Apparatus and method for calibrating non-invasive desynchronizing neurostimulation
The invention relates to an apparatus ( 1 ) for stimulating neurons having a pathological synchronous and oscillatory neural activity, said apparatus comprising a non-invasive stimulation unit ( 11 ) for applying stimuli ( 22 ) that stimulate a patient's neurons, a measurement unit ( 12 ) for recording test signals ( 23 ) that represent a neural activity of the stimulated neurons, and a control and analysis unit ( 10 ) for controlling the stimulation unit ( 11 ) and analyzing the test signals ( 23 ). The stimulation unit ( 11 ) applies first stimuli ( 34 ), and based on the test signals ( 23 ) recorded in reaction to the application of the first stimuli ( 34 ), the first stimuli ( 34 ) causing the phase of the pathological synchronous and oscillatory neural activity of the stimulated neurons to be reset are selected, whereupon the stimulation unit ( 11 ) applies the selected first stimuli ( 34 ) with a time delay, and the test signals ( 23 ) recorded in reaction to the stimuli ( 34, 38 ) applied with the time delay are used to verify whether said stimuli ( 34, 38 ) applied with the time delay suppress the pathological synchronous and oscillatory neural activity of the stimulated neurons.
1. An apparatus for stimulating neurons with a pathologically synchronous and oscillatory neural activity, the apparatus comprising:
a non-invasive stimulation unit for applying stimuli to a patient, wherein the stimuli stimulate neurons of the patient;
a measuring unit for recording measured signals which reproduce a neural activity of the stimulated neurons;
a control and analysis unit for controlling the stimulation unit and for analyzing the measured signals, wherein the control and analysis unit is configured to:
control the stimulation unit to apply first stimuli, wherein the first stimuli each have a stimulus parameter that lies within a first stimulus parameter range for all first stimuli,
select the first stimuli that effects a phase reset of the pathologically synchronous and oscillatory neural activity of the stimulated neurons with reference to the measured signals recorded in response to the application of the first stimuli,
select a second stimuli, wherein the selected first stimuli disposed at the boundary or outside the first stimulus parameter range as well as further stimuli disposed between these first stimuli belong to the second stimuli,
control the stimulation unit to apply two of the second stimuli with a time offset, and
check with reference to the measured signals recorded in response to the second stimuli applied with a time offset whether the second stimuli applied with a time offset effect an increase in the pathologically synchronous and oscillatory activity of the neurons.
2. The apparatus according to claim 1 , wherein the control and analysis unit is further configured to vary the stimulus parameter of one of the two second stimuli if the two second stimuli applied with a time offset effect an increase in the pathologically synchronous and oscillatory activity of the neurons.
3. The apparatus according to claim 2 , wherein the variation of the stimulus parameter of the one of the two third stimuli enlarges the tonotopic distance between the two third stimuli.
4. An apparatus for stimulating neurons with a pathologically synchronous and oscillatory neural activity, the apparatus comprising:
a non-invasive stimulation unit for applying stimuli to a patient, wherein the stimuli stimulate neurons of the patient;
a measuring unit for recording measured signals which reproduce a neural activity of the stimulated neurons;
a control and analysis unit for controlling the stimulation unit and for analyzing the measured signals, wherein the control and analysis unit is configured to:
control the stimulation unit to apply first stimuli, wherein the first stimuli each have a stimulus parameter that lies within a first stimulus parameter range for all first stimuli,
select the first stimuli that effects a phase reset of the pathologically synchronous and oscillatory neural activity of the stimulated neurons with reference to the measured signals recorded in response to the application of the first stimuli,
control the stimulation unit to apply second stimuli if all the applied first stimuli effect a phase reset of the pathologically synchronous and oscillatory neural activity of the stimulated neurons, wherein the second stimuli each have a stimulus parameter which lies outside the first stimulus parameter range and within a second stimulus parameter range for all second stimuli,
selects the second stimuli that effect a phase reset of the pathologically synchronous and oscillatory neural activity of the stimulated neurons with reference to the measured signals recorded in response to the application of the second stimuli,
form a selection of third stimuli, wherein the selected second stimuli disposed outwardly in the second stimulus parameter range as well as further stimuli disposed between these second stimuli belong to the third stimuli,
control the stimulation unit to apply two of the third stimuli with a time offset, and
determine with reference to the measured signals recorded in response to the third stimuli applied with the time offset whether the third stimuli applied with the time offset effect an increase in the pathologically synchronous and oscillatory activity of the neurons.
5. The apparatus according to claim 4 , wherein the control and analysis unit is further configured to vary the stimulus parameter of one of the two third stimuli if the two third stimuli applied with a time offset effect an increase in the pathologically synchronous and oscillatory activity of the neurons.
6. The apparatus according to claim 5 , wherein the variation of the stimulus parameter of the one of the two third stimuli enlarges a tonotopic distance between the two third stimuli.
7. The apparatus according to claim 4 , wherein the control and analysis unit is configured to select the first stimuli such that respective target sites in the brain of the patient are approximately equidistant.
8. The apparatus according to claim 4 , wherein the stimulation unit is configured to generate acoustic stimuli.
9. The apparatus according to claim 8 , wherein,
the stimulus parameter is a frequency and the first and second stimulus parameter ranges are each a frequency interval.