Towards a neurophysiological foundation for cognitive neuromodulation through deep brain stimulation

Nicholas D Schiff, Keith P Purpura
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引用次数: 39

Abstract

It may soon be possible to adapt the use of deep brain stimulation (DBS) technologies developed to treat movement disorders to improve the general cognitive function of brain-injured patients. We outline neurophysiological foundations for novel neuromodulation strategies to address these goals. Emphasis is placed on developing a rationale for targeting the intralaminar and related nuclei of the human thalamus for electrical stimulation. Recent anatomical and physiological studies are compared with original neurophysiological recordings obtained in an alert non-human primate. In this context we consider neuronal mechanisms that may underlie both clinical observations and cognitive rehabilitation maneuvers that provide theoretical support for open and closed-loop strategies to remediate acquired cognitive disability (ACD).

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探讨脑深部刺激认知神经调节的神经生理学基础
可能很快就可以使用用于治疗运动障碍的深部脑刺激(DBS)技术来改善脑损伤患者的一般认知功能。我们概述了新的神经调节策略的神经生理学基础,以解决这些目标。重点放在发展针对人类丘脑的层间核和相关核进行电刺激的基本原理上。最近的解剖学和生理学研究与原始的神经生理学记录在一个警觉的非人类灵长类动物获得比较。在此背景下,我们考虑了可能作为临床观察和认知康复操作基础的神经元机制,为修复获得性认知障碍(ACD)的开放和闭环策略提供了理论支持。
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