Evidence map›Paper›PMID 34636182›Full record

ArticleAnnals of clinical and translational neurology2021

Lack of progression of beta dynamics after long-term subthalamic neurostimulation.

Ross W Anderson, Kevin B Wilkins, Jordan E Parker, Matthew N Petrucci, Yasmine Kehnemouyi, Raumin S Neuville, Declan Cassini, Megan H Trager, Mandy M Koop, Anca Velisar and 4 more

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Adaptive Deep Brain Stimulation for Parkinson's Disease: Navigating the Roadblocks to Clinical Implementation.Movement disorders : official journal of the Movement Disorder Society · 2026
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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

14 authors at 9 institutions in 1 country.

Ross W AndersonDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-7624-3138
Kevin B WilkinsDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-5907-4029
Jordan E ParkerDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-9748-7617
Matthew N PetrucciDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0003-3353-2532
Yasmine KehnemouyiDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-0330-5198
Raumin S NeuvilleDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-5182-7855
Declan CassiniDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.
Megan H TragerDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-7330-1627
Mandy M KoopDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0003-3047-8091
Anca VelisarDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-8349-7782
Zack BlumenfeldDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-4627-5582
Emma J QuinnDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.
Jaimie HendersonDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-3276-2267
Helen M Bronte-StewartDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-1839-4541
Stanford University · USCalifornia Institute of Technology · USCleveland Clinic · USColumbia University · USKaiser Permanente Redwood City Medical Center · USSmith-Kettlewell Eye Research Institute · USStanford Medicine · USUniversity of California, Irvine · USUniversity of California, Los Angeles · US

Funding

Bilateral Closed Loop Deep Brain Stimulation for Freezing of Gait using Neural and Kinematic FeedbackUH3NS107709 · NINDS · STANFORD UNIVERSITY · PI BRONTE-STEWART, HELEN · 2019 to 2023
$6.1M
Neurodegeneration and Brain Function in Aging with HIV and Parkinson's DiseaseR01AA023165 · NIAAA · SRI INTERNATIONAL · PI SCHULTE, TILMAN · 2014 to 2017
$3.0M
Biophysical Characterization of Subthalamic Local Field Potentials in Parkinson's DiseaseR01NS119520 · NINDS · DUKE UNIVERSITY · PI MCINTYRE, CAMERON · 2021 to 2024
$1.9M
Neural and Kinematic Features of Freezing of Gait for Adaptive NeurostimulationR21NS096398 · NINDS · STANFORD UNIVERSITY · PI BRONTE-STEWART, HELEN · 2016 to 2017
$432k
Helen M. Cahill Award for Research in Parkinson's DiseaseJohn A. Blume FoundationMichael J. Fox Foundation for Parkinson's Research 9605NIAAA NIH HHS R01 AA023165NIH Brain Initiative 1UH3NS107709NIH HHS AA023165-01A1NINDS Grant 5 R21 NS096398-02NINDS NIH HHS R01 NS119520NINDS NIH HHS R21 NS096398NINDS NIH HHS UH3 NS107709Parkinson's Foundation PF-FBS-1899Parkinson's Foundation PF-FBS-2024Robert and Ruth Halperin FoundationThe Sanches Family Foundation
6 · The paper itself

Abstract

objectiveTo investigate the progression of neural and motor features of Parkinson's disease in a longitudinal study, after washout of medication and bilateral subthalamic nucleus deep brain stimulation (STN DBS).

methodsParticipants with clinically established Parkinson's disease underwent bilateral implantation of DBS leads (18 participants, 13 male) within the STN using standard functional frameless stereotactic technique and multi-pass microelectrode recording. Both DBS leads were connected to an implanted investigative sensing neurostimulator (Activa™ PC + S, Medtronic, PLC). Resting state STN local field potentials (LFPs) were recorded and motor disability, (the Movement Disorder Society-Unified Parkinson's Disease Rating Scale - motor subscale, MDS-UPDRS III) was assessed off therapy at initial programming, and after 6 months, 1 year, and yearly out to 5 years of treatment. The primary endpoint was measured at 3 years. At each visit, medication had been held for over 12/24 h and DBS was turned off for at least 60 min, by which time LFP spectra reached a steady state.

resultsAfter 3 years of chronic DBS, there were no increases in STN beta band dynamics (p = 0.98) but there were increases in alpha band dynamics (p = 0.0027, 25 STNs). Similar results were observed in a smaller cohort out to 5 years. There was no increase in the MDS-UPDRS III score.

interpretationThese findings provide evidence that the beta oscillopathy does not substantially progress following combined STN DBS plus medication in moderate to advanced Parkinson's disease.

Indexed as

Deep Brain StimulationDisease ProgressionAdultAgedAlpha RhythmBeta RhythmFollow-Up StudiesHumansImplantable NeurostimulatorsMaleMiddle AgedOutcome Assessment, Health CareParkinson DiseaseSubthalamic Nucleus

Identifiers

PMID34636182
PMCPMC8607445
OpenAlexW3206995644

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.