Charles M. Epstein

ORCID: 0000-0001-8529-3874
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About
Contact & Profiles
Research Areas
  • EEG and Brain-Computer Interfaces
  • Transcranial Magnetic Stimulation Studies
  • Epilepsy research and treatment
  • Functional Brain Connectivity Studies
  • Advanced MRI Techniques and Applications
  • Neural dynamics and brain function
  • Neuroscience and Neuropharmacology Research
  • Neurological disorders and treatments
  • Neuroscience and Neural Engineering
  • Visual perception and processing mechanisms
  • Vestibular and auditory disorders
  • Pain Management and Treatment
  • Neural and Behavioral Psychology Studies
  • Neurobiology of Language and Bilingualism
  • Muscle activation and electromyography studies
  • Vagus Nerve Stimulation Research
  • Metabolism and Genetic Disorders
  • Spatial Neglect and Hemispheric Dysfunction
  • Motor Control and Adaptation
  • Hemispheric Asymmetry in Neuroscience
  • Diet and metabolism studies
  • Advanced Neuroimaging Techniques and Applications
  • Metabolomics and Mass Spectrometry Studies
  • Ophthalmology and Eye Disorders
  • Glycogen Storage Diseases and Myoclonus

Emory University
2009-2022

University of Split
2016

Stanford University
2016

Albert Einstein College of Medicine
2016

Montefiore Medical Center
2016

Hospital for Special Surgery
2016

King Faisal Specialist Hospital & Research Centre
2016

Palomar Medical Center
2016

Emory University Hospital
1983-2012

Atlanta VA Medical Center
1992-2006

We report a multicenter, double-blind, randomized trial of bilateral stimulation the anterior nuclei thalamus for localization-related epilepsy.Participants were adults with medically refractory partial seizures, including secondarily generalized seizures. Half received and half no during 3-month blinded phase; then all unblinded stimulation.One hundred ten participants randomized. Baseline monthly median seizure frequency was 19.5. In last month phase stimulated group had 29% greater...

10.1111/j.1528-1167.2010.02536.x article EN Epilepsia 2010-03-20

To report long-term efficacy and safety results of the SANTE trial investigating deep brain stimulation anterior nucleus thalamus (ANT) for treatment localization-related epilepsy.This follow-up is a continuation previously reported 5- vs 0-V ANT stimulation. Long-term began 13 months after device implantation with parameters adjusted at investigators' discretion. Seizure frequency was determined using daily seizure diaries.The median percent reduction from baseline 1 year 41%, 69% 5 years....

10.1212/wnl.0000000000001334 article EN Neurology 2015-02-07

Summary: Purpose: Left cervical vagus nerve stimulation (VNS) decreases complex partial seizures (CPS) by unknown mechanisms of action. We hypothesized that therapeutic VNS alters synaptic activities at vagal afferent terminations and in sites receive polysynaptic projections from these medullary nuclei. Methods: Ten patients with epilepsy underwent positron emission tomographic (PET) measurements cerebral blood flow (BF) three times before during VNS. Parameters for were high levels 5 low...

10.1111/j.1528-1157.1998.tb01448.x article EN Epilepsia 1998-09-01

Rapid-rate transcranial magnetic stimulation (rTMS) allows for the noninvasive examination of cerebral cortex. Recent studies have begun to investigate whether rTMS may be therapeutic treatment depression. In present study, authors report on safety and efficacy in treating 50 patients with refractory Overall, there were 21 responders (42%). Interestingly, 56% young responded, but only 23% elderly responded rTMS. was well tolerated all patients. Specifically, no patient developed a new onset...

10.1176/jnp.10.1.20 article EN Journal of Neuropsychiatry 1998-02-01

To determine possible sites of therapeutic action vagus nerve stimulation (VNS), by correlating acute VNS-induced regional cerebral blood flow (rCBF) alterations and chronic responses.We previously found that VNS acutely induces rCBF at receive vagal afferents higher-order projections, including dorsal medulla, somatosensory cortex (contralateral to stimulation), thalamus cerebellum bilaterally, several limbic structures (including hippocampus amygdala bilaterally).VNS-induced changes were...

