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A systematic review of local field potential physiomarkers in Parkinson's disease: from clinical correlations to adaptive deep brain stimulation algorithms

JOURNAL OF NEUROLOGY (2023)

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Combining Multimodal Biomarkers to Guide Deep Brain Stimulation Programming in Parkinson Disease

Ashesh Shah et al.

Summary: In this study, the advantage of algorithmic selection and combination of multiple electrophysiological and imaging markers is investigated to predict relevant clinical deep brain stimulation (DBS) parameters. The results show that the combination of resting and movement-state features from multiple frequency bands can accurately predict the clinical outcome of DBS treatment. The use of both electrophysiological and imaging markers improves the prediction accuracy.

NEUROMODULATION (2023)

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Article Clinical Neurology

Epileptic seizures in the emergency room: clinical and electroencephalographic findings associated with brain perfusion patterns on computed tomography

J. L. Restrepo-Vera et al.

Summary: This study aimed to investigate the diagnostic value of perfusion computed tomography (pCT) in patients with single epileptic seizures and status epilepticus (SE). The findings suggest that focal cerebral cortical hyperperfusion on pCT, especially when accompanied by thalamic hyperperfusion, can be indicative of SE and should be confirmed clinically and with EEG. The absence of focal hyperperfusion makes a diagnosis of SE unlikely.

JOURNAL OF NEUROLOGY (2022)

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Article Clinical Neurology

Balance between competing spectral states in subthalamic nucleus is linked to motor impairment in Parkinson's disease

Saed Khawaldeh et al.

Summary: Exaggerated low beta band bursts in the local field potential are correlated with motor impairment in Parkinson's disease patients. However, other states in the subthalamic nucleus local field potential also play a role in motor impairment and can be predicted accurately with levodopa-induced shifts in their occurrence rate and duration.

BRAIN (2022)

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Article Medicine, Research & Experimental

Local Field Potential-Based Programming: A Proof-of-Concept Pilot Study

Alfonso Fasano et al.

Summary: The study demonstrates the effectiveness of LFP-based programming for DBS indications with delayed benefits. The newly commercialized IPG was successfully used to program two patients with generalized dystonia and seizures, showing promising results in adjusting DBS therapy.

NEUROMODULATION (2022)

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Article Neurosciences

Diving into the subcortex: The potential of chronic subcortical sensing for unravelling basal ganglia function and optimization of deep brain stimulation

Bart E. K. S. Swinnen et al.

Summary: This article provides an extensive overview of the current state and potential of subcortical sensing, particularly in the treatment of movement disorders. It also discusses the barriers and future directions for the clinical implementation of this technology.

NEUROIMAGE (2022)

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Article Neurosciences

Thalamic local field potentials recorded using the deep brain stimulation pulse generator

A. W. G. Buijink et al.

Summary: This article reports a case of recording thalamic LFP activity using a commercially available sensing enabled DBS pulse generator, revealing peak tremor frequency during tremor evoking movements and spectrum characteristics of LFP signal. Coherence analysis demonstrated consistency between peripherally recorded tremor and LFP signal, providing important information for further evaluation of the clinical potential of fully implantable systems.

CLINICAL NEUROPHYSIOLOGY PRACTICE (2022)

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Article Neurosciences

Voluntary movements cause beta oscillations increase and broadband slope decrease in the subthalamic nucleus of parkinsonian patients

Elena M. Belova et al.

Summary: The study compared LFP signals in the STN of Parkinson's patients at rest and during hand, sometimes followed by leg movements. It found a significant increase in synchronization in the low beta range during leg movements, with an increase in gamma range synchronization for both movements. The slope of the aperiodic component may reflect the excitatory/inhibitory projections ratio in the recording site, correlating significantly with motor signs of PD.

EUROPEAN JOURNAL OF NEUROSCIENCE (2021)

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Article Neurosciences

Spectral characteristics of subthalamic nucleus local field potentials in Parkinson's disease: Phenotype and movement matter

Fabio Godinho et al.

