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Method and system to provide therapy for neuropsychiatric disorders and cognitive impairments using gradient magnetic pulses to the brain and pulsed electrical stimulation to vagus nerve(s)

机译:使用对大脑的梯度磁脉冲和对迷走神经的脉冲电刺激为神经精神疾病和认知障碍提供治疗的方法和系统

摘要

A method and system of providing therapy or alleviating the symptoms of neuropsychiatric disorders and cognitive impairments comprises, providing gradient magnetic pulses to the brain and pulsed electrical stimulation to the vagus nerve(s) for afferent neuromodulation. These neuropsychiatric disorders and cognitive impairments include depression, bipolar depression, anxiety disorders, obsessive-compulsive disorders, schizophrenia, borderline personality disorders, sleep disorders, learning difficulties, memory impairments and the like. Gradient magnetic pulses are provided to the brain at approximately 1 KHz frequency in sessions that typically last for approximately 20 minutes, but can range from about 2 minutes to 5 hours. These gradient magnetic pulses produce a relatively constant electric field in the brain. Pulsed electrical stimulation to the vagus nerve(s) may be provided continuously in ON-OFF repeating cycles. The two stimulation therapies may be given in any order, any combination, or any sequence as determined by the physician. The two stimulation therapies may also be used with or without pharmaceutical therapy. Pulsed electrical vagus nerve stimulation (VNS) may be provided using an implanted pulse generator (IPG) or an external stimulator used in conjunction with an implanted stimulus-receiver. In one aspect of the invention the pulse generator system may comprise communication capabilities for networking over a wide area network, for remote interrogation and programming.
机译:提供治疗或减轻神经精神疾病和认知障碍的症状的方法和系统包括:向大脑提供梯度磁脉冲,向迷走神经提供脉冲电刺激以进行传入神经调节。这些神经精神疾病和认知障碍包括抑郁症,双相抑郁症,焦虑症,强迫症,精神分裂症,边缘性人格障碍,睡眠障碍,学习困难,记忆障碍等。在通常持续约20分钟的时间段内,以大约1 KHz的频率向大脑提供梯度磁脉冲,但时间范围可能从2分钟到5小时。这些梯度磁脉冲在大脑中产生相对恒定的电场。可以以开-关重复循环连续地提供对迷走神经的脉冲电刺激。可以按照医师确定的任何顺序,任何组合或任何顺序来给予两种刺激疗法。两种刺激疗法也可以与药物疗法一起使用或不与药物疗法一起使用。可以使用植入的脉冲发生器(IPG)或与植入的刺激接收器结合使用的外部刺激器来提供脉冲迷走神经刺激(VNS)。在本发明的一方面,脉冲发生器系统可以包括用于通过广域网联网,用于远程询问和编程的通信能力。

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