Closing the Loop for Precise Seizure Control

Closed-Loop Direct Control of Seizure Focus in a Rodent Model of Temporal Lobe Epilepsy via Localized Electric Fields Applied Sequentially Kang W, Ju C, Joo J, Lee J, Shon Y-M, Park S-M. Nat Commun. 2022;13(1):7805. doi:10.1038/s41467-022-35540-7 Direct electrical stimulation of the seizure focus can achieve the early termination of epileptic oscillations. However, direct intervention of the hippocampus, the most prevalent seizure focus in temporal lobe epilepsy is thought to be not practicable due to its large size and elongated shape. Here, in a rat model, we report a sequential narrow-field stimulation method for terminating seizures, while focusing stimulus energy at the spatially extensive hippocampal structure. The effects and regional specificity of this method were demonstrated via electrophysiological and biological responses. Our proposed modality demonstrates spatiotemporal preciseness and selectiveness for modulating the pathological target region which may have potential for further investigation as a therapeutic approach.