Journal article
300‐Hz subthalamic oscillations in Parkinson’s disease
Brain (London, England : 1878), v 126(10), pp 2153-2163
Oct 2003
PMID: 12937087
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Despite several studies and models, much remains unclear about how the human basal ganglia operate. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an effective treatment for complicated Parkinson’s disease, but how DBS acts also remains unknown. The clinical benefit of DBS at frequencies >100 Hz suggests the possible importance of neural rhythms operating at frequencies higher than the range normally considered for basal ganglia processing (<100 Hz). The electrodes implanted for DBS also offer the opportunity to record neural activity from the human basal ganglia. This study aimed to assess whether oscillations at frequencies >100 Hz operate in the human STN. While recording local field potentials from the STN of nine patients with Parkinson’s disease through DBS electrodes, we found a dopamine‐ and movement‐dependent 300‐Hz rhythm. At rest, and in the absence of dopaminergic medication, in most cases (eight out of 11 nuclei) the 100–1000 Hz band showed no consistent rhythm. Levodopa administration elicited (or markedly increased) a 300‐Hz rhythm at rest [(mean ± SD) central frequency: 319 ± 33 Hz; bandwidth: 72 ± 21 Hz; power increase (after medication – before medication)/before medication: 1.30 ± 1.25; n = 11, P = 0.00098]. The 300‐Hz rhythm was also increased by apomorphine, but not by orphenadrine. The 300‐Hz rhythm was modulated by voluntary movement. Before levodopa administration, movement‐related power increase in the 300‐Hz rhythm was variably present in different subjects, whereas after levodopa it became a robust phenomenon [before 0.014 ± 0.014 arbitrary units (AU), after 0.178 ± 0.339 AU; n = 8, P = 0.0078]. The dopamine‐dependent 300‐Hz rhythm probably reflects a bistable compound nuclear activity and supports high‐resolution information processing in the basal ganglia circuit. An absent 300‐Hz subthalamic rhythm could be a pathophysiological clue in Parkinson’s disease. The 300‐Hz rhythm also provides the rationale for an excitatory—and not only inhibitory—interpretation of DBS mechanism of action in humans.
Metrics
Details
- Title
- 300‐Hz subthalamic oscillations in Parkinson’s disease
- Creators
- G. Foffani - Department of Neurological Sciences, Università di Milano, IRCCS Ospedale Maggiore di Milano, Milano, ItalyA. Priori - Department of Neurological Sciences, Università di Milano, IRCCS Ospedale Maggiore di MilanoM. Egidi - University of MilanP. Rampini - Fondazione IRCCS Ca' Granda Ospedale Maggiore PoliclinicoF. Tamma - University of MilanE. Caputo - University of MilanK. A. Moxon - Drexel UniversityS. Cerutti - University of MilanS. Barbieri - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- Publication Details
- Brain (London, England : 1878), v 126(10), pp 2153-2163
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000185310400004
- Scopus ID
- 2-s2.0-0242273111
- Other Identifier
- 991019168971804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Neurosciences