Objectives: To evaluate spectra and their correlations with clinical symptoms of local field potentials (LFP) acquired from wide- and close-spaced contacts (i.e. between contacts 0–3 or LFP03, and contacts 1–2 or LFP12 respectively) on the same DBS electrode within the subthalamus (STN) in Parkinson's disease (PD), before and after levodopa administration. Methods: LFP12 and LFP03 were recorded from 20 PD patients. We evaluated oscillatory power, local and switched phase-amplitude coupling (l- and Sw-PAC) and correlation with motor symptoms (UPDRSIII). Results: Before levodopa, both LFP03 and LFP12 power in the α band inversely correlated with UPDRSIII. Differences between contacts were found in the low-frequency bands power. After levodopa, differences in UPDRSIII were associated to changes in LFP03 low-β and LFP12 HFO (high frequency oscillations, 250–350 Hz) power, while a modulation of the low-β power and an increased β-LFO (low frequency oscillations, 15–45 Hz) PAC was found only for LFP12. Conclusion: This study reveals differences in spectral pattern between LFP12 and LFP03 before and after levodopa administration, as well as different correlations with PD motor symptoms. Significance: Differences between LFP12 and LFP03 may offer an opportunity for optimizing adaptive deep brain stimulation (aDBS) protocols for PD. LFP12 can be used to detect β-HFO coupling and β power (i.e. bradykinesia), while LFP03 are optimal for low frequency oscillations (dyskinesias).

Influence of inter-electrode distance on subthalamic nucleus local field potential recordings in Parkinson's disease / A. Averna, S. Marceglia, M. Arlotti, M. Locatelli, P. Rampini, A. Priori, T. Bocci. - In: CLINICAL NEUROPHYSIOLOGY. - ISSN 1388-2457. - 133(2022), pp. 29-38. [10.1016/j.clinph.2021.10.003]

Influence of inter-electrode distance on subthalamic nucleus local field potential recordings in Parkinson's disease

A. Averna
Primo
;
M. Locatelli;A. Priori
Penultimo
;
T. Bocci
Ultimo
2022

Abstract

Objectives: To evaluate spectra and their correlations with clinical symptoms of local field potentials (LFP) acquired from wide- and close-spaced contacts (i.e. between contacts 0–3 or LFP03, and contacts 1–2 or LFP12 respectively) on the same DBS electrode within the subthalamus (STN) in Parkinson's disease (PD), before and after levodopa administration. Methods: LFP12 and LFP03 were recorded from 20 PD patients. We evaluated oscillatory power, local and switched phase-amplitude coupling (l- and Sw-PAC) and correlation with motor symptoms (UPDRSIII). Results: Before levodopa, both LFP03 and LFP12 power in the α band inversely correlated with UPDRSIII. Differences between contacts were found in the low-frequency bands power. After levodopa, differences in UPDRSIII were associated to changes in LFP03 low-β and LFP12 HFO (high frequency oscillations, 250–350 Hz) power, while a modulation of the low-β power and an increased β-LFO (low frequency oscillations, 15–45 Hz) PAC was found only for LFP12. Conclusion: This study reveals differences in spectral pattern between LFP12 and LFP03 before and after levodopa administration, as well as different correlations with PD motor symptoms. Significance: Differences between LFP12 and LFP03 may offer an opportunity for optimizing adaptive deep brain stimulation (aDBS) protocols for PD. LFP12 can be used to detect β-HFO coupling and β power (i.e. bradykinesia), while LFP03 are optimal for low frequency oscillations (dyskinesias).
Deep brain stimulation; Levodopa; Local field potentials; Parkinson's disease; Phase amplitude coupling; Subthalamic nucleus
Settore MED/26 - Neurologia
Settore ING-INF/06 - Bioingegneria Elettronica e Informatica
25-ott-2021
Article (author)
File in questo prodotto:
File Dimensione Formato  
Averna et al., Clinical Neurophysiology 2021.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 1.83 MB
Formato Adobe PDF
1.83 MB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/885287
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 3
social impact