Biosketch / Results /
Nandor Ludvig, M.D., Ph.D.
Research Associate Professor;Department of Neurology (Neurology)
Contact Info
Address
223 East 34th Street
Ground Floor
Epilepsy Center
New York,
NY
10016
718-270-1796
Nandor.Ludvig@nyumc.org
Education
1979 — Univ of Pecs Medical School, Medical Education1994 — Hungarian Academy of Sciences, Graduate Education
Research Summary
The long-term objective of this project is to develop a novel medical implant for the treatment of intractable focal epilepsy, which affects approximately 10 million people worldwide. This experimental implant is named as "Subdural Hybrid Neuroprosthesis", as its recording/drug delivery component is placed between the dura and pia maters, and the device comprises both electrophysiological and pharmacological components. The general architecture and concept of the device was patented by us in 2002, with patents for the advanced versions are pending. It was designed to monitor the electrical and/or neurochemical activity of epileptogenic zones in the cerebral cortex, analyze the acquired signals real-time, and deliver antiepileptic drugs into the epileptogenic zones before or at the onset of seizures to promptly stop the abnormal neural activity and achieve therapeutic effect. Hardware components of this device are: a subdural electrode/catheter, a signal conditioner, a digital signal processor, a transcutaneously rechargeable power supply, an RF communication module, and a percutaneously refillable saline/antiepileptic drug minipump. We have developed the prototypes of these components, showed that microelectrode-using multineuron recording is likely the best way to predict seizures, and proved that muscimol is an ideal candidate for this localized, subdural epilepsy therapy. The significance of this project, presently funded by the Epilepsy Research Foundation, is that it will develop a therapeutic strategy for epileptic patients whose focal seizures cannot be controlled with traditional pharmacological and surgical treatments. Neuroscientists, epileptologists, neurosurgeons and bioengineers are working together to accomplish this goal.Research Interests
Development of a subdural hybrid neuroprosthesis for the treatment of intractable focal epilepsy and other cerebral cortical disorders.Research Keywords
Monkey; Hippocampus; Neuron recording; EEG; Seizure; Spatial memory; Place cells; Microdialysis; Hybrid Neuroprosthesis; Intractable epilepsyAll data from NYU Health Sciences Library Faculty Bibliography — -
Contact:
http://hsl.med.nyu.edu/faculty-bibliography-search#about
An implantable triple-function device for local drug delivery, cerebrospinal fluid removal and EEG recording in the cranial subdural/subarachnoid space of primates
Ludvig N; Medveczky G; Rizzolo R; Tang HM; Baptiste SL; Doyle WK; Devinsky O; Carlson C; French JA; Kral JG; Charchaflieh J; Kuzniecky RI
2011 Oct 17;203(2):275-283, Journal of neuroscience methods
Transmeningeal pharmacotherapy for cerebral cortical disorders requires drug delivery through the subdural/subarachnoid space, ideally with a feedback controlled mechanism. We have developed a device suitable for this function. The first novel component of the apparatus is a silicone rubber strip equipped with (a) fluid-exchange ports for both drug delivery and local cerebrospinal fluid (CSF) removal, and (b) EEG recording electrode contacts. This strip can be positioned between the dura and pia maters. The second novel component is an implantable dual minipump that directs fluid movement to and from the silicone strip and is accessible for refilling and emptying the drug and CSF reservoirs, respectively. This minipump is regulated by a battery-powered microcontroller integrating a bi-directional radiofrequency (RF) communication module. The entire apparatus was implanted in 5 macaque monkeys, with the subdural strip positioned over the frontal cortex and the minipump assembly secured to the cranium under a protective cap. The system was successfully tested for up to 8months for (1) transmeningeal drug delivery using acetylcholine (ACh) and muscimol as test compounds, (2) RF-transmission of neocortical EEG data to assess the efficacy of drug delivery, and (3) local CSF removal for subsequent diagnostic analyses. The device can be used for (a) monitoring neocortical electrophysiology and neurochemistry in freely behaving nonhuman primates for more than 6months, (b) determining the neurobiological impact of subdural/subarachnoid drug delivery interfaces, (c) obtaining novel neuropharmacological data on the effects of central nervous system (CNS) drugs, and (d) performing translational studies to develop subdural pharmacotherapy devices
