This title appears in the Scientific Report : 2016 

Anti-kindling Induced by Two-Stage Coordinated Reset Stimulation with Weak Onset Intensity
Zeitler, Magteld (Corresponding author)
Tass, Peter A.
Gehirn & Verhalten; INM-7
Frontiers in computational neuroscience, 10 (2016) S. 44
Lausanne Frontiers Research Foundation 2016
10.3389/fncom.2016.00044
Journal Article
Addenda
Connectivity and Activity
OpenAccess
OpenAccess
Please use the identifier: http://hdl.handle.net/2128/13707 in citations.
Please use the identifier: http://dx.doi.org/10.3389/fncom.2016.00044 in citations.
Abnormal neuronal synchrony plays an important role in a number of brain diseases. To specifically counteract abnormal neuronal synchrony by desynchronization, Coordinated Reset (CR) stimulation, a spatiotemporally patterned stimulation technique, was designed with computational means. In neuronal networks with spike timing–dependent plasticity CR stimulation causes a decrease of synaptic weights and finally anti-kindling, i.e., unlearning of abnormally strong synaptic connectivity and abnormal neuronal synchrony. Long-lasting desynchronizing aftereffects of CR stimulation have been verified in pre-clinical and clinical proof of concept studies. In general, for different neuromodulation approaches, both invasive and non-invasive, it is desirable to enable effective stimulation at reduced stimulation intensities, thereby avoiding side effects. For the first time, we here present a two-stage CR stimulation protocol, where two qualitatively different types of CR stimulation are delivered one after another, and the first stage comes at a particularly weak stimulation intensity. Numerical simulations show that a two-stage CR stimulation can induce the same degree of anti-kindling as a single-stage CR stimulation with intermediate stimulation intensity. This stimulation approach might be clinically beneficial in patients suffering from brain diseases characterized by abnormal neuronal synchrony where a first treatment stage should be performed at particularly weak stimulation intensities in order to avoid side effects. This might, e.g., be relevant in the context of acoustic CR stimulation in tinnitus patients with hyperacusis or in the case of electrical deep brain CR stimulation with sub-optimally positioned leads or side effects caused by stimulation of the target itself. We discuss how to apply our method in first in man and proof of concept studies.