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J Neurophysiol (November 12, 2008). doi:10.1152/jn.90837.2008
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Submitted on July 31, 2008
Revised on October 2, 2008
Accepted on November 7, 2008

Increased gamma oscillatory activity in the subthalamic nucleus during tremor in Parkinson's disease patients

Moran Weinberger1, William Duncan Hutchison2, Andres M Lozano, Mojgan Hodaie2, and Jonathan O Dostrovsky1*

1 University of Toronto
2 Toronto Western Hospital

* To whom correspondence should be addressed. E-mail: j.dostrovsky{at}utoronto.ca.

Rest tremor is one of the main symptoms in Parkinson's disease (PD), although in contrast to rigidity and akinesia, the severity of the tremor does not correlate well with the degree of dopamine deficiency or the progression of the disease. Studies suggest that akinesia in PD patients is related to abnormal increased beta (15-30 Hz) and decreased gamma (35-80 Hz) synchronous oscillatory activity in the basal ganglia. Here we investigated the dynamics of oscillatory activity in the subthalamic nucleus (STN) during tremor. We used two adjacent microelectrodes to simultaneously record neuronal firing and local field potential (LFP) activity in 9 PD patients who exhibited resting tremor during functional neurosurgery. We found that neurons exhibiting oscillatory activity at tremor-frequency are located in the dorsal region of STN, where neurons with beta oscillatory activity are observed, and that their activity is coherent with LFP oscillations in the beta frequency range. Interestingly, in 85% of the 58 sites examined, the LFP exhibited increased oscillatory activity in the low gamma frequency range (35-55 Hz) during periods with stronger tremor. Furthermore, in 17 of 26 cases where two LFPs were recorded simultaneously, their coherence in the gamma range increased with increased tremor. When averaged across subjects, the ratio of the beta to gamma coherence was significantly lower in periods with stronger tremor compared to periods of no or weak tremor. These results suggest that resting tremor in PD is associated with an altered balance between beta and gamma oscillations in the motor circuits of STN.




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M. J. Lehmkuhle, S. S. Bhangoo, and D. R. Kipke
The Electrocorticogram Signal Can Be Modulated With Deep Brain Stimulation of the Subthalamic Nucleus in the Hemiparkinsonian Rat
J Neurophysiol, September 1, 2009; 102(3): 1811 - 1820.
[Abstract] [Full Text] [PDF]




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