TABLE 1.
Effects of electrical stimulation of the trigeminal nerve on cerebral blood flow.
| Stimulation target | Stimulation method | Study group | Stimulation parameters | Result of stimulation on CBF | Adverse events | Study | |||||
| Frequency | Pulse amplitude | Pulse width | Waveform | Burst width | Observation | Location | |||||
| Opthalmic division | Minimally invasive EA, supraorbital nerve | Awake, resting humans | 100 Hz | 0.25 ms | 1 min | ↑ CBF | Prefrontal cortex | No adverse events occurred | Suzuki et al., 2020 | ||
| Invasive, right nasociliary nerve | Anesthetized rats | 3, 10, 30, and 60 Hz | 5 V | 0.5 ms | Square Monophasic | 90 s | ↑ CBF w/↑ frequency | Ipsilateral parietal cortex | No adverse events reported | Suzuki et al., 1990 | |
| Invasive, nasociliary nerve | Anesthetized, paralyzed cats | 0.5, 1.5, 10, and 20/s | 100 uA | 0.25 ms | Square | ↑ CBF | Posterior parietal cortex | No adverse events reported | Edvinsson et al., 1998 | ||
| Non-invasive, transcorneal, nasociliary nerve | Anesthetized rats with SAH | 30 Hz | 3 mA | 1 ms | Biphasic | 30 s | ↑ CBF ↓ CVR w/and w/out SAH | Middle cerebral artery | No adverse events reported | Atalay et al., 2002 | |
| Non-invasive, nasociliary nerve | Anesthetized rabbits | 10 Hz | 1, 2, 3, 4, and 5 V | 0.5 ms | Square | 90 s | ↑ CBF as a function of voltage (1–5 V) | Premotor cortex | No adverse events reported | Gürelik et al., 2004 | |
| Subcutaneous | Anesthetized rats with MCAO | 25 Hz | 60 μA | 0.5 ms | Rectangular Cathodal | 75 min | Not stated for electrical | Parietal cortex | No adverse events reported | Shiflett et al., 2015 | |
| Invasive and subcutaneous Intermittent | Anesthetized rats with TBI | 25 and 100 Hz | 1–3 V | 0.5 ms | Rectangular Biphasic | 1 min | ↑ CBF and ↓CVR w/and w/out TBI | Ipsilateral cortex | No adverse events reported | Chiluwal et al., 2017 | |
| Maxillary division | Percutaneous, infraorbital nerve | Anesthetized rats | 2 Hz | 1.2 mA | 1 ms | 210 s | ↑ CBF | Barrel cortex | No adverse events reported | Weber et al., 2003 | |
| Percutaneous, infraorbital nerve | Anesthetized rats | 0.25, 0.5, 1.0, 2.0, 3.0, 5, 8, 10, and 12 Hz | 2 mA 1–6 mA (1 Hz) | 0.1 ms | Square | 60 s | ↑ CBF as a function of frequency, up to 3 Hz | Barrel cortex | No adverse events reported | Just et al., 2010 | |
| Percutaneous, infraorbital nerve | Anesthetized rats with HS | 25 Hz | 7 V | 0.5 ms | Rectangular Biphasic | 1 min | ↑ CBF after hemorrhagic shock | ML: +2 mm; AP: −2 mm | No adverse events reported | Li et al., 2019 | |
| Percutaneous, infraorbital nerve | Anesthetized rats | 50 and 133 Hz | 0.25–3 V | 1 ms | Rectangular Biphasic | 1 min | ↑ CBF ↓ CVR ↑ CGRP | ML: +2 mm; AP: −1 mm | No adverse events reported | Li et al., 2021 | |
| Mandibular division | Invasive, cut end of lingual nerve | Anesthetized rats | 1–30 Hz | 1–30 V | 2 ms | 20 s | No effect | Parietal cortex | No adverse events reported | Ishii et al., 2014 | |
| Invasive, cut end of lingual nerve | Anesthetized cats | 10 Hz | 5–40 V | 2 ms | 20 s | No effect on CBF | Frontal cerebral cortex | Sato et al., 1997 | |||
| Ganglion | Invasive | Anesthetized cats | 10/s | 500 uA | 0.25 ms | Square | ↑ CBF | Frontal and parietal cortex | No adverse events reported | Goadsby and Duckworth, 1987 | |
| Invasive | Anesthetized cats | 0.5, 1, 2, 5, 10, and 20/s | 250 uA | 0.25 ms | Square | 30 s | ↓ CVR | Parietal cortex | No adverse events reported | Goadsby et al., 1997 | |
| Invasive, distal end | Isolated canine brains attached to anesthetized canines | 50 Hz | 10 V | 1 ms | Rectangular Square | 20 ms | ↑ CBF ↓ CVR | Global | No adverse events reported | Lang and Zimmer, 1974 | |
| Invasive | Anesthetized pigs | 45/s | 2.5 V 75 A | 0.2 ms | 3 h | ↑ CBF w/and w/out SAH | Global | No adverse events reported | Salar et al., 1992 | ||