1. Subthalamic nucleus phase–amplitude coupling correlates with motor impairment in Parkinson’s disease
- Author
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van Wijk, Bernadette C.M., Beudel, Martijn, Jha, Ashwani, Oswal, Ashwini, Foltynie, Tom, Hariz, Marwan I., Limousin, Patricia, Zrinzo, Ludvic, Aziz, Tipu Z., Green, Alexander L., Brown, Peter, and Litvak, Vladimir
- Subjects
Male ,Deep Brain Stimulation ,Clinical Neurology ,LFP, local field potential ,Subthalamic nucleus ,Article ,HFO, high-frequency oscillations ,Cohort Studies ,Physiology (medical) ,Humans ,Cross-frequency coupling ,Beta oscillations ,UPDRS, Unified Parkinson’s Disease Rating Scale ,Local field potentials ,Motor Cortex ,Magnetoencephalography ,Parkinson Disease ,PAC, phase–amplitude coupling ,Motor system ,MEG, magnetoencephalography ,Sensory Systems ,nervous system diseases ,Neurology ,Parkinson’s disease ,Female ,Beta Rhythm ,DBS, deep brain stimulation ,STN, subthalamic nucleus - Abstract
Highlights • We obtained invasive subthalamic nucleus recordings in 33 Parkinson’s disease patients. • Phase–amplitude coupling between beta band and high-frequency oscillations correlates with severity of motor impairments. • Parkinsonian pathophysiology is more closely linked with low-beta band frequencies., Objective High-amplitude beta band oscillations within the subthalamic nucleus are frequently associated with Parkinson’s disease but it is unclear how they might lead to motor impairments. Here we investigate a likely pathological coupling between the phase of beta band oscillations and the amplitude of high-frequency oscillations around 300 Hz. Methods We analysed an extensive data set comprising resting-state recordings obtained from deep brain stimulation electrodes in 33 patients before and/or after taking dopaminergic medication. We correlated mean values of spectral power and phase–amplitude coupling with severity of hemibody bradykinesia/rigidity. In addition, we used simultaneously recorded magnetoencephalography to look at functional interactions between the subthalamic nucleus and ipsilateral motor cortex. Results Beta band power and phase–amplitude coupling within the subthalamic nucleus correlated positively with severity of motor impairment. This effect was more pronounced within the low-beta range, whilst coherence between subthalamic nucleus and motor cortex was dominant in the high-beta range. Conclusions We speculate that the beta band might impede pro-kinetic high-frequency activity patterns when phase–amplitude coupling is prominent. Furthermore, results provide evidence for a functional subdivision of the beta band into low and high frequencies. Significance Our findings contribute to the interpretation of oscillatory activity within the cortico-basal ganglia circuit.
- Published
- 2016