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Causality between local field potentials of the subthalamic nucleus and electromyograms of forearm muscles in Parkinson’s disease

Identifieur interne : 001670 ( Main/Corpus ); précédent : 001669; suivant : 001671

Causality between local field potentials of the subthalamic nucleus and electromyograms of forearm muscles in Parkinson’s disease

Auteurs : Esther Florin ; Joachim Gross ; Christiane Reck ; Mohammad Maarouf ; Alfons Schnitzler ; Volker Sturm ; Gereon R. Fink ; Lars Timmermann

Source :

RBID : ISTEX:CFEA308A2A096B779A189AE6F0E33DD8F8F7BFB6

English descriptors

Abstract

Deep brain stimulation of the subthalamic nucleus is an effective treatment for Parkinson’s disease, although its precise mechanisms remain poorly understood. To gain further insight into the mechanisms underlying deep brain stimulation, we analysed the causal relationship between forearm muscle activity and local field potentials derived from the subthalamic nucleus. In 19 patients suffering from Parkinson’s disease of the akinetic‐rigid subtype, we calculated the squared partial directed coherence between muscles of the contralateral forearm and the subthalamic nucleus or zona incerta during both a rest and a hold condition of the arm. For both recording regions, data analysis revealed that, during the rest condition, electromyographic activity was significantly more often ‘Granger‐causal’ for the local field potentials than the opposite causation. In contrast, during the hold condition, no significant difference was found in the occurrence of causalities. Contrary to the existing basal ganglia model and the current concept of Parkinson’s disease pathophysiology, we found the subthalamic nucleus to receive more ‘afferences’ than it emitted ‘efferences’, suggesting that its role is more complex than a simple driving nucleus in the basal ganglia loop. Therefore, the effect of deep brain stimulation in the subthalamic nucleus could, at least in part, result from a blockade of pathological afferent input.

Url:
DOI: 10.1111/j.1460-9568.2010.07083.x

Links to Exploration step

ISTEX:CFEA308A2A096B779A189AE6F0E33DD8F8F7BFB6

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<doi origin="wiley" registered="yes">10.1111/(ISSN)1460-9568</doi>
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<title type="main" sort="EUROPEAN JOURNAL OF NEUROSCIENCE">European Journal of Neuroscience</title>
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<doi origin="wiley">10.1111/ejn.2010.31.issue-3</doi>
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<coverDate startDate="2010-02">February 2010</coverDate>
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<doi origin="wiley">10.1111/j.1460-9568.2010.07083.x</doi>
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<title type="tocHeading1">NEUROSYSTEMS</title>
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<copyright>© The Authors (2010). Journal Compilation © Federation of European Neuroscience Societies and Blackwell Publishing Ltd</copyright>
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<correspondenceTo>Professor Dr Lars Timmermann,
<sup>1</sup>
Department of Neurology; Dr Esther Florin,
<sup>2</sup>
Institute of Neurosciences and Medicine (INM‐3), as above.
E‐mails:
<email normalForm="Lars.Timmermann@uk-koeln.de">Lars.Timmermann@uk‐koeln.de</email>
;
<email normalForm="e.florin@fz-juelich.de">e.florin@fz‐juelich.de</email>
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<unparsedEditorialHistory>Received 21 July 2009, revised 26 November 2009, accepted 2 December 2009</unparsedEditorialHistory>
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<title type="main">Causality between local field potentials of the subthalamic nucleus and electromyograms of forearm muscles in Parkinson’s disease</title>
<title type="shortAuthors">E. Florin
<i>et al.</i>
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<title type="short">Causality in Parkinson’s disease</title>
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<givenNames>Christiane</givenNames>
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<personName>
<givenNames>Mohammad</givenNames>
<familyName>Maarouf</familyName>
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<unparsedAffiliation>Department of Neurology, University Hospital Cologne, Kerpener Strasse 62, 50937 Köln, Germany</unparsedAffiliation>
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<unparsedAffiliation>Institute of Neurosciences and Medicine (INM‐3), Cognitive Neurology Section, Forschungszentrum Jülich, Leo‐Brandt‐Strasse 5, 52425 Jülich, Germany</unparsedAffiliation>
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<unparsedAffiliation>Centre for Cognitive Neuroimaging, Department of Psychology, University of Glasgow, Glasgow, UK</unparsedAffiliation>
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<unparsedAffiliation>Department of Stereotaxy and Functional Neurosurgery, University Hospital Cologne, Köln, Germany</unparsedAffiliation>
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<unparsedAffiliation>Department of Clinical Neuroscience and Medical Psychology, Heinrich‐Heine‐University, Düsseldorf, Germany</unparsedAffiliation>
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<unparsedAffiliation>Department of Neurology, Heinrich‐Heine‐University, Düsseldorf, Germany</unparsedAffiliation>
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<keyword xml:id="k1">deep brain stimulation</keyword>
<keyword xml:id="k2">Granger</keyword>
<keyword xml:id="k3">local field potentials</keyword>
<keyword xml:id="k4">squared partial directed coherence</keyword>
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<p>Deep brain stimulation of the subthalamic nucleus is an effective treatment for Parkinson’s disease, although its precise mechanisms remain poorly understood. To gain further insight into the mechanisms underlying deep brain stimulation, we analysed the causal relationship between forearm muscle activity and local field potentials derived from the subthalamic nucleus. In 19 patients suffering from Parkinson’s disease of the akinetic‐rigid subtype, we calculated the squared partial directed coherence between muscles of the contralateral forearm and the subthalamic nucleus or zona incerta during both a rest and a hold condition of the arm. For both recording regions, data analysis revealed that, during the rest condition, electromyographic activity was significantly more often ‘Granger‐causal’ for the local field potentials than the opposite causation. In contrast, during the hold condition, no significant difference was found in the occurrence of causalities. Contrary to the existing basal ganglia model and the current concept of Parkinson’s disease pathophysiology, we found the subthalamic nucleus to receive more ‘afferences’ than it emitted ‘efferences’, suggesting that its role is more complex than a simple driving nucleus in the basal ganglia loop. Therefore, the effect of deep brain stimulation in the subthalamic nucleus could, at least in part, result from a blockade of pathological afferent input.</p>
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<abstract lang="en">Deep brain stimulation of the subthalamic nucleus is an effective treatment for Parkinson’s disease, although its precise mechanisms remain poorly understood. To gain further insight into the mechanisms underlying deep brain stimulation, we analysed the causal relationship between forearm muscle activity and local field potentials derived from the subthalamic nucleus. In 19 patients suffering from Parkinson’s disease of the akinetic‐rigid subtype, we calculated the squared partial directed coherence between muscles of the contralateral forearm and the subthalamic nucleus or zona incerta during both a rest and a hold condition of the arm. For both recording regions, data analysis revealed that, during the rest condition, electromyographic activity was significantly more often ‘Granger‐causal’ for the local field potentials than the opposite causation. In contrast, during the hold condition, no significant difference was found in the occurrence of causalities. Contrary to the existing basal ganglia model and the current concept of Parkinson’s disease pathophysiology, we found the subthalamic nucleus to receive more ‘afferences’ than it emitted ‘efferences’, suggesting that its role is more complex than a simple driving nucleus in the basal ganglia loop. Therefore, the effect of deep brain stimulation in the subthalamic nucleus could, at least in part, result from a blockade of pathological afferent input.</abstract>
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<genre>Keywords</genre>
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<topic>Granger</topic>
<topic>local field potentials</topic>
<topic>squared partial directed coherence</topic>
<topic>subthalamic nucleus</topic>
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