TY  - JOUR
AU  - Neumann, Wolf-Julian
AU  - Horn, Andreas
AU  - Kühn, Andrea A
TI  - Insights and opportunities for deep brain stimulation as a brain circuit intervention.
JO  - Trends in neurosciences
VL  - 46
IS  - 6
SN  - 0378-5912
CY  - Amsterdam [u.a.]
PB  - Elsevier Science
M1  - DZNE-2023-00555
SP  - 472 - 487
PY  - 2023
AB  - Deep brain stimulation (DBS) is an effective treatment and has provided unique insights into the dynamic circuit architecture of brain disorders. This Review illustrates our current understanding of the pathophysiology of movement disorders and their underlying brain circuits that are modulated with DBS. It proposes principles of pathological network synchronization patterns like beta activity (13-35 Hz) in Parkinson's disease. We describe alterations from microscale including local synaptic activity via modulation of mesoscale hypersynchronization to changes in whole-brain macroscale connectivity. Finally, an outlook on advances for clinical innovations in next-generation neurotechnology is provided: from preoperative connectomic targeting to feedback controlled closed-loop adaptive DBS as individualized network-specific brain circuit interventions.
KW  - Humans
KW  - Deep Brain Stimulation
KW  - Parkinson Disease: therapy
KW  - Brain
KW  - Connectome
KW  - brain–computer interface (Other)
KW  - brain–computer interface (Other)
KW  - brain–computer interface (Other)
KW  - brain–computer interface (Other)
KW  - connectomics (Other)
KW  - electrocorticography (Other)
KW  - local field potentials (Other)
KW  - movement disorders (Other)
KW  - neurophysiology (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:37105806
DO  - DOI:10.1016/j.tins.2023.03.009
UR  - https://pub.dzne.de/record/258093
ER  -