title: Sixty hertz neurostimulation amplifies subthalamic neural synchrony in Parkinson's disease.
abstract: High frequency subthalamic nucleus (STN) deep brain stimulation (DBS) improves the cardinal motor signs of Parkinson's disease (PD) and attenuates STN alpha/beta band neural synchrony in a voltage-dependent manner. While there is a growing interest in the behavioral effects of lower frequency (60 Hz) DBS, little is known about its effect on STN neural synchrony. Here we demonstrate for the first time that during intra-operative 60 Hz STN DBS, one or more bands of resting state neural synchrony were amplified in the STN in PD. We recorded intra-operative STN resting state local field potentials (LFPs) from twenty-eight STNs in seventeen PD subjects after placement of the DBS lead (model 3389, Medtronic, Inc.) before and during three randomized neurostimulation sets (130 Hz/1.35V, 130 Hz/2V, 60 Hz/2V). During 130 Hz/2V DBS, baseline (no DBS) STN alpha (8-12 Hz) and beta (13-35 Hz) band power decreased (N=14, P < 0.001 for both), whereas during 60 Hz/2V DBS, alpha band and peak frequency power increased (P = 0.012, P = 0.007, respectively). The effect of 60 Hz/2V DBS opposed that of power-equivalent (130 Hz/1.35V) DBS (alpha: P < 0.001, beta: P = 0.006). These results show that intra-operative 60 Hz STN DBS amplified whereas 130 Hz STN DBS attenuated resting state neural synchrony in PD; the effects were frequency-specific. We demonstrate that neurostimulation may be useful as a tool to selectively modulate resting state resonant bands of neural synchrony and to investigate its influence on motor and non-motor behaviors in PD and other neuropsychiatric diseases.
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Zack
authors: Z
authors: Blumenfeld
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Anca
authors: A
authors: Velisar
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Mandy
authors: M
authors: Miller Koop
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Bruce C
authors: BC
authors: Hill
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Lauren A
authors: LA
authors: Shreve
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America.
authors: Emma J
authors: EJ
authors: Quinn
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America; Department of Neurosurgery, Stanford University, Stanford, California, United States of America.
authors: Camilla
authors: C
authors: Kilbane
authors: Department of Neurosurgery, Stanford University, Stanford, California, United States of America.
authors: Hong
authors: H
authors: Yu
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America; Department of Neurosurgery, Stanford University, Stanford, California, United States of America.
authors: Jaimie M
authors: JM
authors: Henderson
authors: Department of Neurology and Neurological Sciences, Stanford University, Stanford, California, United States of America; Department of Neurosurgery, Stanford University, Stanford, California, United States of America.
authors: Helen
authors: H
authors: Brontë-Stewart
mesh_terms: D000368:Aged; D046690:Deep Brain Stimulation / Q000379:methods*; D006801:Humans; D058542:Implantable Neurostimulators; D008875:Middle Aged; D010300:Parkinson Disease / Q000503:physiopathology* / Q000628:therapy*; D020531:Subthalamic Nucleus / Q000503:physiopathology*