It was a privilege to be involved in Tom's journey - and to perform Manitoba's first Deep Brain Stimulation surgery for Epilepsy - many more firsts to come - stay tuned! @spikewhisperer @HSCFoundation @UManitobaNSx @PatPattrott @ceaofficialnews @CLAE_LCCE @medtronic @Brainlab hscfoundation.mb.ca/stories/…

Interactive language maps translated into the Yale Brain Atlas can help standardize multimodal communication and individualize patient care doi.org/10.1002/epi.70229 #epilepsy #ILAE #epilepsiajourn #brainmapping #electricalstimulation #intracranialEEG #language #Neurosynth #SEEG

Tom Trottier lived with up to 10 seizures a month—until a Manitoba-first DBS surgery helped change his path. On Purple Day, we’re sharing his story to raise awareness of epilepsy and innovative care. Read more: hscfoundation.mb.ca/stories/…

Interesting observation with LFP (4-12 Hz)recordings from ANT DBS showing correlations between circadian and multi-den cycles with seizure recurrence.

Adaptive DBS and the future of walking: Proceedings is out from the XIII annual DBS Think Tank. Adaptive DBS refers to a form of deep brain stimulation where the device senses brain signals and automatically adjusts stimulation in real time, instead of delivering constant stimulation. Chance Fleeting and colleagues just dropped a new paper in Frontiers in Human Neuroscience summarizing the 13th Annual DBS Think Tank held at the Fixel Institute for Neurological Diseases at the University of Florida. The meeting gathered engineers, neuroscientists, industry partners and health care providers to discuss the evolving landscape of DBS, including adaptive stimulation for walking and more broad brain network therapies. Key points on the 'walking work:' - Adaptive DBS synchronized to the walking cycle (Doris Wang lab at UCSF) can adjust stimulation during specific phases of gait and has shown improvements in symmetry, variability and fall reduction in Parkinson’s disease. - Neural signals from the subthalamic nucleus and other brain regions can decode mobility states such as sitting, standing and walking, allowing stimulation to switch automatically to gait optimized settings. - Modern DBS is shifting from targeting a single brain location to targeting distributed brain networks and to using biomarkers to determine where, when and in whom stimulation should occur. My take: The DBS field is rapidly moving toward smarter stimulation. Instead of delivering the same signal continuously, next generation systems can sense brain activity, recognize behavior and adjust therapy dynamically. This shift toward adaptive and network guided stimulation may one day help to address some of the most stubborn Parkinson’s symptoms such as gait freezing and falls. Please read and decide on your won as I am biased as a co-author and participant in the meeting. Here are 5 points that resonated w/ me: 1- Walking problems in Parkinson’s frequently persisted even when tremor and stiffness improved, making gait a critical target for next generation DBS strategies. 2- Adaptive DBS can synchronize stimulation to real world behaviors such as stepping, creating therapy that matches the brain’s natural timing. 3- Brain network mapping is revealing that DBS outcomes depend not only on where stimulation occurs, but also on who receives it and when stimulation is delivered. 4- Neural sensing technologies now allow implanted devices to record brain signals continuously, opening the door to automated and personalized therapy adjustments. 5- The future of DBS will likely blend sensing, AI driven decoding and adaptive stimulation so therapy responds dynamically to how folks move and function in daily life. frontiersin.org/journals/hum… @DBSThinkTank @ParkinsonDotOrg #parkinson #depression

Join us May 25-28 in Banff for CNSF’s Annual Congress. Registration open this month and Members receive up to $485 off Annual Congress registration fees. If you haven’t renewed your membership yet, now is the perfect time to do so: cnsf.org/about-cnsf/membersh…

Deep brain stimulation #DBS for intractable hiccups due to diaphragmatic dystonia: first reported case ⭐️New Article Stereotact Funct Neurosurg @NeuroKarger @ASSFNeurosurg ✍️Rudaś et al., Collegium Medicum, Nicolaus Copernicus University, Poland karger.com/sfn/article-abstr…

We've uploaded a fruit fly. We took the @FlyWireNews connectome of the fruit fly brain, applied a simple neuron model (@Philip_Shiu Nature 2024) and used it to control a MuJoCo physics-simulated body, closing the loop from neural activation to action. A few things I want to say about what this means and where we're going at @eonsys. 🧵

The future of @UManitobaNSx Congratulations to these two superstars! manitobaneurosurgery.ca/news…

Much of cortical neuroscience is quietly shifting abstraction layers. This review makes it clear that cortical activity is better understood as wave dynamics on a constrained manifold rather than as neuron-by-neuron computation. Traveling waves, standing waves, and their superpositions are not epiphenomena, they are the functional degrees of freedom the brain actually uses. The deeper implication is that cognition does not arise from local control signals, but from which spatiotemporal modes are permitted, stabilized, or suppressed by global boundary conditions. Neurons shape the medium and its constraints, but meaning lives in the structure of the modes themselves. From this perspective: - perception corresponds to stabilized standing wave patterns - information flow corresponds to traveling waves shaped by geometry - task switching reflects boundary reconfiguration, not rewiring - psychological state reflects global mode occupancy, not firing intensity Directionality, coherence, and integration emerge naturally from geometry and anisotropy, without requiring a central controller or executive signal. Causality flows from constraints to dynamics, not the other way around. What’s striking is how seamlessly this framework bridges physics, physiology, and psychology, while quietly demoting rate-based, localized explanations to secondary effects. The cortex behaves less like a network issuing instructions, and more like a resonant field exploring its allowed configurations. This isn’t a speculative leap. It’s the unavoidable consequence of treating the brain as a continuous, bounded medium, and it suggests that understanding cognition is fundamentally a boundary-condition problem, not a wiring diagram problem. @AFornito @NeuroCellPress @KarlFristonNews @gyorgybuzsaki

Wrapped up 3 days annual course in Neuromodulation and Interventional pain procedures for Residents and Fellows! A great success for the 7th edition of the Canadian Neuromodulation Society Course! With residents and fellows from almost all Canada’s programs! @CanNeuromod

🎉✨Please join us in congratulating Dr. Suneil Kalia (@kalialabs), Senior Scientist and Neurosurgeon at UHN’s Krembil Brain Institute, on his appointment as Division Head of Neurosurgery and the Harold & Esther Halpern Chair in Neurosurgery! #NoResearchNoCure #CanadasHospital

From childhood camping trips to adulthood trail runs and bike rides, Canada’s trails have shaped who I am as a person and physician. Looking forward to the Canada Trail Summit in Winnipeg @TCTrail tctrail.ca/news/trans-canada…

Thank you to @Epilepsia for spotlighting our recent publication on new #MRI metrics to detect #encephaloceles in #temporal lobe #epilepsy. Our findings support tethering (i.e. traction) as a possible mechanism of #epileptogenicity in these surgically-confirmed lesions. #epilepsysurgery

First precision-guided multi-site insular DBS for refractory neuropathic pain! Andrew R. Segerdahl & colleagues combined fMRI electrophysiology mapping to achieve meaningful pain relief. Proof-of-concept for personalized neuromodulation brainstimjrnl.com/article/S1…

Gorgeous #aurora last night just north of Winnipeg.