論文

査読有り
2018年5月31日

Resting-state pallidal-cortical oscillatory couplings in patients with predominant phasic and tonic dystonia

Frontiers in Neurology
  • Fusako Yokochi
  • ,
  • Kenji Kato
  • ,
  • Hirokazu Iwamuro
  • ,
  • Tsutomu Kamiyama
  • ,
  • Katsuo Kimura
  • ,
  • Akihiro Yugeta
  • ,
  • Ryoichi Okiyama
  • ,
  • Makoto Taniguchi
  • ,
  • Satoko Kumada
  • ,
  • Junichi Ushiba

9
MAY
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3389/fneur.2018.00375
出版者・発行元
Frontiers Media S.A.

Pallidal deep brain stimulation (DBS) improves the symptoms of dystonia. The improvement processes of dystonic movements (phasic symptoms) and tonic symptoms differ. Phasic symptoms improve rapidly after starting DBS treatment, but tonic symptoms improve gradually. This difference implies distinct neuronal mechanisms for phasic and tonic symptoms in the underlying cortico-basal ganglia neuronal network. Phasic symptoms are related to the pallido-thalamo-cortical pathway. The pathway related to tonic symptoms has been assumed to be different from that for phasic symptoms. In the present study, local field potentials of the globus pallidus internus (GPi) and globus pallidus externus (GPe) and electroencephalograms from the motor cortex (MCx) were recorded in 19 dystonia patients to analyze the differences between the two types of symptoms. The 19 patients were divided into two groups, 10 with predominant phasic symptoms (phasic patients) and 9 with predominant tonic symptoms (tonic patients). To investigate the distinct features of oscillations and functional couplings across the GPi, GPe, and MCx by clinical phenotype, power and coherence were calculated over the delta (2-4 Hz), theta (5-7 Hz), alpha (8-13 Hz), and beta (14-35 Hz) frequencies. In phasic patients, the alpha spectral peaks emerged in the GPi oscillatory activities, and alpha GPi coherence with the GPe and MCx was higher than in tonic patients. On the other hand, delta GPi oscillatory activities were prominent, and delta GPi-GPe coherence was significantly higher in tonic than in phasic patients. However, there was no significant delta coherence between the GPi/GPe and MCx in tonic patients. These results suggest that different pathophysiological cortico-pallidal oscillations are related to tonic and phasic symptoms.

リンク情報
DOI
https://doi.org/10.3389/fneur.2018.00375
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000433581800001&DestApp=WOS_CPL
ID情報
  • DOI : 10.3389/fneur.2018.00375
  • ISSN : 1664-2295
  • SCOPUS ID : 85047879729
  • Web of Science ID : WOS:000433581800001

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