Marceglia Sara, Bianchi Anna Maria, Baselli Giuseppe, Foffani Guglielmo, Cogiamanian Filippo, Modugno Nicola, Mrakic-Sposta Simona, Priori Alberto, Cerutti Sergio
Dipartimento di Scienze Neurologiche, Università di Milano, Fondazione IRCCS Ospedale Maggiore, Policlinico, Mangiagalli e Regina Elena, Milan, Italy.
IEEE Trans Neural Syst Rehabil Eng. 2007 Dec;15(4):483-92. doi: 10.1109/TNSRE.2007.907893.
The application of deep brain stimulation (DBS) for the treatment of Parkinson's disease offered a direct "insight" into the human electrical activity in subcortical structures. The analysis of the oscillatory activity [local field potentials (LFPs)] disclosed the importance of rhythms and of interactions between rhythms in the human basal ganglia information processing. The aim of this study was to investigate the existence of possible nonlinear interactions between LFP rhythms characterizing the output structure of the basal ganglia, the globus pallidus internus, by means of bispectral analysis. The results of this study disclosed that the rhythms expressed in the globus pallidus internus of the untreated parkinsonian patient are not independent and, in particular, the low-beta (13-20 Hz) band generates harmonics that are included in the high-beta (20-35 Hz) band. Conversely, in the dystonic globus pallidus, as well as in the parkinsonian globus pallidus after dopaminergic medication (i.e., in the more "normal" condition), the rhythms are substantially independent and characterized by a strong activity in the low-frequency band that generates a second harmonic (4-14 Hz), mostly included in the same band. The interactions between rhythms in the human globus pallidus are therefore different in different pathologies and in different patient's states. The interpretation of these interactions is likely critical for fully understanding the role of LFP rhythms in the pathophysiology of human basal ganglia.
深部脑刺激(DBS)在帕金森病治疗中的应用为深入了解皮层下结构中的人体电活动提供了直接途径。对振荡活动[局部场电位(LFP)]的分析揭示了节律以及人类基底神经节信息处理中节律之间相互作用的重要性。本研究的目的是通过双谱分析研究表征基底神经节输出结构——内侧苍白球的LFP节律之间可能存在的非线性相互作用。本研究结果表明,未经治疗的帕金森病患者内侧苍白球中表达的节律并非相互独立,特别是低β(13 - 20赫兹)频段会产生包含在高β(20 - 35赫兹)频段中的谐波。相反,在张力障碍性苍白球以及多巴胺能药物治疗后的帕金森病患者苍白球中(即处于更“正常”状态时),节律基本相互独立,其特征是低频段有强烈活动,产生二次谐波(4 - 14赫兹),且大多包含在同一频段内。因此,人类苍白球中节律之间的相互作用在不同病理状态和不同患者状态下有所不同。这些相互作用的解释可能对于全面理解LFP节律在人类基底神经节病理生理学中的作用至关重要。