—
id: 139939,
year: 2011,
vol: 203,
page: 275,
stat: Journal Article,
Transmeningeal muscimol can prevent focal EEG seizures in the rat neocortex without stopping multineuronal activity in the treated area
Ludvig, Nandor; Tang, Hai M; Artan, N Sertac; Mirowski, Piotr; Medveczky, Geza; Baptiste, Shirn L; Darisi, Sindhu; Kuzniecky, Ruben I; Devinsky, Orrin; French, Jacqueline A
2011 Apr 18;1385:182-191, Brain research
Muscimol has potent antiepileptic efficacy after transmeningeal administration in animals. However, it is unknown whether this compound stops local neuronal firing at concentrations that prevent seizures. The purpose of this study was to test the hypothesis that epidurally administered muscimol can prevent acetylcholine (Ach)-induced focal seizures in the rat neocortex without causing cessation of multineuronal activity. Rats were chronically implanted with a modified epidural cup over the right frontal cortex, with microelectrodes positioned underneath the cup. In each postsurgical experimental day, either saline or 0.005-, 0.05-, 0.5- or 5.0-mM muscimol was delivered through the cup, followed by a 20-min monitoring of the multineuronal activity and the subsequent delivery of Ach in the same way. Saline and muscimol pretreatment in the concentration range of 0.005-0.05mM did not prevent EEG seizures. In contrast, 0.5-mM muscimol reduced the average EEG Seizure Duration Ratio value from 0.30+/-0.04 to 0. At this muscimol concentration, the average baseline multineuronal firing rate of 10.9+/-4.4spikes/s did not change significantly throughout the 20-min pretreatment. Muscimol at 5.0mM also prevented seizures, but decreased significantly the baseline multineuronal firing rate of 7.0+/-1.8 to 3.7+/-0.9spikes/s in the last 10min of pretreatment. These data indicate that transmeningeal muscimol in a submillimolar concentration range can prevent focal neocortical seizures without stopping multineuronal activity in the treated area, and thus this treatment is unlikely to interrupt local physiological functions
—
id: 129321,
year: 2011,
vol: 1385,
page: 182,
stat: Journal Article,
Periodic transmeningeal muscimol maintains its antiepileptic efficacy over three weeks without inducing tolerance, in rats
Tang, Hai M; French, Jacqueline A; Kuzniecky, Ruben I; Devinsky, Orrin; Ludvig, Nandor
2011 Apr 25;494(2):135-138, Neuroscience letters
Periodic transmeningeal administration of muscimol into the neocortical epileptogenic zone via a subdurally implanted device has been proposed for the treatment of intractable focal neocortical epilepsy. It is unknown whether such muscimol applications induce tolerance. The purpose of this study was to determine whether daily transmeningeal (epidural) muscimol applications into the rat parietal cortex induce tolerance to the antiepileptic effect of this drug. Rats were chronically implanted with an epidural cup and adjacent epidural EEG electrodes over the right parietal cortex. After recovery 1.0mM muscimol was delivered into the implanted cortical area through the cup while the animal behaved freely, once per day for 4 consecutive days in each week, with each delivery followed within 3min by the delivery of a seizure-inducing concentration of acetylcholine (Ach) into the same area. The study lasted for 3 weeks. In each week, one day was used to test the epileptogenicity of the examined cortical site by replacing muscimol with saline prior to Ach delivery. The duration of Ach-induced EEG seizures was measured in each experimental session to assess the antiepileptic efficacy of muscimol, while the rat's behavior was also monitored. The daily epidural muscimol pretreatments prevented Ach-induced EEG and behavioral seizures in all rats. This antiepileptic action did not diminish over time and was maintained throughout the 3-week test period. When muscimol was replaced with saline, the subsequent Ach administrations induced EEG and behavioral seizures. These results suggest that periodic transmeningeal administrations of a relatively low concentration of muscimol into the neocortex over three weeks do not induce tolerance to the localized antiepileptic effects of this drug
—
id: 130302,
year: 2011,
vol: 494,
page: 135,
stat: Journal Article,
A high-performance transcutaneous battery charger for medical implants
Artan, N; Vanjani, Hitesh; Vashist, Gurudath; Fu, Zhen; Bhakthavatsala, Santosh; Ludvig, Nandor; Medveczky, Geza; Chao, H
2010 ;1:1581-1584, Conference Proceedings (IEEE Engineering in Medicine & Biology Society)