Summary: Parkinson's disease patients exhibit differences in STN-LFP beta-band activity between tremor dominant (TD) and postural instability and gait disorder (PIGD) motor phenotypes, especially during rest and movement states. Movement-induced desynchronization patterns in alpha-beta range vary in TD (10-20 Hz) and PIGD patients (21-28 Hz), leading to improved classification accuracy when considering movement information. These findings suggest that STN-LFP beta-band encodes phenotype-movement dependent information in PD patients.

EUROPEAN JOURNAL OF NEUROSCIENCE (2021)

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Article Neurosciences

Embedded adaptive deep brain stimulation for cervical dystonia controlled by motor cortex theta oscillations

Vinith Johnson et al.

Summary: The study utilized a novel, sensing-enabled deep brain stimulator device implanted in a patient with cervical dystonia to record neural data and conduct a proof-of-principle trial. It found that low-frequency oscillations are related to dystonia and demonstrated the potential for a novel adaptive stimulation strategy.

EXPERIMENTAL NEUROLOGY (2021)

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Article Cell Biology

Smartwatch inertial sensors continuously monitor real-world motor fluctuations in Parkinson's disease

Rob Powers et al.

Summary: The Motor fluctuations Monitor for Parkinson's Disease (MM4PD) is an ambulatory monitoring system that tracks fluctuations in resting tremor and dyskinesia, correlated to clinical evaluations and expert ratings. It has potential to support patient-clinician communication and medication adjustments.

SCIENCE TRANSLATIONAL MEDICINE (2021)

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Article Neurosciences

Dopaminergic Modulation of Spectral and Spatial Characteristics of Parkinsonian Subthalamic Nucleus Beta Bursts

Matthias Sure et al.

Summary: The study investigated the spatial distribution and characteristics of beta bursts in the STN, finding differential dopaminergic modulation of beta bursts in different frequency bands. The duration of hBB bursts may be a promising target for closed-loop stimulation.

FRONTIERS IN NEUROSCIENCE (2021)

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Article Engineering, Biomedical

Device profile of the percept PC deep brain stimulation system for the treatment of Parkinson's disease and related disorders

Joohi Jimenez-Shahed

Summary: Recent advancements in software and hardware in the field of deep brain stimulation (DBS) have led to the development of devices from three manufacturers. The Percept (TM) PC platform offers unique sensing and diary functions for refining therapeutic stimulation and tracking symptoms. Future work is needed to demonstrate the clinical utility and added value of using sensing to optimize DBS therapy.

EXPERT REVIEW OF MEDICAL DEVICES (2021)

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Article Clinical Neurology

Neurophysiological Correlates of Trait Impulsivity in Parkinson's Disease

Lucia Ricciardi et al.

Summary: The study found a link between trait impulsivity and alpha power in patients with Parkinson's disease (PD), regardless of the presence or severity of impulsive compulsive behavior disorders (ICB). Electrode contact pairs with the highest alpha power tended to be more ventral, while those with the highest beta power localized to the dorsolateral motor subthalamic nucleus (STN).

MOVEMENT DISORDERS (2021)

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Article Biotechnology & Applied Microbiology

Long-term wireless streaming of neural recordings for circuit discovery and adaptive stimulation in individuals with Parkinson's disease

Ro'ee Gilron et al.

Summary: The use of an implantable two-way neural interface enables wireless neural monitoring and stimulation for up to 15 months following implantation. This technological approach may have wide applicability to brain disorders treatable by invasive neuromodulation.

NATURE BIOTECHNOLOGY (2021)

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Article Neurosciences

Early decreases in cortical mid-gamma peaks coincide with the onset of motor deficits and precede exaggerated beta build-up in rat models for Parkinson's disease

Elena Brazhnik et al.

