000 02533 am a22003613u 4500
042 _adc
100 1 0 _aWiest, Christoph
_eauthor
_92669
700 1 0 _aHe, Shenghong
_eauthor
_92670
700 1 0 _aDuchet, Benoit
_eauthor
_92671
700 1 0 _aPogosyan, Alek
_eauthor
700 1 0 _aBenjaber, Moaad
_eauthor
_92673
700 1 0 _aDenison, Timothy
_eauthor
_92674
700 1 0 _aHasegawa, Harutomo
_eauthor
_92675
700 1 0 _aAshkan, Keyoumars
_eauthor
_92676
700 1 0 _aBaig, Fahd
_eauthor
_92677
700 1 0 _aBertaina, Ilaria
_eauthor
_92678
700 1 0 _aMorgante, Francesca
_eauthor
_92679
700 1 0 _aPereira, Erlick A.
_eauthor
_92680
700 1 0 _aTorrecillos, Flavie
_eauthor
700 1 0 _aTan, Huiling
_eauthor
245 0 0 _aEvoked Resonant Neural Activity in subthalamic local field potentials reflects basal ganglia network dynamics
260 _c2023-03.
500 _a/pmc/articles/PMC7614125/
500 _a/pubmed/36706929
520 _aEvoked resonant neural activity (ERNA) is induced by subthalamic deep brain stimulation (DBS) and was recently suggested as a marker of lead placement and contact selection in Parkinson's disease. Yet, its underlying mechanisms and how it is modulated by stimulation parameters are unclear. Here, we recorded local field potentials from 27 Parkinson's disease patients, while leads were externalised to scrutinise the ERNA. First, we show that ERNA in the time series waveform and spectrogram likely represent the same activity, which was contested before. Second, our results show that the ERNA has fast and slow dynamics during stimulation, consistent with the synaptic failure hypothesis. Third, we show that ERNA parameters are modulated by different DBS frequencies, intensities, medication states and stimulation modes (continuous DBS vs. adaptive DBS). These results suggest the ERNA might prove useful as a predictor of the best DBS frequency and lowest effective intensity in addition to contact selection. Changes with levodopa and DBS mode suggest that the ERNA may indicate the state of the cortico-basal ganglia circuit making it a putative biomarker to track clinical state in adaptive DBS.
540 _a
540 _ahttps://creativecommons.org/licenses/by/4.0/This work is licensed under a CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/) International license.
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nNeurobiol Dis
856 4 1 _uhttp://dx.doi.org/10.1016/j.nbd.2023.106019
_zConnect to this object online.
999 _c2048
_d2048