As new functionality is added to the implantable devices, their power requirements also increase. Such power requirements make it hard for keeping such implants operational for long periods by non-rechargeable batteries. This result in a need for frequent surgeries to replace these batteries. Rechargeable batteries can satisfy the long-term power requirements of these new functions. To minimize the discomfort to the patients, the recharging of the batteries should be as infrequent as possible. Traditional battery charging methods have low battery charging efficiency. This means they may limit the amount of charge that can be delivered to the device, speeding up the depletion of the battery and forcing frequent recharging. In this paper, we evaluate the suitability of a state-of-the-art general purpose charging method called current-pumped battery charger (CPBC) for implant applications. Using off-the-shelf components and with minimum optimization, we prototyped a proof-of-concept transcutaenous battery charger based on CPBC and show that the CPBC can charge a 100 mAh battery transcutaneously within 137 minutes with at most 2.1 degrees C increase in tissue temperature even with a misalignment of 1.3 cm in between the coils, while keeping the battery charging efficiency at 85%
—
id: 115443,
year: 2010,
vol: 1,
page: 1581,
stat: Journal Article,
Comparison of the antiepileptic properties of transmeningeally delivered muscimol, lidocaine, midazolam, pentobarbital and GABA, in rats
Baptiste, Shirn L; Tang, Hai M; Kuzniecky, Ruben I; Devinsky, Orrin; French, Jacqueline A; Ludvig, Nandor
2010 Jan 29;469(3):421-424, Neuroscience letters
This study compared the potencies of epidurally delivered muscimol, lidocaine, midazolam, pentobarbital and gamma-aminobutyric acid (GABA) to prevent focal neocortical seizures induced by locally applied acetylcholine (Ach), in rats (n=5). An epidural cup was chronically implanted over the right somatosensory cortex in each animal, with epidural EEG electrodes placed posterior to the edge of the cup. After recovery, either artificial cerebrospinal fluid (ACSF; control solution) or one of the five drugs was delivered into epidural cup, followed by Ach administration into the cup to induce seizures. EEG seizure duration ratio was calculated for each drug delivery/seizure induction session to determine the potency of ACSF and the drugs to prevent the focal Ach-seizures. The concentration of all examined drug solutions was 1.0mM. ACSF, lidocaine, midazolam, pentobarbital and GABA all failed to prevent the Ach-induced neocortical EEG seizures, yielding EEG seizure duration ratios ranging from 0.41 to 0.80. In contrast, muscimol pretreatment fully prevented the development of ictal EEG in all animals. These results suggest that when used at low concentration muscimol was the best of the five drugs for transmeningeal pharmacotherapy trials for focal neocortical epilepsy
—
id: 106495,
year: 2010,
vol: 469,
page: 421,
stat: Journal Article,
Subarachnoid pharmacotherapy for maximizing recovery after cortical ischemic stroke
Ludvig N.
2010 ;3(2):13-21, Journal of experimental stroke & translational medicine
Subarachnoid pharmacotherapy, a novel therapeutic strategy for the treatment of focal neocortical epilepsy, could be adapted for the treatment of stroke. Specifically, subarachnoid pharmacotherapy could be adapted to maximize functional recovery after cortical ischemic stroke. The key element of this strategy is a device implanted chronically in the subarachnoid space overlaying the cortical infarct and penumbra. The triple functions of this device are: (a) periodic transmeningeal drug delivery to promote neuroregeneration in the penumbra without causing damage by penetration into the cortical tissue, (b) periodic removal of accumulated inflammatory cells and molecules from the drug delivery site to prevent clogging in the drug delivery system, and (c) periodic detection of local EEG signals to monitor the efficacy of the subarachnoid drug treatment and to help to optimize drug delivery/fluid removal parameters. All functions of the device are regulated by a connected control implant. Preliminary safety studies in bonnet macaques not subjected to experimental stroke showed that the subarachnoid device is well tolerated and can perform its triple functions for months without causing apparent neurological or behavioral abnormality. Relevant efficacy tests in animal models of cortical ischemic stroke are needed to predict the clinical potential of subarachnoid pharmacotherapy for post-stroke recovery.
