Page 231 - MEGIN Book Of Abstracts - 2023
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Department of Neurology, LSU Health Shreveport, Shreve-  Deep brain stimulation of subthalamic nucleus
            port, Louisiana, United States of America; LSU Health   modulates cortical auditory processing in advanced
            Shreveport Center for Brain Health, Shreveport, Louisiana,   Parkinson's Disease (2022)
            United States of America; Department of Psychology, UC
            Berkeley, Berkeley, California, United States of America; Action                             Valkonen, Kati; Mäkelä, Jyrki P; Airaksinen, Katja;
            Brain and Cognition Laboratory, Department of Psychol-  Nurminen, Jussi; Kivisaari, Riku; Renvall, Hanna;
            ogy, and fMRIotago, University of Otago, Dunedin, New   Pekkonen, Eero
            Zealand; Department of Neurobiology and Center for the
            Neural Basis of Cognition University of Pittsburgh, Pittsburgh,   BioMag Laboratory, Helsinki University Hospital Medical Im-
            Pennsylvania, United States of America; Department of   aging Center, Helsinki University Hospital, Helsinki University
            Psychiatry, UC Davis, Sacramento, California, United States of   and Aalto University School of Science, Helsinki, Finland;
            America; Department of Radiology and Biomedical Imag-  Department of Neurology, Helsinki University Hospital,
            ing, University of California, San Francisco, California, United   Finland and Department of Clinical Neurosciences (Neurol-
            States of America; Department of Neurosurgery, LSU Health   ogy), University of Helsinki, Helsinki, Finland; Department of
            Shreveport, Shreveport, Louisiana, United States of America;   Neurosurgery, Helsinki University Hospital, Helsinki, Finland;
            Department of Neurology, UC Davis, Sacramento, California,   Department of Neuroscience and Biomedical Engineering,
            United States of America                           Aalto University, Espoo, Finland

            ABSTRACT Response activation and inhibition are    ABSTRACT Deep brain stimulation (DBS) has proven its
            functions fundamental to executive control that are   clinical efficacy in Parkinson's disease (PD), but its exact
            disrupted in Parkinson disease (PD). We used magneto-  mechanisms and cortical effects continue to be unclear.
            encephalography to examine event related changes in   Subthalamic (STN) DBS acutely modifies auditory
            oscillatory power amplitude, peak latency and fre-  evoked responses, but its long-term effect on auditory
            quency in cortical networks subserving these functions   cortical processing remains ambiguous. We studied
            and identified abnormalities associated with PD. Partici-  with magnetoencephalography the effect of long-
            pants (N = 18 PD, 18 control) performed a cue/target   term STN DBS on auditory processing in patients with
            task that required initiation of an un-cued movement   advanced PD. DBS resulted in significantly increased
            (activation) or inhibition of a cued movement. Reac-  contra-ipsilateral auditory response latency difference
            tion times were variable but similar across groups. Task   at ~100 ms after stimulus onset compared with preop-
            related responses in gamma, alpha, and beta power   erative state. The effect is likely due to normalization
            were found across cortical networks including motor   of neuronal asynchrony in the auditory pathways. The
            cortex, supplementary and pre- supplementary motor   present results indicate that STN DBS in advanced PD
            cortex, posterior parietal cortex, prefrontal cortex and   patients has long-lasting effects on cortical areas out-
            anterior cingulate. PD-related changes in power and   side those confined to motor processing. Whole-head
            latency were noted most frequently in the beta band,   magnetoencephalography provides a feasible tool to
            however, abnormal power and delayed peak latency in   study motor and non-motor neural networks in PD, and
            the alpha band in the pre-supplementary motor area   to track possible changes related to cortical reorganiza-
            was suggestive of a compensatory mechanism. PD     tion or plasticity induced by DBS.
            peak power was delayed in pre-supplementary motor
            area, motor cortex, and medial frontal gyrus only for   PloS one (2022), Vol. 17, No. 2 (35202426) (1 citation)
            activation, which is consistent with deficits in un-cued
            (as opposed to cued) movement initiation characteris-
            tic of PD.


            PloS one (2022), Vol. 17, No. 3 (35245294) (0 citations)








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