Anticonvulsant Effects of Transcranial Direct‐current Stimulation (tDCS) in the Rat Cortical Ramp Model of Focal Epilepsy

Purpose: Weak direct currents induce lasting alterations of cortical excitability in animals and humans, which are controlled by polarity, duration of stimulation, and current strength applied. To evaluate its anticonvulsant potential, transcranial direct current stimulation (tDCS) was tested in a m...

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Veröffentlicht in:Epilepsia (Copenhagen) 2006-07, Vol.47 (7), p.1216-1224
Hauptverfasser: Liebetanz, David, Klinker, Florian, Hering, Diana, Koch, Reinhard, Nitsche, Michael A., Potschka, Heidrun, Löscher, Wolfgang, Paulus, Walter, Tergau, Frithjof
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container_issue 7
container_start_page 1216
container_title Epilepsia (Copenhagen)
container_volume 47
creator Liebetanz, David
Klinker, Florian
Hering, Diana
Koch, Reinhard
Nitsche, Michael A.
Potschka, Heidrun
Löscher, Wolfgang
Paulus, Walter
Tergau, Frithjof
description Purpose: Weak direct currents induce lasting alterations of cortical excitability in animals and humans, which are controlled by polarity, duration of stimulation, and current strength applied. To evaluate its anticonvulsant potential, transcranial direct current stimulation (tDCS) was tested in a modified cortical ramp‐stimulation model of focal epilepsy. Methods: The threshold for localized seizure activity (TLS) was determined in freely moving rats by applying a single train of rising bipolar pulses through a unilateral epicranial electrode. After tDCS, TLS was determined repeatedly for 120 min at intervals of 15 min. The first group of animals received two sessions of cathodal tDCS at 100 μA, one for 30 and one for 60 min. A third session consisted of 60 min of anodal tDCS. A second group received cathodal tDCS at 200 μA for 15 and for 30 min, as well as anodal tDCS for 30 min. Results: Sixty minutes of cathodal tDCS at 100 μA resulted in a TLS increase lasting for ≥2 h. When the intensity was increased to 200 μA, a similar lasting TLS elevation occurred after a stimulation of just 30‐min duration. In contrast, anodal tDCS at identical stimulation durations and current strengths had no significant effect on TLS. Conclusions: The anticonvulsive effect induced by cathodal tDCS depends on stimulation duration and current strength and may be associated with the induction of alterations of cortical excitability that outlast the actual stimulation. The results lead to the reasonable assumption that cathodal tDCS could evolve as a therapeutic tool in drug‐refractory partial epilepsy.
doi_str_mv 10.1111/j.1528-1167.2006.00539.x
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To evaluate its anticonvulsant potential, transcranial direct current stimulation (tDCS) was tested in a modified cortical ramp‐stimulation model of focal epilepsy. Methods: The threshold for localized seizure activity (TLS) was determined in freely moving rats by applying a single train of rising bipolar pulses through a unilateral epicranial electrode. After tDCS, TLS was determined repeatedly for 120 min at intervals of 15 min. The first group of animals received two sessions of cathodal tDCS at 100 μA, one for 30 and one for 60 min. A third session consisted of 60 min of anodal tDCS. A second group received cathodal tDCS at 200 μA for 15 and for 30 min, as well as anodal tDCS for 30 min. Results: Sixty minutes of cathodal tDCS at 100 μA resulted in a TLS increase lasting for ≥2 h. When the intensity was increased to 200 μA, a similar lasting TLS elevation occurred after a stimulation of just 30‐min duration. In contrast, anodal tDCS at identical stimulation durations and current strengths had no significant effect on TLS. Conclusions: The anticonvulsive effect induced by cathodal tDCS depends on stimulation duration and current strength and may be associated with the induction of alterations of cortical excitability that outlast the actual stimulation. The results lead to the reasonable assumption that cathodal tDCS could evolve as a therapeutic tool in drug‐refractory partial epilepsy.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2006.00539.x</identifier><identifier>PMID: 16886986</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Animals ; Anticonvulsants - pharmacology ; Anticonvulsants - therapeutic use ; Anticonvulsants. Antiepileptics. 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In contrast, anodal tDCS at identical stimulation durations and current strengths had no significant effect on TLS. Conclusions: The anticonvulsive effect induced by cathodal tDCS depends on stimulation duration and current strength and may be associated with the induction of alterations of cortical excitability that outlast the actual stimulation. The results lead to the reasonable assumption that cathodal tDCS could evolve as a therapeutic tool in drug‐refractory partial epilepsy.</description><subject>Animals</subject><subject>Anticonvulsants - pharmacology</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Anticonvulsants. Antiepileptics. 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To evaluate its anticonvulsant potential, transcranial direct current stimulation (tDCS) was tested in a modified cortical ramp‐stimulation model of focal epilepsy. Methods: The threshold for localized seizure activity (TLS) was determined in freely moving rats by applying a single train of rising bipolar pulses through a unilateral epicranial electrode. After tDCS, TLS was determined repeatedly for 120 min at intervals of 15 min. The first group of animals received two sessions of cathodal tDCS at 100 μA, one for 30 and one for 60 min. A third session consisted of 60 min of anodal tDCS. A second group received cathodal tDCS at 200 μA for 15 and for 30 min, as well as anodal tDCS for 30 min. Results: Sixty minutes of cathodal tDCS at 100 μA resulted in a TLS increase lasting for ≥2 h. When the intensity was increased to 200 μA, a similar lasting TLS elevation occurred after a stimulation of just 30‐min duration. In contrast, anodal tDCS at identical stimulation durations and current strengths had no significant effect on TLS. Conclusions: The anticonvulsive effect induced by cathodal tDCS depends on stimulation duration and current strength and may be associated with the induction of alterations of cortical excitability that outlast the actual stimulation. The results lead to the reasonable assumption that cathodal tDCS could evolve as a therapeutic tool in drug‐refractory partial epilepsy.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>16886986</pmid><doi>10.1111/j.1528-1167.2006.00539.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Anticonvulsants - pharmacology
Anticonvulsants - therapeutic use
Anticonvulsants. Antiepileptics. Antiparkinson agents
Antiepileptic drugs
Biological and medical sciences
Cerebral Cortex - drug effects
Cerebral Cortex - physiology
Disease Models, Animal
Drug Resistance
Electric Stimulation
Electric Stimulation Therapy - methods
Electrodes
Epilepsies, Partial - drug therapy
Epilepsies, Partial - etiology
Epilepsies, Partial - prevention & control
Epilepsy
Frontal Lobe - physiology
Functional Laterality - physiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Male
Malformations of the nervous system
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Neuropharmacology
Neuroplasticity
Pharmacology. Drug treatments
Rat brain
Rats
Rats, Wistar
Transcranial direct current stimulation (tDCS)
title Anticonvulsant Effects of Transcranial Direct‐current Stimulation (tDCS) in the Rat Cortical Ramp Model of Focal Epilepsy
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