Frequency dependent effects of subthalamic nucleus stimulation in Parkinson's disease

Neurosci Lett. 2005 Jul;382(1-2):5-9. doi: 10.1016/j.neulet.2005.02.050. Epub 2005 Mar 16.

Abstract

Excessive synchronisation of basal ganglia activity at frequencies < 30 Hz is a hallmark of the parkinsonian state, and may contribute to bradykinesia. Accordingly, we electrically stimulated chronically implanted subthalamic macroelectrodes in 10 Parkinson's disease patients, after overnight withdrawal of anti-parkinsonian medication. We compared the effects of stimulation at 0, 5, 10, 15, 20, 25, 30, and ca. 130 Hz by measuring kinesia time (KT) in a tapping task. Although the effects of direct stimulation were small, frequency-response curves demonstrated local peaks at 5-10 Hz and at 20-25 Hz, superimposed upon an overall tendency for KT to reduce with increasing stimulation frequency. This is consistent with the hypothesis that spontaneous activities in these bands might promote bradykinesia.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antiparkinson Agents / therapeutic use
  • Beta Rhythm
  • Deep Brain Stimulation*
  • Electrodes, Implanted
  • Female
  • Humans
  • Hypokinesia / physiopathology
  • Hypokinesia / therapy
  • Linear Models
  • Male
  • Middle Aged
  • Nonlinear Dynamics
  • Parkinson Disease / drug therapy
  • Parkinson Disease / physiopathology
  • Parkinson Disease / therapy*
  • Psychomotor Performance / physiology
  • Subthalamic Nucleus / physiology*

Substances

  • Antiparkinson Agents