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Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
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Adaptive deep brain stimulation (aDBS).

Alberto Priori1, Natale Maiorana1, Michelangelo Dini1

  • 1Department of Health Science, Aldo Ravelli Center, University of Milan, Milan, Italy.

International Review of Neurobiology
|August 27, 2021
PubMed
Summary
This summary is machine-generated.

Adaptive deep brain stimulation (aDBS) offers a closed-loop approach to treat movement and neuropsychiatric disorders. This adaptive system adjusts stimulation based on biomarkers, potentially improving symptom management in neurodegenerative diseases.

Keywords:
Adaptive DBSDBSInvasive neuromodulation

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Area of Science:

  • Neurology
  • Biomedical Engineering
  • Neuroscience

Background:

  • Deep brain stimulation (DBS) is a standard treatment for Parkinson's disease (PD) and essential tremor (ET).
  • Emerging research suggests DBS feasibility for neuropsychiatric conditions like treatment-resistant depression (TRD) and Tourette's syndrome (TS).
  • Conventional DBS delivers constant current, unlike adaptive DBS (aDBS) systems.

Purpose of the Study:

  • To examine the clinical and technological challenges and advancements in adaptive deep brain stimulation (aDBS).
  • To review the efficacy of aDBS in managing symptoms of neurodegenerative and neuropsychiatric disorders.
  • To highlight technological progress in aDBS system design and biomarker integration.

Main Methods:

  • Review of clinical findings and animal model studies on aDBS for symptom management.
  • Analysis of technological developments in aDBS, including noise filtering and biomarker processing.
  • Exploration of closed-loop system implementation for adjusting stimulation parameters.

Main Results:

  • Adaptive deep brain stimulation (aDBS) shows promise in ameliorating symptoms of neurodegenerative disorders.
  • Significant advancements in aDBS system design, biomarker recording, and signal processing have been reported.
  • Closed-loop adaptive stimulation adjusts parameters based on real-time biomarkers.

Conclusions:

  • Adaptive deep brain stimulation (aDBS) represents a significant evolution in brain stimulation therapy.
  • Further research and development are crucial to optimize aDBS efficacy.
  • aDBS has the potential to expand treatment options for a broader range of neuropsychiatric disorders.