Treatment of epilepsy by high frequency electrical stimulation and/or drug stimulation

• US 20050182453A1
• Filed: 04/12/2005
• Published: 08/18/2005
• Est. Priority Date: 05/24/2002
• Status: Abandoned Application

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Whitehurst, Todd K., Overstreet, Edward H., Maltan, Albert A.
• Application Number:
  US11/103,945
• Publication Number:
  US 20050182453A1
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/36064 Epilepsy
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36157 Current A61N1/3616 takes precedence
• CPC Class Codes: A61N 1/36171 Frequency
• CPC Class Codes: A61N 1/37205 Microstimulators, e.g. implantable through a cannula

Abstract

Exemplary methods of treating a patient with epilepsy include applying a stimulus to a stimulation site within the patient with an implanted system control unit in accordance with one or more stimulation parameters. The stimulus includes a stimulation current having a frequency substantially equal to or greater than 400 Hz. Exemplary systems for treating a patient with epilepsy include a system control unit configured to apply a stimulus to a stimulation site within the patient in accordance with one or more stimulation parameters. The stimulus includes a stimulation current having a frequency substantially equal to or greater than 400 Hz.

Claims

1. A method of treating a patient with epilepsy, said method comprising:

applying a stimulus to a stimulation site within said patient with an implanted system control unit in accordance with one or more stimulation parameters;

wherein said stimulus comprises a stimulation current delivered via one or more electrodes of said system control unit, said stimulation current having a frequency substantially equal to or greater than 400 Hertz (Hz).

2. The method of claim 1, wherein said frequency of said stimulation current is substantially equal to or greater than 400 Hz and substantially equal to or less than 5000 Hz.

3. The method of claim 1, wherein said stimulation current is configured to cause a group of neurons within said stimulation site to fire asynchronously.

4. The method of claim 1, wherein said system control unit is coupled to at least one catheter, and wherein said stimulus comprises stimulation via one or more drugs delivered through said at least one catheter.

5. The method of claim 1, wherein said stimulation parameters control one or more of a frequency of said stimulation current, a pulse width of said stimulation current, and an amplitude of said stimulation current.

6. The method of claim 1, further comprising sensing at least one condition related to epilepsy and using said at least one sensed condition to automatically adjust one or more of said stimulation parameters.

7. The method of claim 6, wherein said at least one sensed condition is at least one or more of an electrical activity of a brain of said patient, a hormone level, a neurotransmitter level, a response of said patient to a medication, and a response of said patient to said stimulus.

8. The method of claim 1, further comprising manually adjusting said stimulation parameters.

9. The method of claim 1, wherein said system control unit comprises a micro stimulator.

10. A system for treating a patient with epilepsy, said system comprising:

a system control unit configured to apply a stimulus to a stimulation site within said patient in accordance with one or more stimulation parameters, said system control unit comprising one or more electrodes;

wherein said system control unit and said electrodes are implanted within said patient and wherein said stimulus comprises a stimulation current delivered via said electrodes, said stimulation current having a frequency substantially equal to or greater than 400 Hertz (Hz).

11. The system of claim 10, wherein said frequency of said stimulation current is substantially equal to or greater than 400 Hz and substantially equal to or less than 5000 Hz.

12. The system of claim 10, wherein said stimulation current is configured to cause a group of neurons within said stimulation site to fire asynchronously.

13. The system of claim 10, further comprising a pump for delivering one or more drugs to said stimulation site, said pump coupled to a catheter, and wherein said stimulus comprises stimulation via said one or more drugs delivered through said catheter.

14. The system of claim 10, wherein said stimulation parameters control one or more of a frequency of said stimulation current, a pulse width of said stimulation current, and an amplitude of said stimulation current.

15. The system of claim 10, further comprising:

a sensor device for sensing at least one condition related to epilepsy;

wherein said system control unit uses said at least one sensed condition to automatically adjust one or more of said stimulation parameters.

16. The system of claim 15, wherein said at least one sensed condition is at least one or more of an electrical activity of a brain of said patient, a hormone level, a neurotransmitter level, a response of said patient to a medication, and a response of said patient to said stimulus.

17. The system of claim 10, wherein said system control unit comprises a microstimulator.

18. A system for treating a patient with epilepsy, said system comprising:

means for applying a stimulus to a stimulation site within said patient with an implanted system control unit in accordance with one or more stimulation parameters;

wherein said stimulus comprises a stimulation current delivered via one or more electrodes, said stimulation current having a frequency substantially equal to or greater than 400 Hertz (Hz).

19. The system of claim 18, wherein said system control unit is coupled to at least one catheter, and wherein said stimulus comprises stimulation via one or more drugs delivered through said at least one catheter.

20. The system of claim 18, further comprising means for sensing at least one condition related to epilepsy and using said at least one sensed condition to automatically adjust one or more of said stimulation parameters.