4.7 Article

Subthalamic nucleus deep brain stimulation evokes resonant neural activity

Journal

ANNALS OF NEUROLOGY
Volume 83, Issue 5, Pages 1027-1031

Publisher

WILEY
DOI: 10.1002/ana.25234

Keywords

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Funding

  1. Colonial Foundation
  2. St Vincent's Hospital Research Endowment Fund
  3. National Health and Medical Research Council [1103238]
  4. Victorian Government
  5. Australian Government Research Training Program Scholarship
  6. Lions International
  7. Medical Research Council of Great Britain [MC_UU_12024/1]
  8. National Health and Medical Research Council of Australia [1103238] Funding Source: NHMRC
  9. MRC [MC_UU_12024/1] Funding Source: UKRI
  10. Medical Research Council [MC_UU_12024/1] Funding Source: researchfish

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Deep brain stimulation (DBS) is a rapidly expanding treatment for neurological and psychiatric conditions; however, a target-specific biomarker is required to optimize therapy. Here, we show that DBS evokes a large-amplitude resonant neural response focally in the subthalamic nucleus. This response is greatest in the dorsal region (the clinically optimal stimulation target for Parkinson disease), coincides with improved clinical performance, is chronically recordable, and is present under general anesthesia. These features make it a readily utilizable electrophysiological signal that could potentially be used for guiding electrode implantation surgery and tailoring DBS therapy to improve patient outcomes. Ann Neurol 2018;83:1027-1031

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