Neurostimulation Flashcards

1
Q

What makes Brain Stimulation Special as a method?

A

it provides causal information i.e. what areas are necessary and sufficient to realize certain mental states / behaviours

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2
Q

What kind of information can be gained from virtual lesion studies?

A

What areas are Necessary for a certian behaviour/ mental state. (f.e. inhibiting region x leading to failure to execute function y)

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3
Q

What kind of information can be gained from Brain Stimulation?

A

What brain areas are Sufficient for a certian behaviour/ mental state. (f.e. stimulation of area x leads to raising of left middle finger)

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4
Q

What are the main things to think/worry about when interpreting the results of Brain Stimulation?

A
  1. Spatial Specificity: neighbouring regions might be stimulated. It might be these instead of the region of interest that is causing the observed phenomena.
  2. temporal specificity: matters for causal chain and determining what time a certian process requires.
  3. Intesity, Duration and inter-stimulation duration: accumualtion can happen, causing neighbouring regions to also be stimualted and fot the effect to last a longer time. (also: different levels of activiation lead to different outcomes)
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5
Q

Why does the protocol not tell us whether the effect of brain stimualtion is inhibitory or excitatory?

A

What matters is protocol (excitatory or inhibitory) IN COMBINATION with the type of brain region (excitatory or inhibitory) -> determine the outcome jointly

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6
Q

What are the challenges and the best option for a sham condition in brain stimulation experiments?

A

challenges: needs to be similar enough regarding somatosensory, sound and coil position.
best solution: sham condition = subthresholdt stimulation

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7
Q

Why can a bad temporal resolution be a good thing in Brain Stimulation?

A

In Clinical Applications a “poor” temproal resolution simply means a prolonged effect.

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8
Q

What are the two main types of brain stimulation methods?

A

invasive and non-invasive

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9
Q

What are the two subtypes of invasice Brain Stimulation?

A
  1. Deep Brain Stimulation (inhibitory)
  2. Electrical Brain Stimulation
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10
Q

Give an example of why intensitiy matters for brain stimulation research.

A

Different intensities can lead to different outcomes. F.e. Reported sensing of intention after weak stiualtion to parietal regions. Illusionary movement with stronger stimulation in parietal region.

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11
Q

What are the drawbacks of invasive brain stimulation in research?

A
  1. can only be used on people which need medical attention (brains open).
  2. Paradigm Choice limitation: Cannot perform every taks when your skull is open.
  3. As the sample is limited to people with neurological problems there is a problem with generalizing to a greater population as neurplasticity and compensation might have changed functional networks in the test subjects.
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12
Q

What are the two different methods used for non-invasive brain stimulation?

A

Transcranial electric stimulation (TES) and Transcranial Magnetic Stimulation (TMS)

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13
Q

Explain the basic working principle of TMS and how inhibition and excitation can be achieved.

A

Magnetic fields serve as a vehicle for electrical current. Trigger (high frequency) or suppress (low frequency) action potentials in target regions.

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14
Q

What are the protocols of TMS?

A

single (immediate effect)
paired-pulse and
repetitive TMS (pro-longed effect)

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15
Q

Explain the basic working principle of TES

A

Electrical Current is passed through the skull using 2 electrodes.
Unlike TMS TES is not strong enough to trigger action potentials, but only increase/decrease probability that membrane potential reaches the threshhold.
Anodal Stimulation -> activation (i.e. depolarization of membrane potential-> closer to threshold)
Cathodal Stimulation -> inhibition (i.e. hyperpolarization -> away from threshold)

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16
Q

What are the 3 protocols used in TES?

A

Tdcs -> stable current
TACS -> oscillations of current, setting “pattern” in brain, getting the neurons to fire together
TRNS -> random (noise) alterations of current