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024 7 _ |a 10.1093/brain/aww182
|2 doi
024 7 _ |a pmid:27412387
|2 pmid
024 7 _ |a 0006-8950
|2 ISSN
024 7 _ |a 1460-2156
|2 ISSN
024 7 _ |a altmetric:9671164
|2 altmetric
037 _ _ |a DZNE-2020-05103
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Accolla, Ettore A
|0 P:(DE-HGF)0
|b 0
|e Corresponding author
245 _ _ |a Brain networks modulated by subthalamic nucleus deep brain stimulation.
260 _ _ |a Oxford
|c 2016
|b Oxford Univ. Press
264 _ 1 |3 online
|2 Crossref
|b Oxford University Press (OUP)
|c 2016-07-13
264 _ 1 |3 print
|2 Crossref
|b Oxford University Press (OUP)
|c 2016-09-01
336 7 _ |a article
|2 DRIVER
336 7 _ |a Output Types/Journal article
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336 7 _ |a Journal Article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a Deep brain stimulation of the subthalamic nucleus is an established treatment for the motor symptoms of Parkinson's disease. Given the frequent occurrence of stimulation-induced affective and cognitive adverse effects, a better understanding about the role of the subthalamic nucleus in non-motor functions is needed. The main goal of this study is to characterize anatomical circuits modulated by subthalamic deep brain stimulation, and infer about the inner organization of the nucleus in terms of motor and non-motor areas. Given its small size and anatomical intersubject variability, functional organization of the subthalamic nucleus is difficult to investigate in vivo with current methods. Here, we used local field potential recordings obtained from 10 patients with Parkinson's disease to identify a subthalamic area with an analogous electrophysiological signature, namely a predominant beta oscillatory activity. The spatial accuracy was improved by identifying a single contact per macroelectrode for its vicinity to the electrophysiological source of the beta oscillation. We then conducted whole brain probabilistic tractography seeding from the previously identified contacts, and further described connectivity modifications along the macroelectrode's main axis. The designated subthalamic 'beta' area projected predominantly to motor and premotor cortical regions additional to connections to limbic and associative areas. More ventral subthalamic areas showed predominant connectivity to medial temporal regions including amygdala and hippocampus. We interpret our findings as evidence for the convergence of different functional circuits within subthalamic nucleus' portions deemed to be appropriate as deep brain stimulation target to treat motor symptoms in Parkinson's disease. Potential clinical implications of our study are illustrated by an index case where deep brain stimulation of estimated predominant non-motor subthalamic nucleus induced hypomanic behaviour.
536 _ _ |a 344 - Clinical and Health Care Research (POF3-344)
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|f POF III
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650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Amygdala: diagnostic imaging
|2 MeSH
650 _ 2 |a Amygdala: physiopathology
|2 MeSH
650 _ 2 |a Beta Rhythm: physiology
|2 MeSH
650 _ 2 |a Cerebral Cortex: diagnostic imaging
|2 MeSH
650 _ 2 |a Cerebral Cortex: physiopathology
|2 MeSH
650 _ 2 |a Deep Brain Stimulation
|2 MeSH
650 _ 2 |a Diffusion Tensor Imaging: methods
|2 MeSH
650 _ 2 |a Electroencephalography: methods
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Nerve Net: diagnostic imaging
|2 MeSH
650 _ 2 |a Nerve Net: physiopathology
|2 MeSH
650 _ 2 |a Parkinson Disease: diagnostic imaging
|2 MeSH
650 _ 2 |a Parkinson Disease: physiopathology
|2 MeSH
650 _ 2 |a Parkinson Disease: therapy
|2 MeSH
650 _ 2 |a Subthalamic Nucleus: diagnostic imaging
|2 MeSH
650 _ 2 |a Subthalamic Nucleus: physiopathology
|2 MeSH
700 1 _ |a Herrojo Ruiz, Maria
|b 1
700 1 _ |a Horn, Andreas
|b 2
700 1 _ |a Schneider, Gerd-Helge
|b 3
700 1 _ |a Schmitz-Hübsch, Tanja
|0 P:(DE-HGF)0
|b 4
700 1 _ |a Draganski, Bogdan
|b 5
700 1 _ |a Kühn, Andrea A
|0 P:(DE-2719)2811089
|b 6
|e Last author
|u dzne
773 1 8 |a 10.1093/brain/aww182
|b : Oxford University Press (OUP), 2016-07-13
|n 9
|p 2503-2515
|3 journal-article
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|t Brain
|v 139
|y 2016
|x 0006-8950
773 _ _ |a 10.1093/brain/aww182
|g Vol. 139, no. Pt 9, p. 2503 - 2515
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|p 2503-2515
|t Brain
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|x 0006-8950
909 C O |o oai:pub.dzne.de:138781
|p VDB
910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
|0 I:(DE-588)1065079516
|k DZNE
|b 6
|6 P:(DE-2719)2811089
913 1 _ |a DE-HGF
|b Forschungsbereich Gesundheit
|l Erkrankungen des Nervensystems
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914 1 _ |y 2016
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
Marc 21