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Assessment of brainstem function with auricular branch of vagus nerve stimulation in Parkinson's disease.

作者信息

Weise David, Adamidis Melanie, Pizzolato Fabio, Rumpf Jost-Julian, Fricke Christopher, Classen Joseph

机构信息

Department of Neurology, University of Leipzig, Leipzig, Germany.

Department of Neurology, University of Leipzig, Leipzig, Germany; Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy.

出版信息

PLoS One. 2015 Apr 7;10(4):e0120786. doi: 10.1371/journal.pone.0120786. eCollection 2015.


DOI:10.1371/journal.pone.0120786
PMID:25849807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4388709/
Abstract

BACKGROUND: The efferent dorsal motor nucleus of the vagal nuclei complex may degenerate early in the course of Parkinson's disease (PD), while efferent nucleus ambiguous, the principal source of parasympathetic vagal neurons innervating the heart, and afferent somatosensory nuclei remain intact. OBJECTIVE: To obtain neurophysiological evidence related to this pattern, we tested processing of afferent sensory information transmitted via the auricular branch of the vagus nerve (ABVN) which is known to be connected to autonomic regulation of cardiac rhythm. METHODS: In this cross-sectional observational study, we recorded (i) somatosensory evoked potentials (ABVN-SEP) and (ii) cutaneo-cardioautonomic response elicited by stimulation of the ABVN (modulation of heart-rate variability (HRV index; low frequency power, ln(LF), high frequency power, ln(HF); ln(LF/HF) ratio)) in 50 PD patients and 50 age and sex matched healthy controls. Additionally, auditory evoked potentials and trigeminal nerve SEP were assessed. RESULTS: Neither ABVN-SEP nor any of the other functional brainstem parameters differed between patients and controls. Although HRV index was decreased in PD patients, modulation of ln(LF/HF) by ABVN-stimulation, likely indicating cardiac parasympathetic activation, did not differ between both groups. CONCLUSIONS: Findings do not point to prominent dysfunction of processing afferent information from ABVN and its connected parasympathetic cardiac pathway in PD. They are consistent with the known pattern of degeneration of the vagal nuclei complex of the brainstem.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/97fbd3fab4f4/pone.0120786.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/84056de29fbe/pone.0120786.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/bb77790c0fd7/pone.0120786.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/97fbd3fab4f4/pone.0120786.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/84056de29fbe/pone.0120786.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/bb77790c0fd7/pone.0120786.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7d3/4388709/97fbd3fab4f4/pone.0120786.g003.jpg

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本文引用的文献

[1]
Non-invasive vagus nerve stimulation in healthy humans reduces sympathetic nerve activity.

Brain Stimul. 2014

[2]
The brainstem pathologies of Parkinson's disease and dementia with Lewy bodies.

Brain Pathol. 2015-3

[3]
Visualizing samples with box plots.

Nat Methods. 2014-2

[4]
Vagal sensory evoked potentials disappear under the neuromuscular block - an experimental study.

Brain Stimul. 2013-4-3

[5]
CNS BOLD fMRI effects of sham-controlled transcutaneous electrical nerve stimulation in the left outer auditory canal - a pilot study.

Brain Stimul. 2013-2-13

[6]
Low-level transcutaneous electrical stimulation of the auricular branch of the vagus nerve: a noninvasive approach to treat the initial phase of atrial fibrillation.

Heart Rhythm. 2012-11-24

[7]
Hearing impairment in Parkinson's disease: expanding the nonmotor phenotype.

Mov Disord. 2012-10-2

[8]
Vagus somatosensory evoked potentials--a possibility for diagnostic improvement in patients with mild cognitive impairment?

Dement Geriatr Cogn Disord. 2012-7-2

[9]
Vagal nerve modulation: a promising new therapeutic approach for cardiovascular diseases.

Clin Exp Pharmacol Physiol. 2012-8

[10]
Autonomic involvement in Parkinson's disease: pathology, pathophysiology, clinical features and possible peripheral biomarkers.

J Neurol Sci. 2011-10-14

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