Document Detail


Neurophysiological Correlates of Motor and Working Memory Performance following Subthalamic Nucleus Stimulation.
MedLine Citation:
PMID:  23198889     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Subthalamic nucleus (STN) deep brain stimulation (DBS) has become an accepted treatment for the motor manifestations of Parkinson disease (PD). The beneficial motor effects of STN DBS are likely due to modulation of BG output to frontal cortical regions associated with motor control, but the underlying neurophysiology of STN DBS effects, especially at the level of the cortex, is not well understood. In this study, we examined the effects of STN DBS on motor disability and visual working memory, a cognitive process supported by pFC. We tested 10 PD participants off medications, ON and OFF stimulation, along with 20 normal controls on a visual working memory task while simultaneously recording cortical EEG. In the OFF state, PD patients had poor motor function, were slower and less accurate in performing the working memory task, and had greater amplitudes and shorter latencies of the N200 ERP response. DBS improved clinical motor function, reduced N200 amplitudes, and increased N200 latencies but had little effect on working memory performance. We conclude that STN DBS normalizes neurophysiological activity in fronto striatal circuits and this may independently affect motor and cognitive function.
Authors:
Katherine Selzler; Michelle Burack; Ryan Bender; Mark Mapstone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cognitive neuroscience     Volume:  25     ISSN:  1530-8898     ISO Abbreviation:  J Cogn Neurosci     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8910747     Medline TA:  J Cogn Neurosci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-48     Citation Subset:  IM    
Affiliation:
The University of Rochester School of Medicine and Dentistry.
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