—
id: 113818,
year: 2010,
vol: 3,
page: 13,
stat: Journal Article,
Localized transmeningeal muscimol prevents neocortical seizures in rats and nonhuman primates: Therapeutic implications
Ludvig, Nandor; Baptiste, Shirn L; Tang, Hai M; Medveczky, Geza; von Gizycki, Hans; Charchaflieh, Jean; Devinsky, Orrin; Kuzniecky, Ruben I
2009 Apr;50(4):678-693, Epilepsia
Summary Purpose: To determine whether muscimol delivered epidurally or into the subarachnoid space can prevent and/or terminate acetylcholine (Ach)-induced focal neocortical seizures at concentrations not affecting behavior and background electroencephalography (EEG) activity. Methods: Rats (n = 12) and squirrel monkeys (n = 3) were chronically implanted with an epidural or subarachnoid drug delivery device, respectively, over the right frontal/parietal cortex, with adjacent EEG electrodes. Recordings were performed in behaving rats and chaired monkeys. Via the implants, either a control solution (artificial cerebrospinal fluid, ACSF) or muscimol (0.25-12.5 mm) was delivered locally as a 'pretreatment,' followed by the similar delivery of a seizure-inducing concentration of Ach. In five additional rats, the quantities of food-pellets consumed during epidural ACSF and muscimol (2.5 mm) exposures were measured. In a last group of four rats, muscimol (0.8-2.5 mm) was delivered epidurally during the ongoing, Ach-induced EEG seizure. Results: In contrast to ACSF pretreatments, epidural muscimol pretreatment in rats completely prevented the seizures at and above 2.5 mm. In the monkeys, subarachnoid muscimol pretreatments at 2.5 mm completely prevented the focal-seizure-inducing effect of Ach, whereas similar deliveries of ACSF did not affect the seizures. Furthermore, 2.5 mm epidural muscimol left the eating behavior of rats intact and caused only slight changes in the EEG power spectra. Finally, muscimol delivery during Ach-induced EEG seizures terminated the seizure activity within 1-3 min. Conclusions: The results of this study suggest that muscimol is a viable candidate for the transmeningeal pharmacotherapy of intractable focal epilepsy
—
id: 95775,
year: 2009,
vol: 50,
page: 678,
stat: Journal Article,
EPIDURAL AND SUBDURAL MUSCIMOL DELIVERIES IN RATS AND MONKEYS, RESPECTIVELY, PREVENT FOCAL SEIZURES AT CONCENTRATIONS THAT CAUSE NO BEHAVIORAL SIDE-EFFECTS
Baptiste, SL; Tang, HM; Devinsky, O; Kuzniecky, RI; Charchaflieh, J; von Gizycki, H; Ludvig, N
2008 DEC ;49(12):375-376, Epilepsia
—
id: 91398,
year: 2008,
vol: 49,
page: 375,
stat: Journal Article,
Unmasking the CA1 ensemble place code by exposures to small and large environments: more place cells and multiple, irregularly arranged, and expanded place fields in the larger space
Fenton, Andre A; Kao, Hsin-Yi; Neymotin, Samuel A; Olypher, Andrey; Vayntrub, Yevgeniy; Lytton, William W; Ludvig, Nandor
2008 Oct 29;28(44):11250-11262, Journal of neuroscience
In standard experimental environments, a constant proportion of CA1 principal cells are place cells, each with a spatial receptive field called a place field. Although the properties of place cells are a basis for understanding the mammalian representation of spatial knowledge, there is no consensus on which of the two fundamental neural-coding hypotheses correctly accounts for how place cells encode spatial information. Within the dedicated-coding hypothesis, the current activity of each cell is an independent estimate of the location with respect to its place field. The average of the location estimates from many cells represents current location, so a dedicated place code would degrade if single cells had multiple place fields. Within the alternative, ensemble-coding hypothesis, the concurrent discharge of many place cells is a vector that represents current location. An ensemble place code is not degraded if single cells have multiple place fields as long as the discharge vector at each location is unique. Place cells with multiple place fields might be required to represent the substantially larger space in more natural environments. To distinguish between the dedicated-coding and ensemble-coding hypotheses, we compared the characteristics of CA1 place fields in a standard cylinder and an approximately six times larger chamber. Compared with the cylinder, in the chamber, more CA1 neurons were place cells, each with multiple, irregularly arranged, and enlarged place fields. The results indicate that multiple place fields is a fundamental feature of CA1 place cell activity and that, consequently, an ensemble place code is required for CA1 discharge to accurately signal location
—
id: 95957,
year: 2008,
vol: 28,
