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Excessive glutamate release can overstimulate the brain and lead to excitotoxicity causing cell death resulting in seizures or strokes. [22] Excitotoxicity has been implicated in certain chronic diseases including ischemic stroke , epilepsy , amyotrophic lateral sclerosis , Alzheimer's disease , Huntington disease , and Parkinson's disease .
[5] Stimulation of the receptors activate peripheral sensory neurons that convey signals to the spinal cord that may drive a responsive reflex, and may also be conveyed to the brain for conscious perception. Somatosensory information from the face and head enter the brain via cranial nerves such as the trigeminal nerve.
Mechanisms of peripheral selectivity include physicochemical hydrophilicity and large molecular size, which prevent drug permeation through the lipid bilayer cell membranes of the blood–brain barrier, and efflux out of the brain by blood–brain barrier transporters such as P-glycoprotein among many others.
Peripheral chemoreceptors work in concert with central chemoreceptors, which also monitor blood CO 2 but do it in the cerebrospinal fluid surrounding the brain. A high concentration of central chemoreceptors is found in the ventral medulla, the brainstem area that receives input from peripheral chemoreceptors. [12]
The use of peripheral nerve stimulation, or PNS, for the relief of chronic pain states was first reported over 30 years ago. [6] Recent studies have demonstrated that electrical stimulation of nerves leads to inhibitory input to the pain pathways at the spinal cord level. [ 7 ]
Chronic subcortical electrode implant in a laboratory rat used to deliver electrical stimulation to the brain. Electrical brain stimulation (EBS), also referred to as focal brain stimulation (FBS), is a form of electrotherapy used as a technique in research and clinical neurobiology to stimulate a neuron or neural network in the brain through the direct or indirect excitation of its cell ...
Unique to the olfactory and gustatory systems, at least in mammals, is the implementation of both peripheral and central mechanisms of action. [clarification needed] The peripheral mechanisms involve olfactory receptor neurons which transduce a chemical signal along the olfactory nerve, which terminates in the olfactory bulb.
The device consists of a generator the size of a matchbox that is implanted under the skin below the person's collarbone. Lead wires from the generator are tunnelled up to the patient's neck and wrapped around the left vagus nerve at the carotid sheath, where it delivers electrical impulses to the nerve.