METHOD AND APPARATUS FOR PREVENTING OR TERMINATING EPILEPTIC SEIZURES

• US 20190321638A1
• Filed: 04/09/2019
• Published: 10/24/2019
• Est. Priority Date: 11/18/2015
• Status: Abandoned Application

• Current Assignee: David J. Mogul
• Original Assignee: David J. Mogul
• Inventors: Mogul, David J.
• Application Number:
  US16/379,359
• Publication Number:
  US 20190321638A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 5/291 for electroencephalography [EEG]
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36064 Epilepsy
• CPC Class Codes: A61N 1/36139 with automatic adjustment
• CPC Class Codes: A61N 1/36171 Frequency

Abstract

A method and apparatus for preventing or terminating seizures, by stimulating a brain with at least two implanted electrodes, each implanted in a different one of at least two regions of the brain, with a frequency to emulate neuronal synchrony. Upon detecting a potential or actual seizure occurrence, the frequency is electrically applied to the brain upon the detection to preempt or terminate the potential or actual seizure occurrence. Parts in the brain, where brain electrical activity is being measured, that have the highest connectivity are determined by phase-locking coherence. The select subset of areas showing synchrony, i.e., only those with the highest coherence that will best permit inducing a large global synchrony, are stimulated to preempt or terminate the potential or actual seizure occurrence.

Claims

1. A method of preventing or terminating seizures, comprising:

determining neuronal synchrony between at least two sites of a brain of a patient;

stimulating the brain with at least two implanted electrodes, each implanted in a different one of at least two regions of the brain, with a predetermined seizure termination frequency determined from frequencies measured across a seizure occurrence in the at least two regions of the brain.

2. The method of claim 1, wherein the stimulation comprises deep brain stimulation before or during a seizure at the at least two sites.

3. The method of claim 1, wherein the neuronal synchrony between the at least two sites of the brain is determined from brain sites having a highest coherence there between, and the stimulating occurs at the at least two sites of the brain.

4. The method of claim 1, further comprising:

identifying neuronal synchronies between pairs of the plurality of sites; and

electrically applying a frequency selected from the neuronal synchronies to the brain.

5. The method of claim 4, wherein the frequency is determined from a neuronal synchrony indicating higher coherence.

6. The method of claim 4, further comprising detecting a potential or actual seizure occurrence, wherein the frequency is electrically applied to the brain upon the detection of the potential or actual seizure occurrence.

7. The method of claim 1, wherein the frequency promotes synchronization between structures in the at least two regions of the brain to preempt or terminate a seizure.

8. The method of claim 1, wherein the electrodes are actuated by an implanted neurostimulator including a power source.

9. A non-transitory computer readable storage medium storing code executable on an implantable neurostimulator to perform the method according to claim 1.

10. A method of preventing or terminating seizures, comprising:

monitoring for and/or determining neuronal synchrony between a plurality of sites of a brain of a patient;

comparing measurements from and between at least pairs of the plurality of sites to determine at least a pair of sites with a higher electrical coherence than one or more others of the at least pairs;

determining a frequency at the higher electrical coherence; and

stimulating the brain at the frequency.

11. The method of claim 10, wherein the stimulation occurs at the pair of sites.

12. The method of claim 10, wherein the higher the coherence between the at least pairs, the higher the synchronic connectivity between the at least pairs.

13. The method of claim 10, further comprising identifying neuronal synchronies between the at least pairs of the plurality of sites;

wherein the frequency is selected from the neuronal synchronies.

14. The method of claim 13, wherein the frequency is determined from a neuronal synchrony indicating the highest electrical coherence.

15. The method of claim 13, further comprising detecting a potential or actual seizure occurrence, wherein the frequency is electrically applied to the brain upon the detection of the potential or actual seizure occurrence.

16. An apparatus for preventing or terminating seizures, comprising:

a neurostimulator including a stimulation generator and a power supply connected to the stimulation generator, wherein the stimulation generator generates electrical stimulation for and through at least two electrodes implantable within a brain; and

a control protocol on a non-transitory recordable medium in executable combination with the stimulation generator and adapted to stimulate at least two regions of the brain with a frequency to emulate neuronal synchrony, wherein the frequency comprises a predetermined seizure termination frequency predetermined from seizure frequencies measured across a seizure occurrence in the at least two regions of the brain.

17. The apparatus of claim 16, wherein the frequency is determined from measurements from and between pairs of the plurality of sites within the brain, and determined from a pair of sites with higher electrical coherence than one or more others of the pairs.

18. The apparatus of claim 17, wherein the predetermined seizure termination frequency is determined by the neurostimulator and electrodes.

19. The apparatus of claim 17, further comprising a detector adapted to determine neuronal synchrony between pairs of the plurality of sites within the brain.

20. The apparatus of claim 19, wherein the detector determines a potential or actual seizure occurrence, and the frequency is electrically applied to the brain upon the detection of the potential or actual seizure occurrence.