page: 11250,
stat: Journal Article,
Histological evidence for drug diffusion across the cerebral meninges into the underlying neocortex in rats
Ludvig, Nandor; Sheffield, Lynette G; Tang, Hai M; Baptiste, Shirn L; Devinsky, Orrin; Kuzniecky, Ruben I
2008 Jan 10;1188:228-232, Brain research
Transmeningeal pharmacotherapy has been proposed to treat neurological disorders with localized pathology, such as intractable focal epilepsy. As a step toward understanding the diffusion and intracortical spread of transmeningeally delivered drugs, the present study used histological methods to determine the extent to which a marker compound, N-methyl-D-aspartate (NMDA), can diffuse into the neocortex through the meninges. Rats were implanted with bilateral parietal cortical epidural cups filled with 50 mM NMDA on the right side and artificial cerebrospinal fluid (ACSF) in the contralateral side. After 24 h, the histological effects of these treatments were evaluated using cresyl violet (Nissl) staining. The epidural NMDA exposure caused neuronal loss that in most animals extended from the pial surface through layer V. The area indicated by this neuronal loss was localized to the neocortical region underlying the epidural cup. These results suggest that NMDA-like, water soluble, small molecules can diffuse through the subdural/subarachnoid space into the underlying neocortex and spread in a limited fashion, close to the meningeal penetration site
—
id: 79135,
year: 2008,
vol: 1188,
page: 228,
stat: Journal Article,
Effects of subdural application of lidocaine in patients with focal epilepsy
Madhavan, Deepak; Mirowski, Piotr; Ludvig, Nandor; Carlson, Chad; Doyle, Werner; Devinsky, Orrin; Kuzniecky, Ruben
2008 Feb;78(2-3):235-239, Epilepsy research
Antiepileptic drug (AED) delivery directly into the neocortex has recently been shown to be able to both prevent and terminate focal seizures in rats. The present clinical experiment aimed to test the local effects of lidocaine delivered onto the pia mater adjacent to epileptogenic zones in human patients. Administration of lidocaine resulted in a marked diminishment of spike counts on all patients, with a decremental effect of lidocaine on the faster frequency elements of individual spikes and overall testing epochs. The direct cortical application of lidocaine appears to affect local epileptogenic activity in human patients with intractable focal epilepsy
—
id: 78353,
year: 2008,
vol: 78,
page: 235,
stat: Journal Article,
EVIDENCE FOR INCREASED NEURONAL ELECTROPHYSIOLOGICAL ACTIVITY BEFORE EEG SEIZURE ONSET IN THE RAT NEOCORTICAL SEIZURE FOCUS
Tang, HM; Mirowski, P; Baptiste, SL; Devinsky, O; Kuzniecky, RI; Ludvig, N
2008 DEC ;49(12):382-382, Epilepsia
—
id: 91399,
year: 2008,
vol: 49,
page: 382,
stat: Journal Article,
Transmeningeal delivery of GABA to control neocortical seizures in rats
John, Jenine E; Baptiste, Shirn L; Sheffield, Lynette G; von Gizycki, Hans; Kuzniecky, Ruben I; Devinsky, Orrin; Ludvig, Nandor
2007 Jun;75(1):10-17, Epilepsy research
Transmeningeal drug delivery, using an implanted hybrid neuroprosthesis, has been proposed as a novel therapy for intractable focal epilepsy. As part of a systematic effort to identify the optimal compounds and protocols for such a therapy, this study aimed to determine whether transmeningeal gamma-aminobutyric acid (GABA) delivery can terminate and/or prevent neocortical seizures in rats. Rats were chronically implanted with an epidural cup and an adjacent EEG electrode in the right parietal cortex. While the rat was behaving freely, a seizure-inducing concentration of acetylcholine (Ach) was applied into the cup. In a seizure termination study, either artificial cerebrospinal fluid (ACSF) or GABA (0.25, 2.5, 25 or 50mM) was delivered into the exposed neocortical area during an ongoing seizure. In a seizure prevention study, either ACSF or 50mM GABA was delivered into the epidural cup before the application of Ach. Epidural delivery of 50mM GABA completely terminated ongoing Ach-induced EEG seizures and convulsions within 17-437s after its delivery. ACSF and lower concentrations of GABA did not produce this effect, but 25mM GABA reduced seizure severity. However, the used GABA concentration could not prevent the development, or affect the severity, of Ach-induced EEG seizures and convulsions. This study indicates that transmeningeal GABA delivery can be used for terminating neocortical seizures, but to achieve seizure prevention via this route either a more efficient GABA delivery method needs to be developed or other neurotransmitters/pharmaceuticals should be employed for this purpose.
