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  1. Book ; Online ; E-Book: Essential neuromodulation

    Arle, Jeffrey E. / Shils, Jay L.

    2022  

    Author's details edited by Jeffrey E. Arle, Jay L. Shils
    Keywords Nervous system/Diseases/Treatment ; Neural transmission
    Subject code 616.8046
    Language English
    Size 1 Online-Ressource (xii, 494 Seiten), Illustrationen, Diagramme
    Edition Second edition
    Publisher Elsevier Academic Press
    Publishing place London
    Publishing country Great Britain
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT021431993
    ISBN 978-0-12-817001-4 ; 9780128170007 ; 0-12-817001-8 ; 012817000X
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

    Full text online

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  2. Book ; Online ; E-Book: The neuromodulation casebook

    Arle, Jeffrey E.

    2020  

    Abstract: The Neuromodulation Casebook is a case-based volume for practical, hands-on decision-making using realistic case examples from the field of neuromodulation. It encompasses a variety of techniques and therapies, ranging from deep brain stimulation for a ... ...

    Author's details edited by Jeffrey Arle
    Abstract The Neuromodulation Casebook is a case-based volume for practical, hands-on decision-making using realistic case examples from the field of neuromodulation. It encompasses a variety of techniques and therapies, ranging from deep brain stimulation for a multitude of disorders, to spinal cord stimulation, peripheral nerve stimulation, cortical stimulation and cranial nerve stimulation, as well as non-invasive therapies and other implanted types of devices that interface with the nervous system. Allowing readers to better learn via case-based examples, this practical volume depicts real examples of decisions neuroscientists and neurosurgeons need to make every day from leaders in the field. This book serves as a companion text to the editor’s previous titles Essential Neuromodulation and Innovative Neuromodulation for neuroscience, neural engineering and biomedical engineering courses. -- Publisher
    Keywords Nervous system/Diseases/Treatment
    Subject code 616.8046
    Language English
    Size 1 online resource (xii, 178 pages)
    Publisher Academic Press
    Publishing place London, England
    Document type Book ; Online ; E-Book
    Note Includes index.
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 0-12-817003-4 ; 0-12-817002-6 ; 978-0-12-817002-1 ; 978-0-12-817003-8
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Book ; Online ; E-Book: Innovative neuromodulation

    Arle, Jeffrey E. / Shils, Jay L.

    2017  

    Author's details edited by Jeffrey Arle, Jay L. Shils
    Keywords Deep Brain Stimulation ; Receptors, Neurotransmitter
    Language English
    Size 1 Online-Ressource (xxvii, 312 Seiten), Illustrationen
    Publisher Elsevier, Academic Press
    Publishing place London
    Publishing country Great Britain
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019395724
    ISBN 978-0-12-800596-5 ; 9780128004548 ; 0-12-800596-3 ; 0128004541
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Book: Essential neuromodulation

    Arle, Jeffrey E. / Shils, Jay L.

    2011  

    Author's details Jeffrey E. Arle ; Jay L. Shils
    Language English
    Size XI, 491 S. : Ill., graph. Darst.
    Edition 1. ed.
    Publisher Elsevier Acad. Press
    Publishing place Amsterdam u.a.
    Publishing country Netherlands
    Document type Book
    HBZ-ID HT016856508
    ISBN 978-0-12-381409-8 ; 0-12-381409-X ; 9780123814104 ; 0123814103
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2011 A 2133 order for loan Magazin

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  5. Article ; Online: Closed-Loop Systems in Neuromodulation: Electrophysiology and Wearables.

    Montenegro, Thiago S / Ali, Rushna / Arle, Jeffrey E

    Neurosurgery clinics of North America

    2022  Volume 33, Issue 3, Page(s) 297–303

    Abstract: Most currently available neuromodulation techniques for pain work through an open-loop system. The distance between the epidural space and the target of the stimulation in a dynamic body can change because of physiologic conditions. The closed-loop ... ...

