Concepedia

Concept

neuromodulation therapies

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Chronic Intracranial Neuromodulation

1959 - 1965

During the 1959–1965 window, invasive electrical stimulation and recording dominated efforts to perturb and map brain excitability and seizure dynamics, employing chronically implanted electrodes, nerve stimulators, and implantable transmitters in animal models. Photic stimulation and evoked responses complemented these approaches, aiding diagnostic classification and localization of epilepsy, sensory cortex relationships, and subcortical activity. Mechanistic explorations of epileptogenesis and hyperexcitability highlighted the roles of hypothalamic and reticular circuits, epileptogenic foci, and cortical network dynamics, while early neuromodulation extended to non-neural applications such as neurogenic bladder control, demonstrating functional benefits of implantable stimulation devices.

Dominant pattern: invasive electrical stimulation and recording served as primary tools to perturb and map brain excitability, seizure initiation and spread, using chronically implanted electrodes, nerve stimulation, and implantable transmitters across monkey/cat models [7], [10], [8], [11], [4], [19], [5], [17], [20], [15].

Diagnostic/evoked-potential patterns: photic stimulation and evoked responses were employed to characterize epilepsy, sensory-cortex relationships, and subcortical activity, informing diagnostic classification and localization efforts [9], [6], [18].

Mechanistic epileptogenesis/hyperexcitability: animal models and brain-region perturbations explored seizure thresholds, hypersynchrony, and spread, highlighting hypothalamus/reticular formation roles, epileptogenic foci, and cortical circuitry dynamics [5], [17], [4], [11], [19], [8].

Therapeutic neuromodulation outside epilepsy: electrical stimulation approaches to treat non-neural disorders, notably neurogenic bladder, detrusor stimulation, and related motor-neural control, demonstrating functional benefits of implantable stimulation devices [15], [20], [16].

Targeted Cortical Electrical Stimulation

1966 - 1972

Early Multimodal Neuromodulation

1973 - 1980

Site-Specific Electrical Neuromodulation

1981 - 1987

Localized Magnetic Brain Stimulation

1988 - 2000

Network-Targeted Neuromodulation

2001 - 2007

Rhythm-Driven Neuromodulation

2008 - 2014

Adaptive Network Neuromodulation

2015 - 2017

Network-Guided State-Aware Neuromodulation

2018 - 2024