The effect of subthalamic nucleus stimulation on autogenic inhibition in Parkinson disease
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The effect of subthalamic nucleus stimulation on autogenic inhibition in Parkinson disease. / Pötter, M; Illert, M; Wenzelburger, R; Deuschl, G; Volkmann, J.
In: NEUROLOGY, Vol. 63, No. 7, 12.10.2004, p. 1234-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The effect of subthalamic nucleus stimulation on autogenic inhibition in Parkinson disease
AU - Pötter, M
AU - Illert, M
AU - Wenzelburger, R
AU - Deuschl, G
AU - Volkmann, J
PY - 2004/10/12
Y1 - 2004/10/12
N2 - BACKGROUND: Recent animal experiments suggest an important role of descending input from basal ganglia to brainstem and via the reticulospinal tract (RST) to spinal cord in the genesis of motor symptoms in Parkinson disease (PD). In humans, a marker for RST activity is Ib mediated autogenic inhibition, which is reduced in PD patients. The authors investigated the effect of high frequency stimulation of the subthalamic nucleus (STN-HFS) on autogenic inhibition in PD.METHODS: In 10 controls and 10 PD patients with chronically implanted STN electrodes, the soleus H-reflex conditioned by gastrocnemius nerve stimulation (interstimulus interval 2 to 10 msec) was used to examine the effect of STN-HFS on the activity of Ib spinal interneurons.RESULTS: STN-HFS was able to restore the abnormally reduced autogenic inhibition. The H-reflex changes during STN-HFS significantly correlated with the clinical improvement of gait and posture.CONCLUSIONS: Observed changes in spinal autogenic inhibition may allow measurement of the contribution of subcortical routes to the STN-HFS induced motor benefit in PD.
AB - BACKGROUND: Recent animal experiments suggest an important role of descending input from basal ganglia to brainstem and via the reticulospinal tract (RST) to spinal cord in the genesis of motor symptoms in Parkinson disease (PD). In humans, a marker for RST activity is Ib mediated autogenic inhibition, which is reduced in PD patients. The authors investigated the effect of high frequency stimulation of the subthalamic nucleus (STN-HFS) on autogenic inhibition in PD.METHODS: In 10 controls and 10 PD patients with chronically implanted STN electrodes, the soleus H-reflex conditioned by gastrocnemius nerve stimulation (interstimulus interval 2 to 10 msec) was used to examine the effect of STN-HFS on the activity of Ib spinal interneurons.RESULTS: STN-HFS was able to restore the abnormally reduced autogenic inhibition. The H-reflex changes during STN-HFS significantly correlated with the clinical improvement of gait and posture.CONCLUSIONS: Observed changes in spinal autogenic inhibition may allow measurement of the contribution of subcortical routes to the STN-HFS induced motor benefit in PD.
KW - Aged
KW - Basal Ganglia
KW - Electric Stimulation Therapy
KW - Female
KW - Humans
KW - Interneurons
KW - Male
KW - Middle Aged
KW - Neural Inhibition
KW - Neural Pathways
KW - Parkinson Disease
KW - Reflex
KW - Spinal Cord
KW - Subthalamic Nucleus
KW - Journal Article
M3 - SCORING: Journal article
C2 - 15477544
VL - 63
SP - 1234
EP - 1239
JO - NEUROLOGY
JF - NEUROLOGY
SN - 0028-3878
IS - 7
ER -