Background
Neurostimulation is one of the new therapeutic approaches in patients with
drug-resistant epilepsy, and despite its high efficiency, its mechanism of action is
still unclear. On the one hand, electrical stimulation in the human brain is immoral; on
the other hand, the creation of the epilepsy model in laboratory animals affects the
entire brain network. As a result, one of the ways to achieve the neurostimulation
mechanism is to use epileptiform activity models In vitro. In vitro models, by accessing
the local network from the whole brain, we can understand the mechanisms of action of
neurostimulation.
Methods
A literature search using scientific databases including PubMed, Google Scholar, and
Scopus, using "Neurostimulation" and "epileptiform activity" combined with
"high-frequency stimulation", " low-frequency stimulation ", and "brain slices” as
keywords were conducted, related concepts to the topic gathered and are used in this
paper.
Results
Electrical stimulation causes neuronal depolarization and the release of GABAA, which
inhibits neuronal firing. Also, electrical stimulation inhibits the nervous tissue
downstream of the stimulation site by preventing the passage of nervous activity from
the upstream to the downstream of the axon.
Conclusion
Neurostimulation techniques consisting of LFS and HFS have a potential role in
treating epileptiform activity, with some studies having positive results. Further
investigations with larger sample sizes and standardized outcome measures can be
conducted to validate the results of previous studies.