—
id: 72893,
year: 2007,
vol: 75,
page: 10,
stat: Journal Article,
Neocortical multi-neuron recording as a potential tool for predicting focal seizures
Ludvig, N; Tang, HM; Baptiste, SL; Kuzniecky, RI; Devinsky, O
2007 OCT ;48(1):388-388, Epilepsia
—
id: 87156,
year: 2007,
vol: 48,
page: 388,
stat: Journal Article,
Effects of the subdural application of lidocaine on EEG spiking in patients with focal epilepsy
Madhavan, D; Mirowski, PW; Ludvig, N; Carlson, C; Devinsky, O; Doyle, W; Kuzniecky, R
2007 OCT ;48(4):307-308, Epilepsia
—
id: 104242,
year: 2007,
vol: 48,
page: 307,
stat: Journal Article,
Histological evidence for transmeningeal drug diffusion in the rat cerebral cortex: A study on the neuropathological effects of epidurally delivered NMDA
Sheffield, LG; Baptiste, SL; Tang, HM; Kuzniecky, RI; Devinsky, O; Ludvig, N
2007 OCT ;48(1):310-310, Epilepsia
—
id: 87155,
year: 2007,
vol: 48,
page: 310,
stat: Journal Article,
Elevated lactate suppresses neuronal firing in vivo and inhibits glucose metabolism in hippocampal slice cultures
Gilbert, Erin; Tang, J Michael; Ludvig, Nandor; Bergold, Peter J
2006 Oct 30;1117(1):213-223, Brain research
Glucose is well accepted as the major fuel for neuronal activity, while it remains controversial whether lactate also supports neural activity. In hippocampal slice cultures, synaptic transmission supported by glucose was reversibly suppressed by lactate. To test whether lactate had a similar inhibitory effect in vivo, lactate was perfused into the hippocampi of unanesthetized rats while recording the firing of nearby pyramidal cells. Lactate perfusion suppressed pyramidal cell firing by 87.5+/-8.3% (n=6). Firing suppression was slow in onset and fully reversible and was associated with increased lactate concentration at the site of the recording electrode. In vivo suppression of neural activity by lactate occurred in the presence of glucose; therefore we tested whether suppression of neural firing was due to lactate interference with glucose metabolism. Competition between glucose and lactate was measured in hippocampal slice cultures. Lactate had no effect on glucose uptake. Lactate suppressed glucose oxidation when applied at an elevated, pathological concentration (10 mM), but not at its physiological concentration (1 mM). Pyruvate (10 mM) also inhibited glucose oxidation but was significantly less effective than lactate. The greater suppressive effect of lactate as compared to pyruvate suggests that alteration of the NAD(+)/NADH ratio underlies the suppression of glucose oxidation by lactate. ATP in slice culture was unchanged in glucose (1 mM), but significantly reduced in lactate (1 mM). ATP in slice culture was significantly increased by combination of glucose (1 mM) and lactate (1 mM). These data suggest that alteration of redox ratio underlies the suppression of neural discharge and glucose metabolism by lactate
—
id: 95958,
year: 2006,
vol: 1117,
page: 213,
stat: Journal Article,
Epidural delivery of the combination of GABA and adenosine terminates locally induced neocortical seizures in rats
John, JE; Baptiste, SL; Medveczky, G; von Gizycki, H; Kuzniecky, RI; Devinsky, O; Ludvig, N
2006 SEP ;47(3):219-219, Epilepsia
—
id: 69539,
year: 2006,
vol: 47,
page: 219,
stat: Journal Article,
Epidural pentobarbital delivery can prevent locally induced neocortical seizures in rats: the prospect of transmeningeal pharmacotherapy for intractable focal epilepsy
Ludvig, Nandor; Kuzniecky, Ruben I; Baptiste, Shirn L; John, Jenine E; von Gizycki, Hans; Doyle, Werner K; Devinsky, Orrin
2006 Nov;47(11):1792-1802, Epilepsia
