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帕金森病丘脑底核的神经生理梯度作为运动症状和冷漠的标志物

Neurophysiological gradient in the Parkinsonian subthalamic nucleus as a marker for motor symptoms and apathy.

作者信息

Bernasconi Elena, Amstutz Deborah, Averna Alberto, Fischer Petra, Sousa Mario, Debove Ines, Petermann Katrin, Alva Laura, Magalhães Andreia D, Lachenmayer M Lenard, Nguyen Thuy-Anh K, Schuepbach Michael, Nowacki Andreas, Pollo Claudio, Krack Paul, Tinkhauser Gerd

机构信息

Department of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.

Graduate School of Cellular and Biomedical Sciences (GCB), University of Bern, Bern, Switzerland.

出版信息

NPJ Parkinsons Dis. 2025 Jan 3;11(1):4. doi: 10.1038/s41531-024-00848-2.

Abstract

Sensing-based deep brain stimulation should optimally consider both the motor and neuropsychiatric domain to maximize quality of life of Parkinson's disease (PD) patients. Here we characterize the neurophysiological properties of the subthalamic nucleus (STN) in 69 PD patients using a newly established neurophysiological gradient metric and contextualize it with motor symptoms and apathy. We could evidence a STN power gradient that holds most of the spectral information between 5 and 30 Hz spanning along the dorsal-ventral axis. It shows elevated power in the sub-beta range (8-12 Hz) toward the ventral STN, and elevated dorsal beta power (16-24 Hz) indicative for the hemispheres contralateral to the more affected hemi-body side. The rigidity response to DBS was highest dorsally on the axis. Importantly, apathetic symptoms can be related to reduced ventral alpha power. In conclusion, the STN spectral gradient may inform about the motor and neuropsychiatric domain, supporting integrative closed-loop strategies.

摘要

基于传感的深部脑刺激应最佳地兼顾运动和神经精神领域,以最大限度地提高帕金森病(PD)患者的生活质量。在此,我们使用新建立的神经生理梯度指标对69例PD患者的丘脑底核(STN)的神经生理特性进行了表征,并将其与运动症状和冷漠症状相关联。我们能够证明存在一种STN功率梯度,其在5至30赫兹之间沿背腹轴包含了大部分频谱信息。它显示在腹侧STN方向的亚β范围(8至12赫兹)功率升高,而背侧β功率(16至24赫兹)升高表明与受影响更严重的半侧身体对侧的半球情况。对深部脑刺激的强直反应在该轴上的背侧最高。重要的是,冷漠症状可能与腹侧α功率降低有关。总之,STN频谱梯度可能为运动和神经精神领域提供信息,支持综合闭环策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4331/11698975/fbc2817bdab8/41531_2024_848_Fig1_HTML.jpg

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