title: Electrical stimulation of cerebellar fastigial nucleus: mechanism of neuroprotection and prospects for clinical application against cerebral ischemia.
abstract: For around two decades, electrical fastigial nucleus stimulation (FNS) has been demonstrated to induce neuroprotection involving multiple mechanisms. In this review, we summarize the protective effects of FNS against cerebral ischemia through the inhibition of electrical activity around the lesion, excitotoxic damage on neurons, and brain inflammatory response, as well as apoptosis. Moreover, FNS has been reported to promote nerve tissue repair, reconstruction, and neurological rehabilitation and improve stroke-related complications including poststroke cognitive dysfunction, depression, and abnormal heart rate variability. We thus further discuss the potential of FNS for clinical applications. Given the absence of any risk of inducing sublethal damage, FNS may offer a new approach to preconditioned neuroprotection against cerebral ischemia.
authors.affiliation: Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Department of Neurology, The Second People's Hospital of Chengdu, Chengdu, Sichuan, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Dong
authors.forename: Wen-Hua
authors.initials: WH
authors.lastname: Zhang
authors.forename: Jian
authors.initials: J
authors.lastname: Zheng
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
mesh_terms: D000818:Animals; D002545:Brain Ischemia / Q000150:complications; D002529:Cerebellar Nuclei / Q000502:physiology*; D046690:Deep Brain Stimulation / Q000379:methods*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy*
keywords: Cerebral ischemia; Fastigial nucleus; Neuroprotection; Stroke