Subthalamic deep brain stimulation increases pallidal firing rate and regularity
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Subthalamic deep brain stimulation increases pallidal firing rate and regularity. / Reese, René; Leblois, Arthur; Steigerwald, Frank; Pötter-Nerger, Monika; Herzog, Jan; Mehdorn, H Maximilian; Deuschl, Günther; Meissner, Wassilios G; Volkmann, Jens.
in: EXP NEUROL, Jahrgang 229, Nr. 2, 06.2011, S. 517-21.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Subthalamic deep brain stimulation increases pallidal firing rate and regularity
AU - Reese, René
AU - Leblois, Arthur
AU - Steigerwald, Frank
AU - Pötter-Nerger, Monika
AU - Herzog, Jan
AU - Mehdorn, H Maximilian
AU - Deuschl, Günther
AU - Meissner, Wassilios G
AU - Volkmann, Jens
N1 - Copyright © 2011 Elsevier Inc. All rights reserved.
PY - 2011/6
Y1 - 2011/6
N2 - While high-frequency stimulation of the subthalamic nucleus (STN-HFS) is highly effective in the treatment of Parkinson's disease (PD), the mechanisms underlying its therapeutic action remain unclear. Here, we report changes of single-neuron pallidal activity during STN-HFS in a parkinsonian patient. STN-HFS increased firing rate in both segments of the pallidum. Neurons displayed time-locked responses to stimulation pulses, with an early excitation followed by inhibition and late excitation. Finally, pallidal neurons fired more regularly during STN-HFS. The time-locked responses and increased firing regularity may override abnormally patterned pallidal activity, and thereby significantly contribute to the clinical efficacy of STN-HFS in PD.
AB - While high-frequency stimulation of the subthalamic nucleus (STN-HFS) is highly effective in the treatment of Parkinson's disease (PD), the mechanisms underlying its therapeutic action remain unclear. Here, we report changes of single-neuron pallidal activity during STN-HFS in a parkinsonian patient. STN-HFS increased firing rate in both segments of the pallidum. Neurons displayed time-locked responses to stimulation pulses, with an early excitation followed by inhibition and late excitation. Finally, pallidal neurons fired more regularly during STN-HFS. The time-locked responses and increased firing regularity may override abnormally patterned pallidal activity, and thereby significantly contribute to the clinical efficacy of STN-HFS in PD.
KW - Action Potentials
KW - Deep Brain Stimulation
KW - Electrodes, Implanted
KW - Globus Pallidus
KW - Humans
KW - Neurons
KW - Parkinson Disease
KW - Subthalamic Nucleus
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.expneurol.2011.01.020
DO - 10.1016/j.expneurol.2011.01.020
M3 - SCORING: Journal article
C2 - 21303674
VL - 229
SP - 517
EP - 521
JO - EXP NEUROL
JF - EXP NEUROL
SN - 0014-4886
IS - 2
ER -