Does suppression of oscillatory synchronisation mediate some of the therapeutic effects of DBS in patients with Parkinson's disease?
Identifieur interne : 000627 ( Pmc/Checkpoint ); précédent : 000626; suivant : 000628Does 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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PMC:3392592Le document en format XML
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<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>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Integr Neurosci</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Integr Neurosci</journal-id>
<journal-id journal-id-type="publisher-id">Front. Integr. Neurosci.</journal-id>
<journal-title-group><journal-title>Frontiers in Integrative Neuroscience</journal-title>
</journal-title-group>
<issn pub-type="epub">1662-5145</issn>
<publisher><publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22787444</article-id>
<article-id pub-id-type="pmc">3392592</article-id>
<article-id pub-id-type="doi">10.3389/fnint.2012.00047</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Neuroscience</subject>
<subj-group><subject>Review Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Does suppression of oscillatory synchronisation mediate some of the therapeutic effects of DBS in patients with Parkinson's disease?</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Eusebio</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cagnan</surname>
<given-names>Hayriye</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brown</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup>
<institution>Department of Neurology and Movement Disorders, Assistance Publique - Hôpitaux de Marseille, Timone University Hospital</institution>
<country>Marseille, France</country>
</aff>
<aff id="aff2"><sup>2</sup>
<institution>Institut de Neurosciences de la Timone – UMR 7289, Aix Marseille Université – CNRS</institution>
<country>Marseille, France</country>
</aff>
<aff id="aff3"><sup>3</sup>
<institution>Department of Clinical Neurology, John Radcliffe Hospital</institution>
<country>Oxford, UK</country>
</aff>
<author-notes><fn fn-type="edited-by"><p>Edited by: Sridevi V. Sarma, Johns Hopkins University, USA</p>
</fn>
<fn fn-type="edited-by"><p>Reviewed by: Antonio Pereira, Federal University of Rio Grande do Norte, Brazil; Pierfilippo De Sanctis, Albert Einstein College of Medicine, USA</p>
</fn>
<corresp id="fn001">*Correspondence: Alexandre Eusebio, Department of Neurology and Movement Disorders, Timone University Hospital, 264 rue Saint-Pierre, 13385 Marseille Cedex 05, France. e-mail: <email xlink:type="simple">alexandre.eusebio@ap-hm.fr</email>
</corresp>
</author-notes>
<pub-date pub-type="epreprint"><day>16</day>
<month>4</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>10</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="collection"><year>2012</year>
</pub-date>
<volume>6</volume>
<elocation-id>47</elocation-id>
<history><date date-type="received"><day>21</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>25</day>
<month>6</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2012 Eusebio, Cagnan and Brown.</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://www.frontiersin.org/licenseagreement"><license-p>This is an open-access article distributed under the terms of the <uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by/3.0/">Creative Commons Attribution License</uri>
, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.</license-p>
</license>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Parkinson's disease</kwd>
<kwd>basal ganglia</kwd>
<kwd>deep brain stimulation</kwd>
<kwd>oscillations</kwd>
<kwd>neurophysiology</kwd>
</kwd-group>
<counts><fig-count count="1"></fig-count>
<table-count count="0"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="118"></ref-count>
<page-count count="9"></page-count>
<word-count count="8886"></word-count>
</counts>
</article-meta>
</front>
</pmc>
<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>
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<name sortKey="Eusebio, Alexandre" sort="Eusebio, Alexandre" uniqKey="Eusebio A" first="Alexandre" last="Eusebio">Alexandre Eusebio</name>
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<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>
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</affiliations>
</record>
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