Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.

It has been hypothesized that too much synchronization in the beta band in basal ganglia-cortical circuits can contribute to bradykinesia and too little can contribute to hyperkinesia. The former has been supported by experiments in patients with Parkinson's disease and chronic implantation of...

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Main Authors: Kühn, A, Fogelson, N, Limousin, P, Hariz, M, Kupsch, A, Brown, P
Format: Journal article
Language:English
Published: 2009
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author Kühn, A
Fogelson, N
Limousin, P
Hariz, M
Kupsch, A
Brown, P
author_facet Kühn, A
Fogelson, N
Limousin, P
Hariz, M
Kupsch, A
Brown, P
author_sort Kühn, A
collection OXFORD
description It has been hypothesized that too much synchronization in the beta band in basal ganglia-cortical circuits can contribute to bradykinesia and too little can contribute to hyperkinesia. The former has been supported by experiments in patients with Parkinson's disease and chronic implantation of the subthalamic area for deep brain stimulation. Stimulation at 20 Hz in this region slows voluntary tapping when performed in patients withdrawn from their usual antiparkinsonian medication. Here, we show the converse, that stimulation of the same region at 20 Hz in patients treated with levodopa decreases the interval between taps by 8.1+/-1.8% and makes tapping more regular. We suggest that this effect is mediated through an amelioration of levodopa-induced dyskinesias during stimulation.
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spelling oxford-uuid:da43328e-4564-4706-a9a6-cafb31f0cd452022-03-27T09:01:57ZFrequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:da43328e-4564-4706-a9a6-cafb31f0cd45EnglishSymplectic Elements at Oxford2009Kühn, AFogelson, NLimousin, PHariz, MKupsch, ABrown, PIt has been hypothesized that too much synchronization in the beta band in basal ganglia-cortical circuits can contribute to bradykinesia and too little can contribute to hyperkinesia. The former has been supported by experiments in patients with Parkinson's disease and chronic implantation of the subthalamic area for deep brain stimulation. Stimulation at 20 Hz in this region slows voluntary tapping when performed in patients withdrawn from their usual antiparkinsonian medication. Here, we show the converse, that stimulation of the same region at 20 Hz in patients treated with levodopa decreases the interval between taps by 8.1+/-1.8% and makes tapping more regular. We suggest that this effect is mediated through an amelioration of levodopa-induced dyskinesias during stimulation.
spellingShingle Kühn, A
Fogelson, N
Limousin, P
Hariz, M
Kupsch, A
Brown, P
Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title_full Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title_fullStr Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title_full_unstemmed Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title_short Frequency-specific effects of stimulation of the subthalamic area in treated Parkinson's disease patients.
title_sort frequency specific effects of stimulation of the subthalamic area in treated parkinson s disease patients
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