Locations of movement‐related cells in the human subthalamic nucleus in Parkinson's disease
Identifieur interne : 004050 ( Main/Curation ); précédent : 004049; suivant : 004051Locations of movement‐related cells in the human subthalamic nucleus in Parkinson's disease
Auteurs : Philip V. Theodosopoulos [États-Unis] ; William J. Marks Jr. [États-Unis] ; Chadwick Christine [États-Unis] ; Philip A. Starr [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Action Potentials (physiology), Arm (innervation), Brain Mapping, Dominance, Cerebral (physiology), Electric Stimulation Therapy, Electrodes, Implanted, Human, Humans, Image Processing, Computer-Assisted, Joints (innervation), Leg (innervation), Magnetic Resonance Imaging, Microelectrodes, Motion, Muscle, Skeletal (innervation), Neurologic Examination, Neuronavigation, Neurons (classification), Neurons (physiology), Parkinson Disease (physiopathology), Parkinson Disease (surgery), Parkinson disease, Parkinson's Disease, Range of Motion, Articular (physiology), Substantia Nigra (physiopathology), Subthalamic Nucleus (physiopathology), Subthalamic Nucleus (surgery), Subthalamic nucleus, Treatment Outcome, basal ganglia physiology, microelectrode recording, subthalamic nucleus, surgery for movement disorders.
- MESH :
- classification : Neurons.
- innervation : Arm, Joints, Leg, Muscle, Skeletal.
- physiology : Action Potentials, Dominance, Cerebral, Neurons, Range of Motion, Articular.
- physiopathology : Parkinson Disease, Substantia Nigra, Subthalamic Nucleus.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- Brain Mapping, Electric Stimulation Therapy, Electrodes, Implanted, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Microelectrodes, Neurologic Examination, Neuronavigation, Treatment Outcome.
Abstract
The subthalamic nucleus (STN) is an emerging target for deep brain stimulator (DBS) implantation for the treatment of advanced Parkinson's disease (PD). Understanding the somatotopic organization of the STN is important for surgical navigation within the nucleus. We analyzed intraoperative data obtained during 54 procedures for the implantation of STN stimulators to assess the locations of movement‐related cells. Cells were considered movement‐related if they exhibited modulation of the cell discharge during passive movement of the contralateral upper or lower extremity. Microelectrode track reconstructions were plotted on a human brain atlas, using the location of the DBS electrode from postoperative magnetic resonance images as a registration mark in reconstructing microelectrode track locations. Movement‐related cells were predominantly located in the dorsal part of the nucleus. The majority of the cells were related to proximal joint manipulation. Arm‐related cells were located laterally and at the rostral and caudal poles, whereas leg‐related cells were located medially and centrally. The finding of three or more leg‐related cells on a given microelectrode track was predictive of a medial localization within the motor area. Our findings are consistent with the small number of published studies on STN somatopy in the human and the nonhuman primate. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10446
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<front><div type="abstract" xml:lang="en">The subthalamic nucleus (STN) is an emerging target for deep brain stimulator (DBS) implantation for the treatment of advanced Parkinson's disease (PD). Understanding the somatotopic organization of the STN is important for surgical navigation within the nucleus. We analyzed intraoperative data obtained during 54 procedures for the implantation of STN stimulators to assess the locations of movement‐related cells. Cells were considered movement‐related if they exhibited modulation of the cell discharge during passive movement of the contralateral upper or lower extremity. Microelectrode track reconstructions were plotted on a human brain atlas, using the location of the DBS electrode from postoperative magnetic resonance images as a registration mark in reconstructing microelectrode track locations. Movement‐related cells were predominantly located in the dorsal part of the nucleus. The majority of the cells were related to proximal joint manipulation. Arm‐related cells were located laterally and at the rostral and caudal poles, whereas leg‐related cells were located medially and centrally. The finding of three or more leg‐related cells on a given microelectrode track was predictive of a medial localization within the motor area. Our findings are consistent with the small number of published studies on STN somatopy in the human and the nonhuman primate. © 2003 Movement Disorder Society</div>
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<front><div type="abstract" xml:lang="en">The subthalamic nucleus (STN) is an emerging target for deep brain stimulator (DBS) implantation for the treatment of advanced Parkinson's disease (PD). Understanding the somatotopic organization of the STN is important for surgical navigation within the nucleus. We analyzed intraoperative data obtained during 54 procedures for the implantation of STN stimulators to assess the locations of movement-related cells. Cells were considered movement-related if they exhibited modulation of the cell discharge during passive movement of the contralateral upper or lower extremity. Microelectrode track reconstructions were plotted on a human brain atlas, using the location of the DBS electrode from postoperative magnetic resonance images as a registration mark in reconstructing microelectrode track locations. Movement-related cells were predominantly located in the dorsal part of the nucleus. The majority of the cells were related to proximal joint manipulation. Arm-related cells were located laterally and at the rostral and caudal poles, whereas leg-related cells were located medially and centrally. The finding of three or more leg-related cells on a given microelectrode track was predictive of a medial localization within the motor area. Our findings are consistent with the small number of published studies on STN somatopy in the human and the nonhuman primate.</div>
