric conditions have shaped this rapidly growing field. To create a space where all stakeholders could freely interact to discuss challenges, advancements and opportunities in the field, the first Deep Brain Stimulation (DBS) Think Tank took place in 2012 in Gainesville Florida at the University of Florida. Since then, the meeting has grown to a hybrid virtual and in person meeting expanding the number of participants to over 200 world experts in the field. The most recent DBS think tank took place in Orlando Florida on August 25th to 27th, 2021. The meeting addressed new research, technologies, and neuroethical issues in the field of neuromodulation.

Deep Brain Stimulation Think Tank: Updates in Neurotechnology and Neuromodulation, Volume II