Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.

Deep brain stimulation (DBS) has proven its clinical efficacy in Parkinson's disease (PD), but its exact mechanisms and cortical effects continue to be unclear. Subthalamic (STN) DBS acutely modifies auditory evoked responses, but its long-term effect on auditory cortical processing remains amb...

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Main Authors: Kati Valkonen, Jyrki P Mäkelä, Katja Airaksinen, Jussi Nurminen, Riku Kivisaari, Hanna Renvall, Eero Pekkonen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0264333
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author Kati Valkonen
Jyrki P Mäkelä
Katja Airaksinen
Jussi Nurminen
Riku Kivisaari
Hanna Renvall
Eero Pekkonen
author_facet Kati Valkonen
Jyrki P Mäkelä
Katja Airaksinen
Jussi Nurminen
Riku Kivisaari
Hanna Renvall
Eero Pekkonen
author_sort Kati Valkonen
collection DOAJ
description Deep brain stimulation (DBS) has proven its clinical efficacy in Parkinson's disease (PD), but its exact mechanisms and cortical effects continue to be unclear. Subthalamic (STN) DBS acutely modifies auditory evoked responses, but its long-term effect on auditory cortical processing remains ambiguous. We studied with magnetoencephalography the effect of long-term STN DBS on auditory processing in patients with advanced PD. DBS resulted in significantly increased contra-ipsilateral auditory response latency difference at ~100 ms after stimulus onset compared with preoperative state. The effect is likely due to normalization of neuronal asynchrony in the auditory pathways. The present results indicate that STN DBS in advanced PD patients has long-lasting effects on cortical areas outside those confined to motor processing. Whole-head magnetoencephalography provides a feasible tool to study motor and non-motor neural networks in PD, and to track possible changes related to cortical reorganization or plasticity induced by DBS.
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spelling doaj.art-e25d5bcfcf0e4cf8a6f9baa3a5a661772022-12-21T22:49:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01172e026433310.1371/journal.pone.0264333Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.Kati ValkonenJyrki P MäkeläKatja AiraksinenJussi NurminenRiku KivisaariHanna RenvallEero PekkonenDeep brain stimulation (DBS) has proven its clinical efficacy in Parkinson's disease (PD), but its exact mechanisms and cortical effects continue to be unclear. Subthalamic (STN) DBS acutely modifies auditory evoked responses, but its long-term effect on auditory cortical processing remains ambiguous. We studied with magnetoencephalography the effect of long-term STN DBS on auditory processing in patients with advanced PD. DBS resulted in significantly increased contra-ipsilateral auditory response latency difference at ~100 ms after stimulus onset compared with preoperative state. The effect is likely due to normalization of neuronal asynchrony in the auditory pathways. The present results indicate that STN DBS in advanced PD patients has long-lasting effects on cortical areas outside those confined to motor processing. Whole-head magnetoencephalography provides a feasible tool to study motor and non-motor neural networks in PD, and to track possible changes related to cortical reorganization or plasticity induced by DBS.https://doi.org/10.1371/journal.pone.0264333
spellingShingle Kati Valkonen
Jyrki P Mäkelä
Katja Airaksinen
Jussi Nurminen
Riku Kivisaari
Hanna Renvall
Eero Pekkonen
Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
PLoS ONE
title Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
title_full Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
title_fullStr Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
title_full_unstemmed Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
title_short Deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced Parkinson's Disease.
title_sort deep brain stimulation of subthalamic nucleus modulates cortical auditory processing in advanced parkinson s disease
url https://doi.org/10.1371/journal.pone.0264333
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