Controlling Cerebellar Output to Treat Refractory Epilepsy

Lieke Kros, Oscar H J Eelkman Rooda, Chris I De Zeeuw, Freek E Hoebeek

Onderzoeksoutput: Bijdrage aan wetenschappelijk tijdschrift/periodieke uitgaveArtikelWetenschappelijkpeer review

Samenvatting

Generalized epilepsy is characterized by recurrent seizures caused by oscillatory neuronal firing throughout thalamocortical networks. Current therapeutic approaches often intervene at the level of the thalamus or cerebral cortex to ameliorate seizures. We review here the therapeutic potential of cerebellar stimulation. The cerebellum forms a prominent ascending input to the thalamus and, whereas stimulation of the foliated cerebellar cortex exerts inconsistent results, stimulation of the centrally located cerebellar nuclei (CN) reliably stops generalized seizures in experimental models. Stimulation of this area indicates that the period of stimulation with respect to the phase of the oscillations in thalamocortical networks can optimize its effect, opening up the possibility of developing on-demand deep brain stimulation (DBS) treatments.

Originele taal-2Engels
Pagina's (van-tot)787-99
Aantal pagina's13
TijdschriftTrends in Neurosciences
Volume38
Nummer van het tijdschrift12
DOI's
StatusGepubliceerd - dec. 2015

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