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| 001 | 1008541 | ||
| 005 | 20240126202524.0 | ||
| 024 | 7 | _ | |a 10.1016/j.parkreldis.2023.105478 |2 doi |
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| 100 | 1 | _ | |a Strelow, Joshua N. |0 P:(DE-HGF)0 |b 0 |e Corresponding author |
| 245 | _ | _ | |a Low beta-band suppression as a tool for DBS contact selection for akinetic-rigid symptoms in Parkinson's disease |
| 260 | _ | _ | |a Amsterdam [u.a.] |c 2023 |b Elsevier Science |
| 336 | 7 | _ | |a article |2 DRIVER |
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| 520 | _ | _ | |a AbstractBackground: Suppression of pathologically altered activity in the beta-band has previously been suggested as a biomarker for feedback-based neurostimulation in subthalamic deep brain stimulation (STN-DBS) for Parkinson's Disease (PD).Objective: To assess the utility of beta-band suppression as a tool for contact selection in STN-DBS for PD.Methods: A sample of seven PD patients (13 hemispheres) with newly implanted directional DBS leads of the STN were recorded during a standardized monopolar contact review (MPR). Recordings were received from contact pairs adjacent to the stimulation contact. The degree of beta-band suppression for each investigated contact was then correlated to the respective clinical results. Additionally, we have implemented a cumulative ROC analysis, to test the predictive value of beta-band suppression on the clinical efficacy of the respective contacts.Results: Stimulation ramping led to frequency-specific changes in the beta-band, while lower frequencies remained unaffected. Most importantly, our results showed that the degree of low beta-band suppression from baseline activity (stimulation off) served as a predictor for clinical efficacy of the respective stimulation contact. In contrast suppression of high beta-band activity yielded no predictive power.Conclusion: The degree of low beta-band suppression can serve as a time-saving, objective tool for contact selection in STN-DBS.Keywords: DBS programming; Deep brain stimulation (DBS); Local field potential (LFP); Nucleus subthalamicus (STN). |
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| 700 | 1 | _ | |a Barbe, Michael T. |0 P:(DE-Juel1)131613 |b 6 |
| 773 | _ | _ | |a 10.1016/j.parkreldis.2023.105478 |g Vol. 112, p. 105478 - |0 PERI:(DE-600)2027635-7 |p 105478 - |t Parkinsonism & related disorders |v 112 |y 2023 |x 1353-8020 |
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