Summary: In Parkinsonian models, increases in high beta power emerge gradually and are not linearly correlated with motor deficits. Earlier changes in cortical circuits may contribute to evolving plasticity supporting increased beta range synchronized activity in basal ganglia-thalamocortical circuits after loss of dopamine receptor stimulation.

NEUROBIOLOGY OF DISEASE (2021)

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Article Clinical Neurology

The sensitivity of ECG contamination to surgical implantation site in brain computer interfaces

Wolf-Julian Neumann et al.

Summary: This study investigates the impact of ECG activity on neural signal contamination in neuro-stimulation systems, particularly focusing on how implant location affects signal fidelity. The results show that severe ECG contamination was more prominent in left-sided subclavicular implants compared to right-sided implants and cranial implants. It is concluded that implant location significantly influences the integrity of neural signals and should be considered in clinical decisions for brain sensing devices.

BRAIN STIMULATION (2021)

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Article Clinical Neurology

Subthalamic dynamic neural states correlate with motor symptoms in Parkinson's Disease

Yingnan Nie et al.

Summary: This study revealed significant correlations between different dynamic neural states and motor symptoms in Parkinson's Disease patients, indicating potential biomarkers for closed-loop deep brain stimulation therapy in PD. The findings may advance the understanding of the neurophysiological mechanisms underlying motor symptoms in PD.

CLINICAL NEUROPHYSIOLOGY (2021)

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Article Neurosciences

Case Report: Chronic Adaptive Deep Brain Stimulation Personalizing Therapy Based on Parkinsonian State

Asuka Nakajima et al.

Summary: In a case study of a PD patient with motor fluctuations, bilateral subthalamic deep brain stimulation with an adaptive DBS device was successfully implemented. The device delivered electrical stimulations based on neural oscillations, adapting to beta oscillations without side effects. This new device allows for condition-dependent stimulation and provides insights into PD pathophysiology.

FRONTIERS IN HUMAN NEUROSCIENCE (2021)

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Article Clinical Neurology

alpha and 0 oscillations in the subthalamic nucleus are potential biomarkers for Parkinson's disease with depressive symptoms

Yujia Sun et al.

Summary: This study found a correlation between depressive symptoms in Parkinson's disease patients and abnormal alpha and 0 oscillations in the STN region, suggesting that these abnormalities are associated with the severity of depressive symptoms.

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A Clinically Interpretable Computer-Vision Based Method for Quantifying Gait in Parkinson's Disease

Samuel Rupprechter et al.

Summary: A novel computer vision-based approach for estimating the severity of gait impairment in Parkinson's disease was proposed and evaluated in this study. By analyzing videos of patients' gaits, an objective assessment can be provided to support clinical decision-making.

SENSORS (2021)

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Article Clinical Neurology

Distinct subthalamic coupling in the ON state describes motor performance in Parkinson's disease

Musa Ozturk et al.

MOVEMENT DISORDERS (2020)

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Article Clinical Neurology

Subthalamic nucleus activity dynamics and limb movement prediction in Parkinson's disease

Saed Khawaldeh et al.

BRAIN (2020)

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Article Clinical Neurology

Improved detection of Parkinsonian resting tremor with feature engineering and Kalman filtering

Lin Yao et al.

CLINICAL NEUROPHYSIOLOGY (2020)

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Article Neurosciences

Parkinsonian Beta Dynamics during Rest and Movement in the Dorsal Pallidum and Subthalamic Nucleus

Robert S. Eisinger et al.

JOURNAL OF NEUROSCIENCE (2020)

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Editorial Material Clinical Neurology

Debugging Adaptive Deep Brain Stimulation for Parkinson's Disease

Simon Little et al.

MOVEMENT DISORDERS (2020)

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Functional Use of Directional Local Field Potentials in the Subthalamic Nucleus Deep Brain Stimulation

Ilknur Telkes et al.

FRONTIERS IN HUMAN NEUROSCIENCE (2020)

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Article Neurosciences

Characterization of information processing in the subthalamic area of Parkinson's patients

Immo Weber et al.

