Does suppression of oscillatory synchronisation mediate some of the therapeutic effects of DBS in patients with Parkinson's disease?
Identifieur interne : 001153 ( Main/Exploration ); précédent : 001152; suivant : 001154Does suppression of oscillatory synchronisation mediate some of the therapeutic effects of DBS in patients with Parkinson's disease?
Auteurs : Alexandre Eusebio [France] ; Hayriye Cagnan [Royaume-Uni] ; Peter Brown [Royaume-Uni]Source :
- Frontiers in Integrative Neuroscience [ 1662-5145 ] ; 2012.
Abstract
There is growing evidence for exaggerated oscillatory neuronal synchronisation in patients with Parkinson's disease (PD). In particular, oscillations at around 20 Hz, in the so-called beta frequency band, relate to the cardinal symptoms of bradykinesia and rigidity. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) can significantly improve these motor impairments. Recent evidence has demonstrated reduction of beta oscillations concurrent with alleviation of PD motor symptoms, raising the possibility that suppression of aberrant activity may mediate the effects of DBS. Here we review the evidence supporting suppression of pathological oscillations during stimulation and discuss how this might underlie the efficacy of DBS. We also consider how beta activity may provide a feedback signal suitable for next generation closed-loop and intelligent stimulators.
Url:
DOI: 10.3389/fnint.2012.00047
PubMed: 22787444
PubMed Central: 3392592
Affiliations:
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Hôpitaux de Marseille, Timone University Hospital</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Institut de Neurosciences de la Timone – UMR 7289, Aix Marseille Université – CNRS</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Cagnan, Hayriye" sort="Cagnan, Hayriye" uniqKey="Cagnan H" first="Hayriye" last="Cagnan">Hayriye Cagnan</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Clinical Neurology, John Radcliffe Hospital</institution><country>Oxford, UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Clinical Neurology, John Radcliffe Hospital</institution><country>Oxford, UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea></wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Integrative Neuroscience</title><idno type="eISSN">1662-5145</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>There is growing evidence for exaggerated oscillatory neuronal synchronisation in patients with Parkinson's disease (PD). In particular, oscillations at around 20 Hz, in the so-called beta frequency band, relate to the cardinal symptoms of bradykinesia and rigidity. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) can significantly improve these motor impairments. Recent evidence has demonstrated reduction of beta oscillations concurrent with alleviation of PD motor symptoms, raising the possibility that suppression of aberrant activity may mediate the effects of DBS. Here we review the evidence supporting suppression of pathological oscillations during stimulation and discuss how this might underlie the efficacy of DBS. We also consider how beta activity may provide a feedback signal suitable for next generation closed-loop and intelligent stimulators.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albin, R L" uniqKey="Albin R">R. L. Albin</name></author><author><name sortKey="Young, A B" uniqKey="Young A">A. B. 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Bergman</name></author><author><name sortKey="Israel, Z" uniqKey="Israel Z">Z. Israel</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Royaume-Uni</li></country></list><tree><country name="France"><noRegion><name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name></noRegion><name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Cagnan, Hayriye" sort="Cagnan, Hayriye" uniqKey="Cagnan H" first="Hayriye" last="Cagnan">Hayriye Cagnan</name></noRegion><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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