PURPOSE: To determine whether epidural pentobarbital (PB) delivery can prevent and/or terminate neocortical seizures induced by locally administered acetylcholine (Ach) in freely moving rats. METHODS: Rats were implanted permanently with an epidural cup placed over the right parietal cortex with intact dura mater. Epidural screw-electrodes, secured to the cup, recorded local neocortical EEG activity. In the seizure-termination study, Ach was delivered into the epidural cup, and after the development of electrographic and behavioral seizures, the Ach solution was replaced with either PB or artificial cerebrospinal fluid (aCSF; control solution). In the seizure-prevention study, the epidural Ach delivery was preceded by a 10-min exposure of the delivery site to PB or aCSF. Raw EEG recordings, EEG power spectra, and behavioral events were analyzed. RESULTS: Ach-induced EEG seizures associated with convulsions, which were unaffected by epidural aCSF applications, were terminated by epidurally delivered PB within 2-2.5 min. Epidural deliveries of PB before Ach applications completely prevented the development of electrographic and behavioral seizures, whereas similar deliveries of aCSF exerted no influence on the seizure-generating potential of Ach. CONCLUSIONS: This study showed for the first time that epidural AED delivery can prevent, as well as terminate, locally induced neocortical seizures. The findings support the viability of transmeningeal pharmacotherapy for the treatment of intractable neocortical epilepsy
—
id: 69701,
year: 2006,
vol: 47,
page: 1792,
stat: Journal Article,
Synchrony changes between hippocampal and neocortical EEG signals precede seizure activity induced by intrahippocampal NMDA application in freely behaving rats
von Gizycki, H; Baptiste, SL; Medveczky, G; Kuzniecky, RI; Devinsky, O; Ludvig, N
2006 SEP ;47(3):47-47, Epilepsia
—
id: 69536,
year: 2006,
vol: 47,
page: 47,
stat: Journal Article,
Vector-analysis: Low-power-requiring software for real-time EEG seizure recognition/prediction in hybrid neuroprosthetic devices
Kovacs, L; Ludvig, N; Devinsky, O; Kuzniecky, RI
2005 SEP ;46(11):317-318, Epilepsia
—
id: 59591,
year: 2005,
vol: 46,
page: 317,
stat: Journal Article,
Toward the development of a subdural hybrid neuroprosthesis for the treatment of intractable focal epilepsy
Ludvig, N; Kovacs, L; Medveczky, G; Kuzniecky, RI; Devinsky, O
2005 SEP ;46(11):270-270, Epilepsia
—
id: 59588,
year: 2005,
vol: 46,
page: 270,
stat: Journal Article,
Developing a kainic acid-induced temporal lobe epilepsy model in behaving squirrel monkeys
Ludvig, N; Kuzniecky, RI; Moshe, SL; von Gizycki, H; Devinsky, O
2004 AUG-SEP ;45(3):210-211, Epilepsia
—
id: 49021,
year: 2004,
vol: 45,
page: 210,
stat: Journal Article,
Detecting location-specific neuronal firing rate increases in the hippocampus of freely-moving monkeys
Ludvig, Nandor; Tang, Hai M; Gohil, Baiju C; Botero, Juan M
2004 Jul 16;1014(1-2):97-109, Brain research
The spatial properties of the firing of hippocampal neurons have mainly been studied in (a) freely moving rodents, (b) non-human primates seated in a moveable primate chair with head fixed, and (c) epileptic patients subjected to virtual navigation. Although these studies have all revealed the ability of hippocampal neurons to generate spatially selective discharges, the detected firing patterns have been found to be considerably different, even conflicting, in many respects. The present cellular electrophysiological study employed squirrel monkeys (Saimiri sciureus), which moved freely on the walls and floor of a large test chamber. This permitted the examination of the spatial firing of hippocampal neurons in nearly ideal conditions, similar to those used in rodents, yet in a species that belongs to the primate Suborder Anthropoidea. The major findings were that: (1) a group of slow-firing complex-spike cells increased their basal, awake firing rate more than 20-fold, often above 30 spikes/s, when the monkey was in a particular location in the chamber, (2) these location-specific discharges occurred consistently, forming 4-25 s action potential volleys, and (3) fast-firing cells displayed no such electrical activity. Thus, during free movement in three dimensions, primate hippocampal complex-spike cells do generate high-frequency, location-specific action potential volleys. Since these cells are components of the medial temporal lobe memory system, their uncovered firing pattern may well be involved in the formation of declarative memories on places
—
id: 61904,
year: 2004,
vol: 1014,
page: 97,
stat: Journal Article,
Spatial memory performance of freely-moving squirrel monkeys
Ludvig, Nandor; Tang, Hai M; Eichenbaum, Howard; Gohil, Baiju C
2003 Mar 18;140(1-2):175-183, Behavioural brain research
