Department of Neurosciences, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195, United States.
Center for Neurologic Restoration, Neurological Institute, Cleveland Clinic, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195, United States; Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195, United States.
Neurosci Lett. 2022 Aug 24;786:136800. doi: 10.1016/j.neulet.2022.136800. Epub 2022 Jul 13.
Deep brain stimulation (DBS) of the deep cerebellar nuclei has been shown to enhance perilesional cortical excitability and promote motor rehabilitation in preclinical models of cortical ischemia and is currently being evaluated in patients with chronic, post-stroke deficits. Understanding the effects of cerebellar DBS on contralateral sensorimotor cortex may be key to developing approaches to optimize stimulation delivery and treatment outcomes. Using the naïve rat model, we characterized the effects of DBS of the lateral cerebellar nucleus (LCN) on somatosensory evoked potentials (SSEPs) and evaluated their potential use as a surrogate index of cortical excitability. SSEPs were recorded concurrently with continuous 30 Hz or 100 Hz LCN DBS and compared to the DBS OFF condition. Ratios of SSEP peak to peak amplitude during 100 Hz LCN DBS to DBS OFF at longer latency peaks were significantly>1, suggesting that cortical excitability was enhanced as a result of LCN DBS. Although changes in SSEP peak to peak amplitudes were observed, they were modest in relation to previously reported effects on motor cortical excitability. Overall, our findings suggest that LCN output influences thalamocortical somatosensory pathways, however further work is need to better understand the potential role of SSEPs in optimizing therapy.
深部脑刺激(DBS)小脑深部核已被证明可以增强病灶周围皮质的兴奋性,并促进皮质缺血的临床前模型中的运动康复,目前正在对慢性中风后缺陷的患者进行评估。了解小脑 DBS 对对侧感觉运动皮质的影响可能是开发优化刺激传递和治疗结果方法的关键。使用未经过训练的大鼠模型,我们描述了外侧小脑核(LCN)的 DBS 对体感诱发电位(SSEP)的影响,并评估了它们作为皮质兴奋性替代指标的潜在用途。同时记录 SSEP,并进行连续 30 Hz 或 100 Hz LCN DBS,与 DBS OFF 条件进行比较。在较长潜伏期峰处,100 Hz LCN DBS 期间 SSEP 峰峰值幅度与 DBS OFF 的比值明显>1,表明 LCN DBS 增强了皮质兴奋性。尽管观察到 SSEP 峰峰值幅度的变化,但与先前报道的对运动皮质兴奋性的影响相比,这些变化适中。总体而言,我们的研究结果表明,LCN 输出会影响丘脑皮质感觉通路,但需要进一步的研究来更好地了解 SSEP 在优化治疗中的潜在作用。