Electrophysiological studies of long-term electrical stimulation of the cerebellum in monkeys.

@article{Babb1977ElectrophysiologicalSO,
  title={Electrophysiological studies of long-term electrical stimulation of the cerebellum in monkeys.},
  author={Thomas L. Babb and Henry V. Soper and Jeffrey P. Lieb and Wendy J. Brown and C A Ottino and Paul H. Crandall},
  journal={Journal of neurosurgery},
  year={1977},
  volume={47 3},
  pages={
          353-65
        }
}
Six rhesus monkeys were stimulated on the paravermal cortex for 205 hours (18 days) with different charge densities in order to determine the electrode performance and neural damage that may result from long-term cerebellar stimulation comparable to that being used in man. The electrode-tissue interface was relatively stable and no neural damage was found when the charge/phase (0.5 muC/ph) or charge density (7.4 muC/sq cm/ph) was very low. At all higher charge levels tested (2.4, 4.8, 10, and… 

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Tissue reactions to long-term electrical stimulation of the cerebellum in monkeys.
TLDR
Light and electron microscopic analyses were carried out on the stimulated and unstimulated paravermal cortices of six rhesus monkeys that had electrodes implanted on their cerebella for 2 months, and charge density/phase and charge/phase were directly related to increased cerebellar injury in the six other Cerebellar cortices stimulated.
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The findings in this study suggest that current flow is more important than electrochemical reactions in causing neural damage and that the BBB is restored within one month following electrical injury.
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Biochemical analysis revealed metabolic abnormalities consistent with the morphologic evidence of widespread tissue damage andentials evoked by cerebellar stimulation could be recorded from the cranium, providing a noninvasive technique of determining the level of current delivered to cerebellum.
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There was considerable damage and loss of Purkinje cells in all specimens examined, including an area without electrodes, but the greatest changes appeared in tissue beneath the cathode and anode, consistent with the morphologic evidence of widespread tissue damage.
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Ten of 15 patients subjected to chronic cerebellar stimulation have had previously intractable seizures modified or inhibited up to periods of three years and one unimproved patient died during a seizure 17 months after stimulation was initiated.
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The data suggest that augmentation of Purkinje cell inhibitory discharges is not the dominant mechanism for seizure suppression during cerebellar stimulation, and comparison of cerebellars obtained during electrode installation with those obtained later during electrode revisions may have prognostic significance.
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Observations of the effects of chronic stimulation of the cerebellar cortex in 7 patients with intractable epilepsy and one patient totally incapacitated by generalized intention myoclonus are summarized.
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Auditory perceptions produced in a person deaf to acoustic stimulation were studied by electrically exciting the auditory nerve through permanently implanted electrodes to produce a number of complex effects.
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