학술논문

Controlling pallidal oscillations in real-time in Parkinson's disease using evoked interference deep brain stimulation (eiDBS): Proof of concept in the human
Document Type
article
Source
Brain Stimulation, Vol 15, Iss 5, Pp 1111-1119 (2022)
Subject
Parkinson's disease
Neural oscillations
Real-time neural control
Closed-loop deep brain stimulation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Language
English
ISSN
1935-861X
Abstract
Approaches to control basal ganglia neural activity in real-time are needed to clarify the causal role of 13–35 Hz (“beta band”) oscillatory dynamics in the manifestation of Parkinson's disease (PD) motor signs. Here, we show that resonant beta oscillations evoked by electrical pulses with precise amplitude and timing can be used to predictably suppress or amplify spontaneous beta band activity in the internal segment of the globus pallidus (GPi) in the human. Using this approach, referred to as closed-loop evoked interference deep brain stimulation (eiDBS), we could suppress or amplify frequency-specific (16–22 Hz) neural activity in a PD patient. Our results highlight the utility of eiDBS to characterize the role of oscillatory dynamics in PD and other brain conditions, and to develop personalized neuromodulation systems.