Evidence map›Paper›PMID 32281215›Full record

ArticleNeuromodulation : journal of the International Neuromodulation Society2020

The Effect of Unilateral Subthalamic Nucleus Deep Brain Stimulation on Contralateral Subthalamic Nucleus Local Field Potentials.

Harutomo Hasegawa, Petra Fischer, Huiling Tan, Alek Pogosyan, Michael Samuel, Peter Brown, Keyoumars Ashkan

Open access · greenAbstract read
In one paragraph

Article in Neuromodulation : journal of the International Neuromodulation Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 18 citations in OpenAlex.

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  7. Stability and Effect of Parkinsonian State on Deep Brain Stimulation Cortical Evoked Potentials.Neuromodulation : journal of the International Neuromodulation Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Harutomo HasegawaDepartment of Neurosurgery, King's College Hospital, London, UK.ORCID https://orcid.org/0000-0002-3711-6790
Petra FischerMedical Research Council Brain Network Dynamics Unit at the University of Oxford, Oxford, UK.
Huiling TanMedical Research Council Brain Network Dynamics Unit at the University of Oxford, Oxford, UK.
Alek PogosyanMedical Research Council Brain Network Dynamics Unit at the University of Oxford, Oxford, UK.
Michael SamuelDepartment of Neurosurgery, King's College Hospital, London, UK.
Peter BrownMedical Research Council Brain Network Dynamics Unit at the University of Oxford, Oxford, UK.
Keyoumars AshkanDepartment of Neurosurgery, King's College Hospital, London, UK.
John Radcliffe Hospital · GBKing's College Hospital · GB

Funding

Medical Research Council MC_UU_00003/2Medical Research Council MC_UU_12024/1Medical Research Council MR/P012272/1
6 · The paper itself

Abstract

objectivesUnilateral subthalamic nucleus (STN) deep brain stimulation (DBS) for Parkinson's disease (PD) improves ipsilateral symptoms, but how this occurs is not well understood. We investigated whether unilateral STN DBS suppresses contralateral STN beta activity in the local field potential (LFP), since previous research has shown that activity in the beta band can correlate with the severity of contralateral clinical symptoms and is modulated by DBS. MATERIALS AND

methodsWe recorded STN LFPs from 14 patients who underwent bilateral STN DBS for PD. Following a baseline recording, unilateral STN stimulation was delivered at therapeutic parameters while LFPs were recorded from the contralateral (unstimulated) STN.

resultsUnilateral STN DBS suppressed contralateral beta power (p = 0.039, relative suppression = -5.7% ± [SD] 16% when averaging across the highest beta peak channels; p = 0.033, relative suppression = -5.2% ± 13% when averaging across all channels). Unilateral STN DBS produced a 17% ipsilateral (p = 0.016) and 29% contralateral (p = 0.002) improvement in upper limb hemi-body bradykinesia-rigidity (UPDRS-III, items 3.3-3.6). The ipsilateral clinical improvement and the change in contralateral beta power were not significantly correlated.

conclusionsUnilateral STN DBS suppresses contralateral STN beta LFP. This indicates that unilateral STN DBS modulates bilateral basal ganglia networks. It remains unclear whether this mechanism accounts for the ipsilateral motor improvements.

Indexed as

AgedDeep Brain StimulationFemaleFunctional LateralityHumansMaleMiddle AgedParkinson DiseaseSubthalamic NucleusContralaterallocal field potentialParkinson's diseasesubthalamic nucleusunilateral

Identifiers

PMID32281215
PMCPMC7299664
OpenAlexW3015601610

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.