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Deep brain stimulation modulates pallidal and subthalamic neural oscillations in Tourette's syndrome

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机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]Institute of Science and Technology for Brain‐Inspired Intelligence, Fudan University, Shanghai, China [3]Key Laboratory of Computational Neuroscience and Brain‐Inspired Intelligence (Fudan University), Ministry of Education, Shanghai, China [4]Department of Functional Neurosurgery, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
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关键词: deep brain stimulation globus pallidus interna local field potential subthalamic nucleus Tourette's syndrome

摘要:
Introduction: Previous studies found subthalamic nucleus deep brain stimulation (STN-DBS) has clinical effect on Parkinson's disease, dystonia, and obsessive compulsive disorder. It is noteworthy that only a few studies report the STN-DBS for Tourette's syndrome (TS). Globus pallidus interna (GPi)-DBS is the one of the most common targets for TS. So, this paper aims to investigate the neural oscillations in STN and GPi as well as the DBS effect between these two targets in same patients. Methods: The local field potentials (LFPs) were simultaneously recorded from the bilateral GPi and STN in four patients with TS. The LFPs were decomposed into neural oscillations, and the frequency and time–frequency characteristics of the neural oscillations were analyzed across the conditions of resting, poststimulation, and movement. Results: No difference of resting LFP was found between the two targets. The poststimulation period spectral power revealed the high beta and gamma oscillations were recovered after GPi-DBS but remained attenuated after STN-DBS. The STN beta oscillation has fewer changes during tics than voluntary movement, and the gamma oscillation was elevated when the tics appeared. Conclusion: The high beta and gamma oscillations in GPi restored after GPi-DBS, but not STN-DBS. High beta and gamma oscillations may have physiological function in resisting tics in TS. The cortex compensation effect might be interfered by the STN-DBS due to the influence on the hyper-direct pathway but not GPi-DBS. © 2019 The Authors. Brain and Behavior published by Wiley Periodicals, Inc.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 行为科学 4 区 神经科学
最新[2023]版:
大类 | 3 区 心理学
小类 | 4 区 行为科学 4 区 神经科学
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出版当年[2017]版:
Q3 BEHAVIORAL SCIENCES Q3 NEUROSCIENCES
最新[2023]版:
Q2 BEHAVIORAL SCIENCES Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]Institute of Science and Technology for Brain‐Inspired Intelligence, Fudan University, Shanghai, China [3]Key Laboratory of Computational Neuroscience and Brain‐Inspired Intelligence (Fudan University), Ministry of Education, Shanghai, China [4]Department of Functional Neurosurgery, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [*1]Department of Neurosurgery, Beijing Tiantan Hospital, South Forth Ring West Road No. 119, B District, Fengtai District, Beijing 100070, China. [*2]Institute of Science and Technology for Brain‐Inspired Intelligence, Fudan University, 220 Handan Road, Yangpu District, Shanghai 200433, China.
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