Evidence map›Paper›PMID 34139037›Full record

ArticleNeuromodulation : journal of the International Neuromodulation Society2022

Increased Subthalamic Nucleus Deep Brain Stimulation Amplitude Impairs Inhibitory Control of Eye Movements in Parkinson's Disease.

Miranda J Munoz, Lisa C Goelz, Gian D Pal, Jessica A Karl, Leo Verhagen Metman, Sepehr Sani, Joshua M Rosenow, Jody D Ciolino, Ajay S Kurani, Daniel M Corcos and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Neuromodulation : journal of the International Neuromodulation Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Miranda J MunozDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA. Electronic address: mirandamunoz2022@u.northwestern.edu.
Lisa C GoelzDepartment of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL, USA.
Gian D PalDepartment of Neurological Science, Section of Parkinson Disease and Movement Disorders, Rush University Medical Center, Chicago, IL, USA.
Jessica A KarlDepartment of Neurological Science, Section of Parkinson Disease and Movement Disorders, Rush University Medical Center, Chicago, IL, USA.
Leo Verhagen MetmanDepartment of Neurological Science, Section of Parkinson Disease and Movement Disorders, Rush University Medical Center, Chicago, IL, USA.
Sepehr SaniDepartment of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.
Joshua M RosenowDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jody D CiolinoDivision of Biostatistics, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ajay S KuraniDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Daniel M CorcosDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.
Fabian J DavidDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.
Northwestern University · USRush University Medical Center · USUniversity of Illinois Chicago · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
TRAINING PROGRAM IN THE NEUROSCIENCE OF HUMAN COGNITIONT32NS047987 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Rodrigo M Braga, Christina Maria Zelano · 2006 to 2026
$5.6M
STN STIMULATION--NEURAL CONTROL OF MOVEMENT AND POSTURER01NS040902 · NINDS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI CORCOS, DANIEL M. · 2000 to 2009
$4.5M
Effect of Unilateral and Bilateral STN Stimulation on Eye-Hand CoordinationR01NS092950 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CORCOS, DANIEL M. · 2016 to 2020
$1.5M
Parkinson disease and DBS: cognitive effects in GBA mutation carriersK23NS097625 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI PAL, GIAN D · 2017 to 2021
$936k
EEG Correlates of Inhibitory Control During STN Deep Brain StimulationF31NS120695 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MUNOZ, MIRANDA · 2020 to 2022
$83k
NCATS NIH HHS UL1 TR001422NIH HHS T32 NS047987NINDS NIH HHS F31 NS120695NINDS NIH HHS F31 NS12069501NINDS NIH HHS K23 NS097625NINDS NIH HHS R01 NS040902NINDS NIH HHS R01 NS092950NINDS NIH HHS R01 NS09295001NINDS NIH HHS T32 NS047987
6 · The paper itself

Abstract

BACKGROUND AND

objectivesBilateral subthalamic nucleus deep brain stimulation (STN DBS) in Parkinson's disease (PD) can have detrimental effects on eye movement inhibitory control. To investigate this detrimental effect of bilateral STN DBS, we examined the effects of manipulating STN DBS amplitude on inhibitory control during the antisaccade task. The prosaccade error rate during the antisaccade task, that is, directional errors, was indicative of impaired inhibitory control. We hypothesized that as stimulation amplitude increased, the prosaccade error rate would increase. MATERIALS AND

methodsTen participants with bilateral STN DBS completed the antisaccade task on six different stimulation amplitudes (including zero amplitude) after a 12-hour overnight withdrawal from antiparkinsonian medication.

resultsWe found that the prosaccade error rate increased as stimulation amplitude increased (p < 0.01). Additionally, prosaccade error rate increased as the modeled volume of tissue activated (VTA) and STN overlap decreased, but this relationship depended on stimulation amplitude (p = 0.04).

conclusionsOur findings suggest that higher stimulation amplitude settings can be modulatory for inhibitory control. Some individual variability in the effect of stimulation amplitude can be explained by active contact location and VTA-STN overlap. Higher stimulation amplitudes are more deleterious if the active contacts fall outside of the STN resulting in a smaller VTA-STN overlap. This is clinically significant as it can inform clinical optimization of STN DBS parameters. Further studies are needed to determine stimulation amplitude effects on other aspects of cognition and whether inhibitory control deficits on the antisaccade task result in a meaningful impact on the quality of life.

Indexed as

Deep Brain StimulationEye MovementsParkinson DiseaseSubthalamic NucleusHumansQuality of LifeAntisaccadedeep brain stimulationinhibitory controlParkinson's diseasestimulation amplitude

Identifiers

PMID34139037
PMCPMC8759590
OpenAlexW3171526475

What OpenQuestion holds

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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.