Event-related deep brain stimulation of the subthalamic nucleus affects conflict processing.

Event-related deep brain stimulation of the subthalamic nucleus affects conflict processing.
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DOI:
10.1002/ana.25312
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发表时间:
2018-10
影响因子:
11.2
通讯作者:
Chen R
Chen R
中科院分区:
医学1区
文献类型:
--
作者:
Ghahremani A;Aron AR;Udupa K;Saha U;Reddy D;Hutchison WD;Kalia SK;Hodaie M;Lozano AM;Chen R

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Many lines of evidence suggest that response conflict recruits brain regions in the cortical-basal ganglia system. Within the basal ganglia, deep brain recordings from the subthalamic nucleus (STN) have shown that conflict triggers a transient increase in low-frequency oscillations (LFO, 2–8Hz). Here, we deployed a new method of delivering short trains of event-related deep brain stimulation (DBS) to the STN to test the causal role of the STN and its associated circuits in conflict-related processing. In a double-blind design, we stimulated the STN in patients with Parkinson’s disease by locking brief trains of DBS to specific periods of the trial within a Stroop task. Stimulation had a specific effect on conflict compared to non-conflict trials by relatively speeding responses on conflict trials (i.e., reducing the Stroop effect, defined as the difference in reaction time between conflict and non-conflict trials) when it was delivered in the pre-response period in the preparation phase. Stimulation also increased errors when it was delivered early in the response window. This corresponded to the timing of conflict-induced increase in LFO observed in the absence of stimulation but was not directly related to the reduction in Stroop effect. These results support the theory that the time of LFO increase recorded from the STN corresponds to a conflict-processing function. They also provide one of the first demonstrations of event-related DBS of the STN in humans during a cognitive control paradigm.
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