NEUROIMAGE (2020)

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Article Clinical Neurology

Acute effects of adaptive Deep Brain Stimulation in Parkinson's disease

Dan Pina-Fuentes et al.

BRAIN STIMULATION (2020)

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Letter Clinical Neurology

Neural closed-loop deep brain stimulation for freezing of gait

Matthew N. Petrucci et al.

BRAIN STIMULATION (2020)

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Eight cylindrical contact lead recordings in the subthalamic region localize beta oscillations source to the dorsal STN

Idit Tamir et al.

NEUROBIOLOGY OF DISEASE (2020)

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Identification of nonlinear features in cortical and subcortical signals of Parkinson's Disease patients via a novel efficient measure

Tolga Esat Ozkurt et al.

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Subthalamic nucleus oscillations correlate with vulnerability to freezing of gait in patients with Parkinson's disease

Chiung-Chu Chen et al.

NEUROBIOLOGY OF DISEASE (2019)

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Adaptive deep brain stimulation for Parkinson's disease using motor cortex sensing

Nicole C. Swann et al.

JOURNAL OF NEURAL ENGINEERING (2018)

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Eight-hours adaptive deep brain stimulation in patients with Parkinson disease

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Modulation of Beta Bursts in the Subthalamic Nucleus Predicts Motor Performance

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Local field potentials of subthalamic nucleus contain electrophysiological footprints of motor subtypes of Parkinson's disease

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Differential contributions of subthalamic beta rhythms and 1/f broadband activity to motor symptoms in Parkinson's disease

Stephanie Martin et al.

NPJ PARKINSONS DISEASE (2018)

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Subthalamic Neural Activity Patterns Anticipate Economic Risk Decisions in Gambling

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Stimulating at the right time: phase-specific deep brain stimulation

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Oscillatory Beta Power Correlates With Akinesia-Rigidity in the Parkinsonian Subthalamic Nucleus

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MOVEMENT DISORDERS (2017)

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Adaptive Deep Brain Stimulation Controls Levodopa-Induced Side Effects in Parkinsonian Patients

Manuela Rosa et al.

MOVEMENT DISORDERS (2017)

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Subthalamic neural entropy is a feature of freezing of gait in freely moving people with Parkinson's disease

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Beta burst dynamics in Parkinson's disease OFF and ON dopaminergic medication

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Objective Assessment of Bradykinesia Estimated from the Wrist Extension in Older Adults and Patients with Parkinson's Disease

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Long term correlation of subthalamic beta band activity with motor impairment in patients with Parkinson's disease

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Parkinsonian rest tremor can be detected accurately based on neuronal oscillations recorded from the subthalamic nucleus

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The modulatory effect of adaptive deep brain stimulation on beta bursts in Parkinson's disease

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Subthalamic oscillations and phase amplitude coupling are greater in the more affected hemisphere in Parkinson's disease

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Bilateral adaptive deep brain stimulation is effective in Parkinson's disease

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Subthalamic nucleus phase-amplitude coupling correlates with motor impairment in Parkinson's disease

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The Parkinsonian Subthalamic Network: Measures of Power, Linear, and Non-linear Synchronization and their Relationship to L-DOPA Treatment and OFF State Motor Severity

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A Method for Automatic and Objective Scoring of Bradykinesia Using Orientation Sensors and Classification Algorithms

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IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING (2016)

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Parkinsonian Rest Tremor Is Associated With Modulations of Subthalamic High-Frequency Oscillations

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Subthalamic synchronized oscillatory activity correlates with motor impairment in patients with Parkinson's disease

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Electrocorticography reveals beta desynchronization in the basal ganglia-cortical loop during rest tremor in Parkinson's disease

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Subthalamic local field potentials in Parkinson's disease and isolated dystonia: An evaluation of potential biomarkers

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Tremor Reduction by Deep Brain Stimulation Is Associated With Gamma Power Suppression in Parkinson's Disease

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Adaptive Deep Brain Stimulation in Advanced Parkinson Disease

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ANNALS OF NEUROLOGY (2013)

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Pathological Gambling in Parkinson's Disease: Subthalamic Oscillations During Economics Decisions

Manuela Rosa et al.

