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    • 2. 发明申请
    • METHODS AND APPARATUS FOR EFFECTUATING A LASTING CHANGE IN A NEURAL-FUNCTION OF A PATIENT
    • 影响患者神经功能变化的方法和装置
    • US20100145427A1
    • 2010-06-10
    • US12710964
    • 2010-02-23
    • Bradford Evan GlinerBrad FowlerAndrew D. FirlikJeffrey BalzerAlan J. LevyKent Leyde
    • Bradford Evan GlinerBrad FowlerAndrew D. FirlikJeffrey BalzerAlan J. LevyKent Leyde
    • A61N1/05
    • A61N1/32A61N1/0531A61N1/0534A61N1/0539A61N1/36017A61N1/36025A61N1/36082A61N1/375A61N1/3756A61N1/40
    • The following disclosure describes several methods and apparatus for intracranial electrical stimulation to treat or otherwise effectuate a change in neural-functions of a patient. Certain embodiments of methods in accordance with the invention electrically stimulate the brain at a stimulation site where neuroplasticity is occurring or is expected to occur. The stimulation site may be different than the region in the brain where neural activity is typically present to perform the particular neural function according to the functional organization of the brain. In one embodiment in which neuroplasticity related to the neural-function occurs in the brain, the method can include identifying the location where such neuroplasticity is present or expected to occur. In an alternative embodiment in which neuroplasticity is not occurring in the brain, an alternative aspect is to induce neuroplasticity at a stimulation site where it is expected to occur. Several embodiments of these methods that are expected to produce a lasting effect on the intended neural activity at the stimulation site use electrical pulses that increase the resting membrane potential of neurons at the stimulation site to a subthreshold level.
    • 以下公开内容描述了用于治疗或以其他方式实现患者神经功能变化的颅内电刺激的几种方法和装置。 根据本发明的方法的某些实施方案在神经可塑性发生或预期发生的刺激部位电刺激脑。 刺激部位可能不同于大脑中通常存在神经活动的区域,以根据脑的功能组织来执行特定的神经功能。 在与神经功能相关的神经可塑性发生在脑中的一个实施方案中,该方法可以包括鉴定存在或预期发生这种神经可塑性的位置。 在脑中不发生神经可塑性的替代实施方案中,替代方面是在预期发生的刺激位点处诱导神经可塑性。 预期对刺激部位的预期神经活动产生持久影响的这些方法的若干实施方案使用增加刺激部位的神经元的静息膜电位至亚阈值水平的电脉冲。
    • 8. 发明授权
    • Methods and apparatus for effectuating a change in a neural-function of a patient
    • US07146217B2
    • 2006-12-05
    • US10072700
    • 2002-02-07
    • Andrew D. FirlikAlan J. LevyBradford Evan Gliner
    • Andrew D. FirlikAlan J. LevyBradford Evan Gliner
    • A61N1/18
    • A61N1/36017A61N1/0531A61N1/0534A61N1/0539A61N1/36014A61N1/36025A61N1/36082A61N1/375A61N1/3756
    • The following disclosure describes several methods and apparatus for intracranial electrical stimulation to treat or otherwise effectuate a change in neural-functions of a patient. Several embodiments of methods in accordance with the invention are directed toward enhancing or otherwise inducing a lasting change in neural activity to effectuate a particular neural-function. Such lasting change in neural activity is defined as “neuroplasticity.” The methods in accordance with the invention can be used to treat brain damage (e.g., stroke, trauma, etc.), brain disease (e.g., Alzheimer's, Pick's, Parkinson's, etc.), and/or brain disorders (e.g., epilepsy, depression, etc.). The methods in accordance with the invention can also be used to enhance neural-function of normal, healthy brains (e.g., learning, memory, etc.), or to control sensory functions (e.g., pain). Certain embodiments of methods in accordance with the invention electrically stimulate the brain at a stimulation site where neuroplasticity is occurring. The stimulation site may be different than the region in the brain where neural activity is typically present to perform the particular neural function according to the functional organization of the brain. In one embodiment in which neuroplasticity related to the neural-function occurs in the brain, the method can include identifying the location where such neuroplasticity is present. In an alternative embodiment in which neuroplasticity is not occurring in the brain, an alternative aspect is to induce neuroplasticity at a stimulation site where it is expected to occur. Several embodiments of these methods that are expected to produce a lasting effect on the intended neural activity at the stimulation site use electrical pulses that increase the resting membrane potential of neurons at the stimulation site to a subthreshold level.