Stop-related subthalamic beta activity indexes global motor suppression in Parkinson's disease.

Stop-related subthalamic beta activity indexes global motor suppression in Parkinson's disease.
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与停止相关的丘脑β活动索引了帕金森氏病的全球运动抑制。

DOI:
10.1002/mds.26732
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发表时间:
2016-12
期刊:
影响因子:
8.6
通讯作者:
Chen, Robert
Chen, Robert
中科院分区:
医学1区
文献类型:
--
作者:
Wessel, Jan R.;Ghahremani, Ayda;Udupa, Kaviraja;Saha, Utpal;Kalia, Suneil K.;Hodaie, Mojgan;Lozano, Andres M.;Aron, Adam R.;Chen, Robert

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Rapid action-stopping leads to global motor suppression. This is shown by studies using Transcranial Magnetic Stimulation to measure corticospinal excitability of task-unrelated effectors, e.g., from the hand during speech-stopping. We hypothesize this global suppression relates to the subthalamic nucleus of the basal ganglia. Several STN local field potential studies in Parkinson’s patients have shown increased ß-band power during successful stopping. Here, we aimed to test whether this STN ß-band activity indexes global motor suppression measured by transcranial magnetic stimulation. We studied nine medicated PD patients (age: 47 – 67y, mean: 55.8; 3 female) who were implanted with STN-DBS electrodes. Participants performed a vocal stop-signal task (i.e., they had to occasionally stop a vocal response) while we simultaneously recorded local field potentials from right STN and delivered transcranial magnetic stimulation to primary motor cortex to measure corticospinal excitability from a task-unrelated hand muscle (first dorsal interosseous). Replicating prior results, STN ß-band power was increased (p < .005) and corticospinal excitability was reduced (p = .024) (global motor suppression) during successful stopping. As hypothesized, such global motor suppression was greater for successful stop-trials with higher STN ß-power (median-split: p = .043), which was further evident in a negative correlation between single-trial STN ß-power and corticospinal excitability (mean r = -.176, p = .011). These findings link stopping-related global motor suppression to STN ß-band activity through simultaneous recordings of STN and corticospinal excitability. The results support models of basal ganglia that propose the STN has broad motor suppressive effects.
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