Chronic pedunculopontine nucleus stimulation restores functional connectivity.
The mechanisms of deep brain stimulation (DBS) are poorly understood. Earlier, high-frequency DBS has been thought to represent a depolarization block of the target area and low-frequency stimulation has been thought to 'drive' neuronal activity. We investigated the long-term effect of low...
Main Authors: | , , , , , |
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Format: | Journal article |
Language: | English |
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2010
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author | Schweder, P Joint, C Hansen, P Green, A Quaghebeur, G Aziz, T |
author_facet | Schweder, P Joint, C Hansen, P Green, A Quaghebeur, G Aziz, T |
author_sort | Schweder, P |
collection | OXFORD |
description | The mechanisms of deep brain stimulation (DBS) are poorly understood. Earlier, high-frequency DBS has been thought to represent a depolarization block of the target area and low-frequency stimulation has been thought to 'drive' neuronal activity. We investigated the long-term effect of low-frequency DBS in a longitudinal imaging study of a patient who received bilateral pedunculopontine nucleus stimulation. We used the diffusion tensor imaging techniques including probabilistic tractography and topographic mapping to analyze long-term changes in connectivity with low-frequency DBS. Post-DBS connectivity analysis suggested a normalization of pathological pedunculopontine nucleus connectivity with DBS therapy. These findings may help elucidate the mechanisms of DBS, suggesting neuroplasticity involving a reorganization of target connectivity long term. This is the first reported case showing neuroimaging evidence of neuroplasticity after low-frequency DBS. |
first_indexed | 2024-03-07T06:32:06Z |
format | Journal article |
id | oxford-uuid:f654abb7-7697-4d9f-be08-66b65133d59b |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T06:32:06Z |
publishDate | 2010 |
record_format | dspace |
spelling | oxford-uuid:f654abb7-7697-4d9f-be08-66b65133d59b2022-03-27T12:34:26ZChronic pedunculopontine nucleus stimulation restores functional connectivity.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f654abb7-7697-4d9f-be08-66b65133d59bEnglishSymplectic Elements at Oxford2010Schweder, PJoint, CHansen, PGreen, AQuaghebeur, GAziz, TThe mechanisms of deep brain stimulation (DBS) are poorly understood. Earlier, high-frequency DBS has been thought to represent a depolarization block of the target area and low-frequency stimulation has been thought to 'drive' neuronal activity. We investigated the long-term effect of low-frequency DBS in a longitudinal imaging study of a patient who received bilateral pedunculopontine nucleus stimulation. We used the diffusion tensor imaging techniques including probabilistic tractography and topographic mapping to analyze long-term changes in connectivity with low-frequency DBS. Post-DBS connectivity analysis suggested a normalization of pathological pedunculopontine nucleus connectivity with DBS therapy. These findings may help elucidate the mechanisms of DBS, suggesting neuroplasticity involving a reorganization of target connectivity long term. This is the first reported case showing neuroimaging evidence of neuroplasticity after low-frequency DBS. |
spellingShingle | Schweder, P Joint, C Hansen, P Green, A Quaghebeur, G Aziz, T Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title | Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title_full | Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title_fullStr | Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title_full_unstemmed | Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title_short | Chronic pedunculopontine nucleus stimulation restores functional connectivity. |
title_sort | chronic pedunculopontine nucleus stimulation restores functional connectivity |
work_keys_str_mv | AT schwederp chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity AT jointc chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity AT hansenp chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity AT greena chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity AT quaghebeurg chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity AT azizt chronicpedunculopontinenucleusstimulationrestoresfunctionalconnectivity |