Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease

Inhibition of inappropriate, habitual or prepotent responses is an essential component of executive control and a cornerstone of self-control. Via the hyperdirect pathway, the subthalamic nucleus (STN) receives inputs from frontal areas involved in inhibition and executive control. Evidence is revi...

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Main Author: Marjan eJahanshahi
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-12-01
Series:Frontiers in Systems Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnsys.2013.00118/full
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author Marjan eJahanshahi
author_facet Marjan eJahanshahi
author_sort Marjan eJahanshahi
collection DOAJ
description Inhibition of inappropriate, habitual or prepotent responses is an essential component of executive control and a cornerstone of self-control. Via the hyperdirect pathway, the subthalamic nucleus (STN) receives inputs from frontal areas involved in inhibition and executive control. Evidence is reviewed from our own work and the literature suggesting that in Parkinson’s disease (PD), deep brain stimulation (DBS) of the STN has an impact on executive control during attention-demanding tasks or in situations of conflict when habitual or prepotent responses have to be inhibited. These results support a role for the STN in an inter-related set of processes: switching from automatic to controlled processing, inhibitory and executive control, adjusting response thresholds and influencing speed-accuracy trade-offs. Such STN DBS-induced deficits in inhibitory and executive control may contribute to some of the psychiatric problems experienced by a proportion of operated cases after STN DBS surgery in PD. However, as no direct evidence for such a link is currently available, there is a need to provide direct evidence for such a link between STN DBS-induced deficits in inhibitory and executive control and post-surgical psychiatric complications experienced by operated patients.
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spelling doaj.art-f20be3b2191d4f0282e7c552dbfb3d8f2022-12-22T01:20:42ZengFrontiers Media S.A.Frontiers in Systems Neuroscience1662-51372013-12-01710.3389/fnsys.2013.0011874026Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s DiseaseMarjan eJahanshahi0UCL Institute of NeurologyInhibition of inappropriate, habitual or prepotent responses is an essential component of executive control and a cornerstone of self-control. Via the hyperdirect pathway, the subthalamic nucleus (STN) receives inputs from frontal areas involved in inhibition and executive control. Evidence is reviewed from our own work and the literature suggesting that in Parkinson’s disease (PD), deep brain stimulation (DBS) of the STN has an impact on executive control during attention-demanding tasks or in situations of conflict when habitual or prepotent responses have to be inhibited. These results support a role for the STN in an inter-related set of processes: switching from automatic to controlled processing, inhibitory and executive control, adjusting response thresholds and influencing speed-accuracy trade-offs. Such STN DBS-induced deficits in inhibitory and executive control may contribute to some of the psychiatric problems experienced by a proportion of operated cases after STN DBS surgery in PD. However, as no direct evidence for such a link is currently available, there is a need to provide direct evidence for such a link between STN DBS-induced deficits in inhibitory and executive control and post-surgical psychiatric complications experienced by operated patients.http://journal.frontiersin.org/Journal/10.3389/fnsys.2013.00118/fullDeep Brain StimulationSubthalamic Nucleusexecutive controlinhibitionParkinson’s diseaseprepotent responses
spellingShingle Marjan eJahanshahi
Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
Frontiers in Systems Neuroscience
Deep Brain Stimulation
Subthalamic Nucleus
executive control
inhibition
Parkinson’s disease
prepotent responses
title Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
title_full Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
title_fullStr Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
title_full_unstemmed Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
title_short Effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in Parkinson’s Disease
title_sort effects of deep brain stimulation of the subthalamic nucleus on inhibitory and executive control over prepotent responses in parkinson s disease
topic Deep Brain Stimulation
Subthalamic Nucleus
executive control
inhibition
Parkinson’s disease
prepotent responses
url http://journal.frontiersin.org/Journal/10.3389/fnsys.2013.00118/full
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