Few experiments have addressed the problem of cognitive map formation in non-human primates. Therefore, a paradigm was developed to assess spatial memory formation in squirrel monkeys (Saimiri sciureus) moving freely in three dimensions. While moving on the walls and floor of a large test chamber, the animals learned to collect pieces of cereal from baited food-ports interspersed among non-baited ports. The cereal-pellets were not visible to the monkeys, so the animals needed to develop spatial memory to visit only the baited ports for food and avoid the non-baited ones. A session consisted of ten consecutive trials, and 3 successive sessions were conducted on each day for a 5-day period. For each trial, correct choices (CC; number of visited baited-ports) and incorrect choices (IC; number of visited non-baited ports) were registered, and spatial memory performance index (SMPI; ranging from 0.00 to 1.00) was calculated as follows: SMPI=(CC-IC)/CC. For each session, mean SMPI, session duration, total reaches into the non-baited ports, and total reaches into the baited ports were documented. In an 8-port task, where 4 food-ports were baited and 4 were non-baited, the mean SMPI was higher than 0 in the first session (day 1), indicating the development of short-term spatial memory. By the fifth session (day 2), this index was significantly higher than in the first session, indicating the build-up of long-term spatial memory. These changes were related to a significant decrease in the total reaches into the non-baited ports. At the same time, the duration of the sessions and the total reaches into the baited ports did not change significantly. This paradigm can be used for (1) studying cognitive map formation in primates, (2) examining the underlying cellular and molecular mechanisms in integrative neurobiological experiments, and (3) screening cognition-enhancer drugs in a monkey model
—
id: 61905,
year: 2003,
vol: 140,
page: 175,
stat: Journal Article,
The use of a remote-controlled minivalve, carried by freely moving animals on their head, to achieve instant pharmacological effects in intracerebral drug-perfusion studies
Ludvig, Nandor; Kovacs, Lorant; Kando, Laszlo; Medveczky, Geza; Tang, Hai M; Eberle, Lawrence P; Lemon, Charles R
2002 Feb;9(1):23-31, Brain research protocols
Intracerebral drug-perfusion studies in animals can be very efficiently performed with the 'reverse-dialysis' procedure. In this procedure, drugs are delivered into the brain via an intracerebrally implanted microdialysis probe. Traditionally, in reverse-dialysis studies the flow of control and drug solutions in the microdialysis site is alternated by large and heavy valves placed far from the experimental animal. In this arrangement, the drugs travel from the fluid-alternating device for a long (20--60 min) period before reaching the brain. This can obscure the onset of drug action, makes it difficult to deliver drugs into the extracellular space during short-lasting behavioral episodes, and considerably limits the number of drug solutions that can be perfused within an experimental session. This report describes the use of a miniature (15 mm long and 8 mm diameter), lightweight (1.4 g) minivalve (patent pending) for combined neuronal recording--intracerebral microdialysis studies in freely moving rats. The device is activated remotely and carried by the animals on their head. This allows the experimenter to alternate the control and drug solutions in the intracerebral recording/dialysis site rapidly and to detect the drug-induced neuronal firing pattern changes instantly, without interfering with the animal's behavior. It is demonstrated that with this novel device the onset of drug actions on hippocampal neurons can be clearly defined and that these actions occur within 2 min after minivalve activation. Furthermore, it is demonstrated that the minivalve allows one to test a large number of drug solutions, successively, within the same experimental session. The described protocol offers a high-throughput method for testing the neuron-specific pharmacological effects of intracerebrally perfused drugs during various behaviors
—
id: 61906,
year: 2002,
vol: 9,
page: 23,
stat: Journal Article,