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<author><name sortKey="Marks Jr, William J" sort="Marks Jr, William J" uniqKey="Marks Jr W" first="William J." last="Marks Jr.">William J. Marks Jr.</name>
</author>
<author><name sortKey="Christine, Chadwick" sort="Christine, Chadwick" uniqKey="Christine C" first="Chadwick" last="Christine">Chadwick Christine</name>
</author>
<author><name sortKey="Starr, Philip A" sort="Starr, Philip A" uniqKey="Starr P" first="Philip A." last="Starr">Philip A. Starr</name>
</author>
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<idno type="doi">10.1002/mds.10446</idno>
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Locations of movement‐related cells in the human subthalamic nucleus in Parkinson's disease</title>
<author><name sortKey="Theodosopoulos, Philip V" sort="Theodosopoulos, Philip V" uniqKey="Theodosopoulos P" first="Philip V." last="Theodosopoulos">Philip V. Theodosopoulos</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurosurgery, University of California, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Marks Jr, William J" sort="Marks Jr, William J" uniqKey="Marks Jr W" first="William J." last="Marks Jr.">William J. Marks Jr.</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, University of California, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Neurosurgery, Veterans Affairs Medical Center, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Christine, Chadwick" sort="Christine, Chadwick" uniqKey="Christine C" first="Chadwick" last="Christine">Chadwick Christine</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, University of California, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Starr, Philip A" sort="Starr, Philip A" uniqKey="Starr P" first="Philip A." last="Starr">Philip A. Starr</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurosurgery, University of California, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Neurosurgery, Veterans Affairs Medical Center, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Movement Disorders</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2003-07">2003-07</date>
<biblScope unit="vol">18</biblScope>
<biblScope unit="issue">7</biblScope>
<biblScope unit="page" from="791">791</biblScope>
<biblScope unit="page" to="798">798</biblScope>
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<idno type="DOI">10.1002/mds.10446</idno>
<idno type="ArticleID">MDS10446</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Action Potentials (physiology)</term>
<term>Arm (innervation)</term>
<term>Brain Mapping</term>
<term>Dominance, Cerebral (physiology)</term>
<term>Electric Stimulation Therapy</term>
<term>Electrodes, Implanted</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Joints (innervation)</term>
<term>Leg (innervation)</term>
<term>Magnetic Resonance Imaging</term>
<term>Microelectrodes</term>
<term>Muscle, Skeletal (innervation)</term>
<term>Neurologic Examination</term>
<term>Neuronavigation</term>
<term>Neurons (classification)</term>
<term>Neurons (physiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson's Disease</term>
<term>Range of Motion, Articular (physiology)</term>
<term>Substantia Nigra (physiopathology)</term>
<term>Subthalamic Nucleus (physiopathology)</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Treatment Outcome</term>
<term>basal ganglia physiology</term>
<term>microelectrode recording</term>
<term>subthalamic nucleus</term>
<term>surgery for movement disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Neurons</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Arm</term>
<term>Joints</term>
<term>Leg</term>
<term>Muscle, Skeletal</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Action Potentials</term>
<term>Dominance, Cerebral</term>
<term>Neurons</term>
<term>Range of Motion, Articular</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
<term>Substantia Nigra</term>
<term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Brain Mapping</term>
<term>Electric Stimulation Therapy</term>
<term>Electrodes, Implanted</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Microelectrodes</term>
<term>Neurologic Examination</term>
<term>Neuronavigation</term>
<term>Treatment Outcome</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
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<front><div type="abstract" xml:lang="en">The subthalamic nucleus (STN) is an emerging target for deep brain stimulator (DBS) implantation for the treatment of advanced Parkinson's disease (PD). Understanding the somatotopic organization of the STN is important for surgical navigation within the nucleus. We analyzed intraoperative data obtained during 54 procedures for the implantation of STN stimulators to assess the locations of movement‐related cells. Cells were considered movement‐related if they exhibited modulation of the cell discharge during passive movement of the contralateral upper or lower extremity. Microelectrode track reconstructions were plotted on a human brain atlas, using the location of the DBS electrode from postoperative magnetic resonance images as a registration mark in reconstructing microelectrode track locations. Movement‐related cells were predominantly located in the dorsal part of the nucleus. The majority of the cells were related to proximal joint manipulation. Arm‐related cells were located laterally and at the rostral and caudal poles, whereas leg‐related cells were located medially and centrally. The finding of three or more leg‐related cells on a given microelectrode track was predictive of a medial localization within the motor area. Our findings are consistent with the small number of published studies on STN somatopy in the human and the nonhuman primate. © 2003 Movement Disorder Society</div>
</front>
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