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Characteristics of subthalamic oscillatory activity in parkinsonian akinetic-rigid type and mixed type

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机构: [1]Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Center of Parkinson’s Disease, Beijing Institute for Brain Disorders, Beijing, China [3]Key Laboratory of Neurodegenerative Diseases (Capital Medical University), Ministry of Education, Beijing, China [4]Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD, USA
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关键词: Parkinson's disease akinetic-rigid type subthalamic nucleus oscillatory activity microelectrode recordings

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Objective: To explore neurons with beta oscillatory activity in the subthalamic nucleus (STN) in relation to parkinsonian motor signs. Methods: We studied 27 patients with Parkinson's disease (PD) who underwent electrode implantation for STN deep brain stimulation. Thirteen patients were classified as akinetic-rigid (AR) type and 14 patients were classified as mixed type. Microelectrode recording was performed in the STN and the electromyogram (EMG) was simultaneously recorded. Single-unit and spectral analyses were performed. Coherence analysis was used to explore the relationship between beta oscillatory activity and EMG activity. Unpaired t-test and chi-square were used to compare the differences between the two PD types. Results: Of 130 neurons identified in the AR type, 43.8% were beta oscillatory neurons (mean: 21.3 +/- 6.87 Hz, beta FB) and 0.8% were tremor frequency oscillatory neurons (4-6 Hz, TFB). Of 102 neurons identified in the mixed type, 19.6% were beta oscillatory neurons and 26.5% were TFB oscillatory neurons. There was a significant difference in proportion of neurons with beta FB and TFB oscillations between the two PD groups. Additionally, 12% of the beta FB oscillatory neurons were coherent with limb EMG of the AR type, but there was no coherence in the mixed type. Most oscillatory neurons were localized in the dorsal portion of the STN. Conclusion: The STN beta FB oscillatory neurons correlate with parkinsonian rigidity-bradykinesia. The high proportion of beta FB oscillatory neurons found in the AR type of PD is indirect evidence for their importance in generating motor impairment.

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
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出版当年[2014]版:
Q4 NEUROSCIENCES
最新[2023]版:
Q4 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Center of Parkinson’s Disease, Beijing Institute for Brain Disorders, Beijing, China [3]Key Laboratory of Neurodegenerative Diseases (Capital Medical University), Ministry of Education, Beijing, China
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通讯机构: [*1]No 45 Changchun Street, Xicheng District, Beijing, 100053, China.
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