Thursday, November 30, 2023

Endovascular Brain-Computer Interfaces in Poststroke Paralysis

This assumes you actually have functioning motor neurons that are still generating signals but can't get thru(Meaning your white mater is damaged, the solution to white matter damage is axon pathfinding and dendritic branching). Since most of my motor cortex and pre-motor cortex is dead this would be useless for me. What is your solution for me?

Endovascular Brain-Computer Interfaces in Poststroke Paralysis

Originally publishedhttps://doi.org/10.1161/STROKEAHA.123.037719Stroke. 2023;0

Stroke is a leading cause of paralysis, most frequently affecting the upper limbs and vocal folds. Despite recent advances in care, stroke recovery invariably reaches a plateau, after which there are permanent neurological impairments. Implantable brain-computer interface devices offer the potential to bypass permanent neurological lesions. They function by (1) recording neural activity, (2) decoding the neural signal occurring in response to volitional motor intentions, and (3) generating digital control signals that may be used to control external devices. While brain-computer interface technology has the potential to revolutionize neurological care, clinical translation has been limited. Endovascular arrays present a novel form of minimally invasive brain-computer interface devices that have been deployed in human subjects during early feasibility studies. This article provides an overview of endovascular brain-computer interface devices and critically evaluates the patient with stroke as an implant candidate. Future opportunities are mapped, along with the challenges arising when decoding neural activity following infarction. Limitations arise when considering intracerebral hemorrhage and motor cortex lesions; however, future directions are outlined that aim to address these challenges.

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