    Abstract Most currently available neuromodulation techniques for pain work through an open-loop system. The distance between the epidural space and the target of the stimulation in a dynamic body can change because of physiologic conditions. The closed-loop system in spinal cord neuromodulation consists of an integrated system that records real-time electrophysiological activity in the form of evoked compound action potentials and uses it in a feedback mechanism to adjust stimulus output. Wearables represent newly developed technologies that have gained traction in recent years. Their application in pain management is still developing but promising.
    MeSH term(s) Electrophysiology ; Humans ; Pain Management ; Spinal Cord ; Spinal Cord Stimulation/methods ; Wearable Electronic Devices
    Language English
    Publishing date 2022-05-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196855-2
    ISSN 1558-1349 ; 1042-3680
    ISSN (online) 1558-1349
    ISSN 1042-3680
    DOI 10.1016/j.nec.2022.02.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Neurophysiology during movement disorder surgery.

    Shils, Jay L / Arle, Jeffrey E / Gonzalez, Andres

    Handbook of clinical neurology

    2022  Volume 186, Page(s) 123–132

    Abstract: During stereotactic procedures for treating medically refractory movement disorders, intraoperative neurophysiology shifts its focus from simply monitoring the effects of surgery to an integral part of the surgical procedure. The small size, poor ... ...

    Abstract During stereotactic procedures for treating medically refractory movement disorders, intraoperative neurophysiology shifts its focus from simply monitoring the effects of surgery to an integral part of the surgical procedure. The small size, poor visualization, and physiologic nature of these deep brain targets compel the surgeon to rely on some form of physiologic for confirmation of proper anatomic targeting. Even given the newer reliance on imaging and asleep deep brain stimulator electrode placement, it is still a physiologic target and thus some form of intraoperative physiology is necessary. This chapter reviews the neurophysiologic monitoring method of microelectrode recording that is commonly employed during these neurosurgical procedures today.
    MeSH term(s) Deep Brain Stimulation/methods ; Humans ; Magnetic Resonance Imaging ; Neurophysiology ; Parkinson Disease/therapy ; Stereotaxic Techniques
    Language English
    Publishing date 2022-04-11
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 0072-9752
    ISSN 0072-9752
    DOI 10.1016/B978-0-12-819826-1.00004-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Neuromonitoring for Spinal Cord Stimulation Lead Placement Under General Anesthesia.

    Shils, Jay L / Arle, Jeffrey E

    Journal of clinical neurology (Seoul, Korea)

    2018  Volume 14, Issue 4, Page(s) 444–453

    Abstract: Spinal cord stimulation (SCS) is a common therapeutic technique for treating medically refractory neuropathic back and other limb pain syndromes. SCS has historically been performed using a sedative anesthetic technique where the patient is awakened at ... ...

    Abstract Spinal cord stimulation (SCS) is a common therapeutic technique for treating medically refractory neuropathic back and other limb pain syndromes. SCS has historically been performed using a sedative anesthetic technique where the patient is awakened at various times during a surgical procedure to evaluate the location of the stimulator lead. This technique has potential complications, and thus other methods that allow the use of a general anesthetic have been developed. There are two primary methods for placing leads under general anesthesia, based on 1) compound muscle action potentials and 2) collisions between somatosensory evoked potentials. Both techniques are discussed, and the literature on SCS lead placement under general anesthesia using intraoperative neurophysiological mapping is comprehensively reviewed.
    Language English
    Publishing date 2018-09-06
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ZDB-ID 2500489-X
    ISSN 2005-5013 ; 1738-6586
    ISSN (online) 2005-5013
    ISSN 1738-6586
    DOI 10.3988/jcn.2018.14.4.444
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Fiber Threshold Accommodation as a Mechanism of Burst and High-Frequency Spinal Cord Stimulation.

    Arle, Jeffrey E / Mei, Longzhi / Carlson, Kristen W

    Neuromodulation : journal of the International Neuromodulation Society

    2019  Volume 23, Issue 5, Page(s) 582–593

    Abstract: Objectives: Burst and high-frequency spinal cord stimulation (SCS), in contrast to low-frequency stimulation (LFS, < 200 Hz), reduce neuropathic pain without the side effect of paresthesia, yet it is unknown whether these methods' mechanisms of action ( ... ...

