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Controlling pallidal oscillations in real-time in Parkinson's disease using evoked interference deep brain stimulation (eiDBS): Proof of concept in the human.


ABSTRACT: Approaches to control basal ganglia neural activity in real-time are needed to clarify the causal role of 13-35 Hz ("beta band") oscillatory dynamics in the manifestation of Parkinson's disease (PD) motor signs. Here, we show that resonant beta oscillations evoked by electrical pulses with precise amplitude and timing can be used to predictably suppress or amplify spontaneous beta band activity in the internal segment of the globus pallidus (GPi) in the human. Using this approach, referred to as closed-loop evoked interference deep brain stimulation (eiDBS), we could suppress or amplify frequency-specific (16-22 Hz) neural activity in a PD patient. Our results highlight the utility of eiDBS to characterize the role of oscillatory dynamics in PD and other brain conditions, and to develop personalized neuromodulation systems.

SUBMITTER: Escobar Sanabria D 

PROVIDER: S-EPMC9798539 | biostudies-literature | 2022 Sep-Oct

REPOSITORIES: biostudies-literature

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Controlling pallidal oscillations in real-time in Parkinson's disease using evoked interference deep brain stimulation (eiDBS): Proof of concept in the human.

Escobar Sanabria David D   Aman Joshua E JE   Zapata Amaya Valentina V   Johnson Luke A LA   Farooqi Hafsa H   Wang Jing J   Hill Meghan M   Patriat Remi R   Sovell-Brown Kelly K   Molnar Gregory F GF   Darrow David D   McGovern Robert R   Cooper Scott E SE   Harel Noam N   MacKinnon Colum D CD   Park Michael C MC   Vitek Jerrold L JL  

Brain stimulation 20220731 5


Approaches to control basal ganglia neural activity in real-time are needed to clarify the causal role of 13-35 Hz ("beta band") oscillatory dynamics in the manifestation of Parkinson's disease (PD) motor signs. Here, we show that resonant beta oscillations evoked by electrical pulses with precise amplitude and timing can be used to predictably suppress or amplify spontaneous beta band activity in the internal segment of the globus pallidus (GPi) in the human. Using this approach, referred to as  ...[more]

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