Evidence map›Paper›PMID 33826240›Full record

ArticleAnnals of clinical and translational neurology2021

Subcortical short-term plasticity elicited by deep brain stimulation.

Mohammad Z Awad, Ryan J Vaden, Zachary T Irwin, Christopher L Gonzalez, Sarah Black, Arie Nakhmani, Byron C Jaeger, J Nicole Bentley, Barton L Guthrie, Harrison C Walker

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Paired Deep Brain Stimuli Elicit Short-Term Facilitation in Globus Pallidus Interna and Subthalamic Nucleus.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Directional Stimulus-Evoked Pallidal Electrophysiology in Primary Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  11. Subthalamic Nucleus Stimulation-Induced Local Field Potential Changes in Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Pattern of frustration formation in the functional brain network.Network neuroscience (Cambridge, Mass.) · 2022
    Article
  20. Review
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

10 authors at 1 institution in 1 country.

Mohammad Z AwadDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-4013-8050
Ryan J VadenDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Zachary T IrwinDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Christopher L GonzalezDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Sarah BlackDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Arie NakhmaniDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Byron C JaegerDepartment of Electrical and Computer Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
J Nicole BentleyDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Barton L GuthrieDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Harrison C WalkerDepartment of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · US

Funding

Noninvasive Biomarkers to Advance Emerging DBS Electrode Technologies in Parkinson's DiseaseUH3NS100553 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WALKER, HARRISON CARROLL · 2016 to 2021
$7.3M
NINDS NIH HHS UH3 NS100553
6 · The paper itself

Abstract

objectiveTo investigate local short-term neuroplasticity elicited by subthalamic, thalamic, and pallidal deep brain stimulation (DBS) for movement disorders.

methodsDuring DBS surgery, we delivered pairs of stimulus pulses with both circular and directional leads across 90 interstimulus intervals in 17 participants and recorded local field potentials from unused contacts on the implanted electrode array. We removed the stimulus artifact, validated the neural origin of the underlying signals, and examined short-term plasticity as a function of interstimulus interval and DBS target, using linear mixed effects models.

resultsDBS evokes short latency local field potentials that are readily detected with both circular and directional leads at all stimulation targets (0.31 ± 0.10 msec peak latency, mean ± SD). Peak amplitude, area, and latency are modified strongly by interstimulus interval (P < 0.001) and display absolute and relative refractory periods (0.56 ± 0.08 and 2.94 ± 1.05 msec, respectively). We also identified later oscillatory activity in the subthalamic-pallidal circuit (4.50 ± 1.11 msec peak latency) that displays paired pulse facilitation (present in 5/8 subthalamic, 4/5 pallidal, and 0/6 thalamic trajectories, P = 0.018, Fisher's exact test), and correlates with resting beta frequency power (P < 0.001), therapeutic DBS frequencies, and stimulation sites chosen later for therapy in the ambulatory setting (P = 0.031).

interpretationPaired DBS pulses synchronize local circuit electrophysiology and elicit short-term neuroplasticity in the subthalamic-pallidal circuit. Collectively, these responses likely represent the earliest detectable interaction between the DBS pulse and local neuronal tissue in humans. Evoked subcortical field potentials could serve as a predictive biomarker to guide the implementation of next-generation directional and adaptive stimulation devices.

Indexed as

Deep Brain StimulationAgedAged, 80 and overElectrocorticographyElectrophysiological PhenomenaEssential TremorFemaleGlobus PallidusHumansMaleMiddle AgedNeuronal PlasticityParkinson DiseaseSubthalamic NucleusVentral Thalamic Nuclei

Identifiers

PMID33826240
PMCPMC8108424
OpenAlexW3150506409

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.