The
main aim of the workpackage was to
identify a suitable animal model to evaluate functional electrical
stimulation
(FES) of nerve
fibers. During the project and
due to previous expertise several rat models for epilepsy were used in
which
the vagal nerve was stimulated. Following the investigation in
different type
of rat models (kainic acid status epilepticus model, genetic absence
epilepsy
model, electrical kindling model) using video-EEG monitoring, 2 rat
models were
identified as most suitable for the evaluation of vagal nerve fiber
stimulation. Firstly, the MST (motor seizure treshold) model was
validated. One
hour of vagus nerve stimulation (stimulation parameters: 1mA, 30 Hz,
500
microsec) significantly increased the threshold to evoke a motor
seizure in
rats. This model can now be used to evaluate: 1) different stimulation
parameters, 2) more sophisticated electrodes that can simultaneously
record and
stimulate. Secondly, the pilocarpine model has proven suitable to
evaluate
vagal nerve fiber stimulation. None of the rats injected with
pilocarpine and
stimulated with VNS, showed seizures. This model also allows to perform
microdialysis during VNS in these rats to evaluate the effect of VNS on
neurotransmitter release in the brain.
Although a handy model to study the
functionality of VNS for
epilepsy, rats are too small for an experimental implantation of a
system
designed for human use. A suitable animal model for task T8.5 is
defined here
as well. This workpackage focused on the identification of another
animal in
which the newly designed electrode could be tested.
Horses
are known to be susceptible to
a disease of the vocal cords that are innervated by the recurrent
laryngeal
nerve (RLN) that branches of the vagus nerve (VN). FES
may be a suitable treatment option for the disease. For the
identification of a
larger animal model, dissection of the VN and RLN was performed in a
deceased
horse. As a pilot experiment, it was decided to implant a commercially
available VNS system around the recurrent laryngeal nerve because the
available
electrodes from this system do not exceed 3 mm.
Intraoperative
neurostimulation with combined
intraoperative laryngoscopy was performed and neurostimulation at 30-60
Hz and
2 mA clearly evoked laryngeal cord abduction. A full stimulation
parameter
protocol using the implanted system and laryngoscopic evaluation in the
horse
in an awake condition was performed resulting into a strength-duration
curve (rheobase/chronaxy)
for the RLN. Using a stimulation-recording set-up a full compound
action
potential map can be evaluated.