10.1212/wnl.52.6.1166 article EN Neurology 1999-04-01

Magnetic stimulation of the human brain is performed in clinical and research settings, but site activation has not been clearly localized humans or other species. We used a set magnetic stimulus coils with different field profiles to isolate movement single digits at motor threshold calculate corresponding electric strengths various distances beneath scalp. Two could produce same intensity only 1 point. Thus, we estimate depth by finding intersection plots, which were then superimposed on...

10.1212/wnl.40.4.666 article EN Neurology 1990-04-01

Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive technique to induce electric currents in the brain. Although rTMS being evaluated as possible alternative electroconvulsive therapy for treatment of refractory depression, little known about pattern activation induced brain by rTMS. We have compared immediate early gene expression rat after and stimulation, well-established animal model therapy. Our result shows that applied conditions effective models depression induces...

10.1073/pnas.95.26.15635 article EN Proceedings of the National Academy of Sciences 1998-12-22

Abstract A family is described with familial myoclonic epilepsy associated mitochondrial myopathy. The disorder follows a maternal inheritance pattern consistent DNA (mtDNA) mutation. large kindred permitted exclusion of autosomal dominant, recessive, and X‐linked patterns transmission. Several characteristics the inheriatnce variability expression within pedigree are recently acquired knowledge about genetics human mtDNA. clilnical spectrum disease compatible proportionality model mutant...

10.1002/ana.410170303 article EN Annals of Neurology 1985-03-01

Rapid-rate transcranial magnetic brain stimulation produces lateralized suppression of speech output over the frontal lobe, consistent with cerebral dominance for language. But sensitivity localization has been limited, and reports are imprecise concerning amount discomfort involved. Using a focal coil, we evaluated effectiveness pain at different intensities, orientations, repetition rates (2 to 32 Hz) in six normal volunteers. We obtained complete clearly arrest all subjects. The best...

10.1212/wnl.47.6.1590 article EN Neurology 1996-12-01

Background: Repetitive transcranial magnetic stimulation (rTMS) has shown safety and efficacy for treatment-resistant depression, but requires daily treatment 4–6 weeks. Accelerated TMS, with all treatments delivered over a few days, would have significant advantages in terms of access patient acceptance. Methods: Open-label accelerated TMS (aTMS), consisting 15 rTMS sessions administered 2 was tested 14 depressed patients not responding to at least one antidepressant medication. Effects on...

10.1002/da.20731 article EN Depression and Anxiety 2010-08-23

Motor evoked potentials (MEPs) are electrical signals recorded from neural tissue or muscle after activation of central motor pathways. They complement other clinical neurophysiology techniques, such as somatosensory (SEPs), in the assessment nervous system, especially during intraoperative neurophysiologic monitoring (IONM). Somatosensory directly assess only a part spinal cord, dorsal columns (Emerson, 1988), and also medial lemniscus, thalamocortical radiations, cortex. Because they...

10.1097/wnp.0000000000000253 article EN Journal of Clinical Neurophysiology 2016-01-12
Kimford J. Meador Gus A. Baker N. Andrew Browning Morris J. Cohen Rebecca Bromley and 95 more Jill Clayton‐Smith Laura A. Kalayjian Andrés M. Kanner Joyce Liporace Page B. Pennell Michael Privitera David W. Loring David M. Labiner Jennifer Moon Scott J. Sherman Deborah T Combs Cantrell Cheryl H. Silver Monisha Goyal Mike R. Schoenberg Alison Pack Christina A. Palmese Joyce Echo Kimford J. Meador David W. Loring Page B. Pennell Daniel L. Drane Eugene Moore Megan E. Denham Charles M. Epstein Jennifer L. Gess Sandra L. Helmers Thomas R. Henry Gholam K. Motamedi Erin Flax Edward B Bromfield Katrina Boyer Barbara A. Dworetzky Andrew Cole Lucila Halperin Sara Shavel‐Jessop Gregory L. Barkley Barbara Moir Cynthia L. Harden Tara Tamny-Young Gregory Lee Morris J. Cohen Patricia Penovich D. Minter Layne Moore Kathryn Murdock Joyce Liporace Kathryn Wilcox Andrés M. Kanner Michael N. Nelson William E. Rosenfeld M. Renée Umstattd Meyer Jill Clayton‐Smith George Mawer Usha Kini Roy C. Martin Michael Privitera Jennifer Bellman David M. Ficker Lyle E. Baade Kore Liow Gus A. Baker Alison Booth Rebecca Bromley Miranda Casswell C. Barrie Eugene Ramsay Patricia L. Arena Laura A. Kalayjian Christianne Heck Sonia C. Orozco P. John W. Miller Gail Rosenbaum Alan J. Wilensky Tawnya Constantino Julien T. Smith Naghme Adab Gisela Veling-Warnke Maria Sam Cormac A. O’Donovan Cecile E. Naylor Shelli Nobles Cesar S. Santos Gregory L. Holmes Maurice L. Druzin Martha J. Morrell Lorene M. Nelson Richard H. Finnell Mark S. Yerby Khosrow Adeli Peter G. Wells N. Andrew Browning Temperance Blalock Todd C. Crawford L. Hendrickson Bernadette Jolles

