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帕金森病患者丘脑底核电刺激记录的功能和有效连通性。

Functional and effective connectivity in subthalamic local field potential recordings of patients with Parkinson's disease.

机构信息

Neurophysics Group, Department of Neurology, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.

出版信息

Neuroscience. 2013 Oct 10;250:320-32. doi: 10.1016/j.neuroscience.2013.07.028. Epub 2013 Jul 20.

Abstract

In Parkinson's disease (PD) levodopa-associated changes in the power and long-range temporal correlations of beta oscillations have been demonstrated, yet the presence and modulation of genuine connectivity in local field potentials (LFP) recorded from the subthalamic nucleus (STN) remains an open question. The present study investigated LFP recorded bilaterally from the STN at wakeful rest in ten patients with PD after overnight withdrawal of levodopa (OFF) and after a single dose levodopa administration (ON). We utilized connectivity measures being insensitive to volume conduction (functional connectivity: non-zero imaginary part of coherency; effective connectivity: phase-slope index). We demonstrated the presence of neuronal interactions in the frequency range of 10-30 Hz in STN-LFP without a preferential directionality of interactions between different contacts along the electrode tracks. While the direction of neuronal interactions per se was preserved after levodopa administration, functional connectivity and the ventral-dorsal information flow were modulated by medication. The OFF-ON differences in functional connectivity were correlated with the levodopa-induced improvement in clinical Unified Parkinson's Disease Rating Scale scores. We hypothesize that regional neuronal interactions, as reflected in STN-LFP connectivity, might represent a basis for the intra-nuclear spatial specificity of deep brain stimulation. Moreover, our results suggest the potential use of volume conduction-insensitive measures of connectivity in STN-LFP as a marker of clinical motor symptoms in PD.

摘要

在帕金森病(PD)中,已经证明了与左旋多巴相关的β振荡的功率和长程时间相关性的变化,然而,在记录自丘脑底核(STN)的局部场电位(LFP)中真正的连通性的存在和调制仍然是一个悬而未决的问题。本研究在 10 名 PD 患者中,在夜间停止服用左旋多巴(OFF)和单次服用左旋多巴(ON)后,在清醒休息时,从双侧 STN 记录 LFP。我们利用对容积传导不敏感的连通性测量方法(功能连通性:相干的虚部不为零;有效连通性:相位斜率指数)。我们证明了在 STN-LFP 中,在 10-30 Hz 的频率范围内存在神经元相互作用,而没有电极轨迹上不同接触之间相互作用的优先方向性。虽然给药后神经元相互作用的方向得以保留,但功能连通性和腹侧-背侧信息流被药物调节。功能连通性的 OFF-ON 差异与左旋多巴诱导的临床统一帕金森病评定量表评分的改善相关。我们假设,反映在 STN-LFP 连通性中的区域神经元相互作用可能是深部脑刺激的核内空间特异性的基础。此外,我们的结果表明,在 STN-LFP 中使用对容积传导不敏感的连通性测量方法作为 PD 临床运动症状的标志物具有潜在用途。

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