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  4. Directional Local Field Potentials in the Subthalamic Nucleus During Deep Brain Implantation of Parkinson's Disease Patients
 
research article

Directional Local Field Potentials in the Subthalamic Nucleus During Deep Brain Implantation of Parkinson's Disease Patients

Nguyen, T. A. Khoa
•
Schupbach, Michael
•
Mercanzini, Andre  
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September 30, 2020
Frontiers In Human Neuroscience

Segmented deep brain stimulation leads feature directional electrodes that allow for a finer spatial control of electrical stimulation compared to traditional ring-shaped electrodes. These segmented leads have demonstrated enlarged therapeutic windows and have thus the potential to improve the treatment of Parkinson's disease patients. Moreover, they provide a unique opportunity to record directional local field potentials. Here, we investigated whether directional local field potentials can help identify the best stimulation direction to assist device programming. Four Parkinson's disease patients underwent routine implantation of the subthalamic nucleus. Firstly, local field potentials were recorded in three directions for two conditions: In one condition, the patient was at rest; in the other condition, the patient's arm was moved. Secondly, current thresholds for therapeutic and side effects were identified intraoperatively for directional stimulation. Therapeutic windows were calculated from these two thresholds. Thirdly, the spectral power of the total beta band (13-35 Hz) and its sub-bands low, high, and peak beta were analyzedpost hoc. Fourthly, the spectral power was used by different algorithms to predict the ranking of directions. The spectral power profiles were patient-specific, and spectral peaks were found both in the low beta band (13-20 Hz) and in the high beta band (20.5-35 Hz). The direction with the highest spectral power in the total beta band was most indicative of the 1(st)best direction when defined by therapeutic window. Based on the total beta band, the resting condition and the moving condition were similarly predictive about the direction ranking and classified 83.3% of directions correctly. However, different algorithms were needed to predict the ranking defined by therapeutic window or therapeutic current threshold. Directional local field potentials may help predict the best stimulation direction. Further studies with larger sample sizes are needed to better distinguish the informative value of different conditions and the beta sub-bands.

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Type
research article
DOI
10.3389/fnhum.2020.521282
Web of Science ID

WOS:000578910100001

Author(s)
Nguyen, T. A. Khoa
Schupbach, Michael
Mercanzini, Andre  
Dransart, Alain
Pollo, Claudio
Date Issued

2020-09-30

Published in
Frontiers In Human Neuroscience
Volume

14

Article Number

521282

Subjects

Neurosciences

•

Psychology

•

Neurosciences & Neurology

•

deep brain stimulation

•

local field potentials

•

segmented leads

•

subthalamic nucleus

•

parkinson's disease

•

stimulation

•

oscillations

•

recordings

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPDALPE  
Available on Infoscience
October 30, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/172892
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