학술논문

Comparison of subthalamic unilateral and bilateral theta burst deep brain stimulation in Parkinson’s disease
Document Type
article
Source
Frontiers in Human Neuroscience, Vol 17 (2023)
Subject
Parkinson’s disease
subthalamic nucleus
deep brain stimulation
theta burst
unilateral stimulation
bilateral stimulation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Language
English
ISSN
1662-5161
Abstract
High-frequency, conventional deep brain stimulation (DBS) of the subthalamic nucleus (STN) in Parkinson’s disease (PD) is usually applied bilaterally under the assumption of additive effects due to interhemispheric crosstalk. Theta burst stimulation (TBS-DBS) represents a new patterned stimulation mode with 5 Hz interburst and 200 Hz intraburst frequency, whose stimulation effects in a bilateral mode compared to unilateral are unknown. This single-center study evaluated acute motor effects of the most affected, contralateral body side in 17 PD patients with unilateral subthalamic TBS-DBS and 11 PD patients with bilateral TBS-DBS. Compared to therapy absence, both unilateral and bilateral TBS-DBS significantly improved (p