To examine outcomes at age 4.5 years and compare to earlier ages in children with fetal antiepileptic drug (AED) exposure.The NEAD Study is an ongoing prospective observational multicenter study, which enrolled pregnant women epilepsy on AED monotherapy (1999-2004) determine if differential long-term neurodevelopmental effects exist across 4 commonly used AEDs (carbamazepine, lamotrigine, phenytoin, or valproate). The primary outcome IQ 6 of age. Planned analyses were conducted using Bayley...

10.1212/wnl.0b013e318250d824 article EN Neurology 2012-04-05

TRANSCRANIAL magnetic stimulation (TMS) is a noninvasive technique for investigating brain function that uses pulsed fields created by special coils to induce localized neuronal depolarization. Despite the technique's expanding application, exact field produced TMS have never been directly measured in human subjects. Using standard 1.5T MR scanner and constructed from non materials, we obtained 3D maps of volunteers. Further, mapped combined two demonstrated combinations might be used focus...

10.1097/00001756-199707280-00023 article EN Neuroreport 1997-07-01

Summary: Purpose: To measure vagus nerve stimulation (VNS)‐induced cerebral blood flow (CBF) effects after prolonged VNS and to compare these with immediate on CBF. Methods: Ten consenting partial epilepsy patients had positron emission tomography (PET) intravenous [ 15 O]H 2 O. Each three control scans without during 30 s of VNS, within 20 h began (immediate‐effect study), repeated 3 months (prolonged study). After intrasubject subtraction from scans, images were anatomically transformed...

10.1111/j.0013-9580.2004.03104.x article EN Epilepsia 2004-08-24

10.1016/0168-5597(92)90135-x article EN Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section 1992-06-01

A number of studies have linked the blood oxygenation level dependent (BOLD) signal to electroencephalographic (EEG) signals in traditional frequency bands (δ, θ, α, β, and γ), but relationship between BOLD its direct correlates infraslow band (<1 Hz) has been little studied. Previously, work rodents showed that local field potentials play a role functional connectivity, particularly dynamic organization large-scale networks. To examine activity network dynamics humans, current (DC) EEG...

10.1089/brain.2017.0492 article EN Brain Connectivity 2017-05-02

Summary Transcranial magnetic stimulation requires a great deal of power, which mandates bulky power supplies and produces rapid coil heating. The authors describe the construction, modeling, testing an iron-core TMS that reduces requirements heat generation substantially, while improving penetration field. Experimental measurements numeric boundary element analysis show induces much stronger electrical fields, allows greater charge recovery, generates less than air-core counterparts when...

10.1097/00004691-200208000-00010 article EN Journal of Clinical Neurophysiology 2002-08-01

A prospective study compared psychiatric, neurocognitive, and quality-of-life changes of heart liver transplant patients. The 51 61 candidates recipients completed the Beck depression inventory (BDI), state-trait anxiety (STAI), sickness impact profile (SIP), mini-mental state (MMS), California verbal learning test (CVLT), Wisconsin card sorting (WCST), trailmaking (TMT), message (IMI). Data were gathered before at 3-month intervals for up to 1 year after transplant. Psychometric tests...

10.1097/00007890-199209000-00012 article EN Transplantation 1992-09-01
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