Kempf Florian, Brücke Christof, Salih Farid, Trottenberg Thomas, Kupsch Andreas, Schneider Gerd-Helge, Doyle Gaynor Louise M F, Hoffmann Karl-Titus, Vesper Jan, Wöhrle Johannes, Altenmüller Dirk-Matthias, Krauss Joachim K, Mazzone Paolo, Di Lazzaro Vincenzo, Yelnik Jérôme, Kühn Andrea A, Brown Peter
Department of Neurology, Charité University Medicine, Berlin, Germany.
Eur J Neurosci. 2009 Mar;29(5):943-53. doi: 10.1111/j.1460-9568.2009.06655.x.
Depth recordings in patients with Parkinson's disease on dopaminergic therapy have revealed a tendency for oscillatory activity in the basal ganglia that is sharply tuned to frequencies of approximately 70 Hz and increases with voluntary movement. It is unclear whether this activity is essentially physiological and whether it might be involved in arousal processes. Here we demonstrate an oscillatory activity with similar spectral characteristics and motor reactivity in the human thalamus. Depth signals were recorded in 29 patients in whom the ventral intermediate or centromedian nucleus were surgically targeted for deep brain stimulation. Thirteen patients with four different pathologies showed sharply tuned activity centred at approximately 70 Hz in spectra of thalamic local field potential (LFP) recordings. This activity was modulated by movement and, critically, varied over the sleep-wake cycle, being suppressed during slow wave sleep and re-emergent during rapid eye movement sleep, which physiologically bears strong similarities with the waking state. It was enhanced by startle-eliciting stimuli, also consistent with modulation by arousal state. The link between this pattern of thalamic activity and that of similar frequency in the basal ganglia was strengthened by the finding that fast thalamic oscillations were lost in untreated parkinsonian patients, paralleling the behaviour of this activity in the basal ganglia. Furthermore, there was sharply tuned coherence between thalamic and pallidal LFP activity at approximately 70 Hz in eight out of the 11 patients in whom globus pallidus and thalamus were simultaneously implanted. Subcortical oscillatory activity at approximately 70 Hz may be involved in movement and arousal.
对接受多巴胺能治疗的帕金森病患者进行的深度记录显示,基底神经节存在振荡活动的趋势,这种振荡活动对约70赫兹的频率有明显调谐,且随随意运动增加。目前尚不清楚这种活动本质上是否为生理性的,以及它是否可能参与觉醒过程。在此,我们在人类丘脑发现了具有类似频谱特征和运动反应性的振荡活动。对29例患者进行了深度信号记录,这些患者的腹中间核或中央中核是深部脑刺激手术的靶点。13例患有四种不同疾病的患者在丘脑局部场电位(LFP)记录频谱中显示出以约70赫兹为中心的明显调谐活动。这种活动受运动调节,关键的是,它在睡眠-觉醒周期中有所变化,在慢波睡眠期间受到抑制,在快速眼动睡眠期间重新出现,而快速眼动睡眠在生理上与清醒状态有很强的相似性。它因引发惊吓的刺激而增强,这也与觉醒状态的调节一致。未经治疗的帕金森病患者中快速丘脑振荡消失,这与基底神经节中这种活动的表现相似,这一发现加强了丘脑活动模式与基底神经节中类似频率活动之间的联系。此外,在同时植入苍白球和丘脑的11例患者中的8例中,丘脑和苍白球LFP活动在约70赫兹处有明显的调谐相干性。约70赫兹的皮质下振荡活动可能参与运动和觉醒。