    Abstract Objectives: Burst and high-frequency spinal cord stimulation (SCS), in contrast to low-frequency stimulation (LFS, < 200 Hz), reduce neuropathic pain without the side effect of paresthesia, yet it is unknown whether these methods' mechanisms of action (MoA) overlap. We used empirically based computational models of fiber threshold accommodation to examine the three MoA.
    Materials and methods: Waveforms used in SCS are composed of cathodic, anodic, and rest phases. Empirical studies of human peripheral sensory nerve fibers show different accommodation effects occurring in each phase. Notably, larger diameter fibers accommodate more than smaller fibers. We augmented our computational axon model to replicate fiber threshold accommodation behavior for diameters from 5 to 15 μm in each phase. We used the model to predict threshold change in variations of burst, high frequency, and LFS.
    Results: The accommodation model showed that 1) inversion of larger and smaller diameter fiber thresholds produce a therapeutic window in which smaller fibers fire while larger ones do not and 2) the anodic pulses increase accommodation and perpetuate threshold inversion from burst to burst and between cathodic pulses in burst, high frequency, and variations, resulting in an amplitude "window" in which larger fibers are inactivated while smaller fibers fire. No threshold inversion was found for traditional LFS.
    Conclusions: The model, based on empirical data, predicts that, at clinical amplitudes, burst and high-frequency SCS do not activate large-diameter fibers that produce paresthesia while driving medium-diameter fibers, likely different from LFS, which produce analgesia via different populations of dorsal horn neural circuits.
    MeSH term(s) Axons ; Computer Simulation ; Humans ; Models, Neurological ; Neuralgia/therapy ; Pain Management ; Paresthesia ; Spinal Cord ; Spinal Cord Dorsal Horn ; Spinal Cord Stimulation/methods
    Language English
    Publishing date 2019-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1500372-3
    ISSN 1525-1403 ; 1094-7159
    ISSN (online) 1525-1403
    ISSN 1094-7159
    DOI 10.1111/ner.13076
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    Zs.A 5912: Show issues Location:
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  9. Article ; Online: Evidence-based medicine: fact or fiction?

    Arle, Jeffrey E

    World neurosurgery

    2011  Volume 76, Issue 1-2, Page(s) 45–47

    MeSH term(s) Data Interpretation, Statistical ; Evidence-Based Medicine/standards ; Evidence-Based Medicine/trends ; Insurance, Health, Reimbursement ; Neural Networks (Computer) ; Neurosurgery/standards ; Neurosurgery/trends ; Nonlinear Dynamics ; Randomized Controlled Trials as Topic ; Research/standards
    Language English
    Publishing date 2011-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2011.06.030
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    Zs.A 1159: Show issues Location:
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  10. Article ; Online: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Occipital Nerve Stimulation for the Treatment of Patients With Medically Refractory Occipital Neuralgia: Update.

    Staudt, Michael D / Hayek, Salim M / Rosenow, Joshua M / Narouze, Samer / Arle, Jeffrey E / Pilitsis, Julie G / Schwalb, Jason M / Falowski, Steven M / Sweet, Jennifer A

    Neurosurgery

    2023  Volume 93, Issue 3, Page(s) 493–495

    Abstract: Background: The Guidelines Task Force conducted a systematic review of the relevant literature on occipital nerve stimulation (ONS) for occipital neuralgia (ON) to update the original 2015 guidelines to ensure timeliness and accuracy for clinical ... ...

    Abstract Background: The Guidelines Task Force conducted a systematic review of the relevant literature on occipital nerve stimulation (ONS) for occipital neuralgia (ON) to update the original 2015 guidelines to ensure timeliness and accuracy for clinical practice.
    Objective: To conduct a systematic review of the literature and update the evidence-based guidelines on ONS for ON.
    Methods: The Guidelines Task Force conducted another systematic review of the relevant literature, using the same search terms and strategies used to search PubMed and Embase for relevant literature. The updated search included studies published between 1966 and January 2023. The same inclusion/exclusion criteria as the original guideline were also applied. Abstracts were reviewed, and relevant full text articles were retrieved and graded. Of 307 articles, 18 were retrieved for full-text review and analysis. Recommendations were updated according to new evidence yielded by this update .
    Results: Nine studies were included in the original guideline, reporting the use of ONS as an effective treatment option for patients with medically refractory ON. An additional 6 studies were included in this update. All studies in the original guideline and this current update provide Class III evidence.
    Conclusion: Based on the availability of new literature, the current article is a minor update only that does not result in modification of the prior recommendations: Clinicians may use ONS as a treatment option for patients with medically refractory ON.
    MeSH term(s) Humans ; Neurosurgeons ; Headache/therapy ; Neuralgia/therapy ; Neck Pain
    Language English
    Publishing date 2023-07-17
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/neu.0000000000002578
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