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Differentiated effects of deep brain stimulation and medication on somatosensory processing in Parkinson's disease
, A. Højlund, E.L. Johnsen, N.A. Sunde, L.G. Johansen, S. Beniczky, K. Østergaard
Published in Elsevier Ireland Ltd
2017
PMID: 28570866
Volume: 128
   
Issue: 7
Pages: 1327 - 1336
Abstract
Objectives Deep brain stimulation (DBS) and dopaminergic medication effectively alleviate the motor symptoms in Parkinson's disease (PD) patients, but their effects on the sensory symptoms of PD are still not well understood. To explore early somatosensory processing in PD, we recorded magnetoencephalography (MEG) from thirteen DBS-treated PD patients and ten healthy controls during median nerve stimulation. Methods PD patients were measured during DBS-treated, untreated and dopaminergic-medicated states. We focused on early cortical somatosensory processing as indexed by N20m, induced gamma augmentation (31–45 Hz and 55–100 Hz) and induced beta suppression (13–30 Hz). PD patients’ motor symptoms were assessed by UPDRS-III. Results Using Bayesian statistics, we found positive evidence for differentiated effects of treatments on the induced gamma augmentation (31–45 Hz) with highest gamma in the dopaminergic-medicated state and lowest in the DBS-treated and untreated states. In contrast, UPDRS-III scores showed beneficial effects of both DBS and dopaminergic medication on the patients’ motor symptoms. Furthermore, treatments did not affect the amplitude of N20m. Conclusions Our results suggest differentiated effects of DBS and dopaminergic medication on cortical somatosensory processing in PD patients despite consistent ameliorating effects of both treatments on PD motor symptoms. Significance The differentiated effect suggests differences in the effect mechanisms of the two treatments. © 2017 International Federation of Clinical Neurophysiology
About the journal
JournalData powered by TypesetClinical Neurophysiology
PublisherData powered by TypesetElsevier Ireland Ltd
ISSN13882457