MOVEMENT DISORDERS (2013)

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FUNCTIONAL AND EFFECTIVE CONNECTIVITY IN SUBTHALAMIC LOCAL FIELD POTENTIAL RECORDINGS OF PATIENTS WITH PARKINSON'S DISEASE

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NEUROSCIENCE (2013)

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Article Biochemistry & Molecular Biology

The Effects of Levodopa and Deep Brain Stimulation on Subthalamic Local Field Low-Frequency Oscillations in Parkinson's Disease

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Tremor-specific neuronal oscillation pattern in dorsal subthalamic nucleus of parkinsonian patients

Maria Fiorella Contarino et al.

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Beta band stability over time correlates with Parkinsonian rigidity and bradykinesia

S. Little et al.

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Maria C. Rodriguez-Oroz et al.

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Stimulation of the subthalamic region at 20 Hz slows the development of grip force in Parkinson's disease

Chiung Chu Chen et al.

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High frequency oscillations in the subthalamic nucleus: A neurophysiological marker of the motor state in Parkinson's disease

Tolga Esat Oezkurt et al.

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Modulation of Subthalamic Alpha Activity to Emotional Stimuli Correlates with Depressive Symptoms in Parkinson's Disease

Julius Huebl et al.

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Coupling between Beta and High-Frequency Activity in the Human Subthalamic Nucleus May Be a Pathophysiological Mechanism in Parkinson's Disease

Jon Lopez-Azcarate et al.

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Characterisation of tremor-associated local field potentials in the subthalamic nucleus in Parkinson's disease

Christiane Reck et al.

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Pathological synchronisation in the subthalamic nucleus of patients with Parkinson's disease relates to both bradykinesia and rigidity

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Bilateral Deep Brain Stimulation vs Best Medical Therapy for Patients With Advanced Parkinson Disease A Randomized Controlled Trial

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Increased Gamma Oscillatory Activity in the Subthalamic Nucleus During Tremor in Parkinson's Disease Patients

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JOURNAL OF NEUROPHYSIOLOGY (2009)

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Local field potential beta activity in the subthalamic nucleus of patients with Parkinson's disease is associated with improvements in bradykinesia after dopamine and deep brain stimulation

N. J. Ray et al.

EXPERIMENTAL NEUROLOGY (2008)

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Effects of low-frequency stimulation of the subthalamic nucleus on movement in Parkinson's disease

Alexandre Eusebio et al.

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Late emergence of synchronized oscillatory activity in the pallidum during progressive parkinsonism

Arthur Leblois et al.

EUROPEAN JOURNAL OF NEUROSCIENCE (2007)

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Article Neurosciences

Excessive synchronization of basal ganglia neurons at 20 Hz slows movement in Parkinson's disease

Chiung Chu Chen et al.

EXPERIMENTAL NEUROLOGY (2007)

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Slow oscillatory activity and levodopa-induced dyskinesias in Parkinson's disease

F. Alonso-Frech et al.

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Reduction in subthalamic 8-35 Hz oscillatory activity correlates with clinical improvement in Parkinson's disease

AA Kühn et al.

EUROPEAN JOURNAL OF NEUROSCIENCE (2006)

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Article Clinical Neurology

Bilateral deep brain stimulation in Parkinson's disease: a multicentre study with 4 years follow-up

MC Rodriguez-Oroz et al.

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Levodopa-induced modulation of subthalamic beta oscillations during self-paced movements in patients with Parkinson's disease

LMF Doyle et al.

EUROPEAN JOURNAL OF NEUROSCIENCE (2005)

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