Basal ganglia-cortical interactions in Parkinsonian patients

André C Marreiros, Hayriye Cagnan, Rosalyn J Moran, Karl J Friston, Peter Brown

Research output: Contribution to journalArticle (Academic Journal)peer-review

62 Citations (Scopus)

Abstract

Parkinson's disease is a common and debilitating condition, caused by aberrant activity in a complex basal ganglia-thalamocortical circuit. Therapeutic advances rely on characterising interactions in this circuit. However, recording electrophysiological responses over the entire circuit is impractical. Dynamic causal modelling offers large-scale models of predictive value based on a limited or partial sampling of complex networks. Using dynamic causal modelling, we determined the network changes underlying the pathological excess of beta oscillations that characterise the Parkinsonian state. We modelled data from five patients undergoing surgery for deep brain stimulation of more than one target. We found that connections to and from the subthalamic nucleus were strengthened and promoted beta synchrony, in the untreated compared to the treated Parkinsonian state. Dynamic causal modelling was able to replicate the effects of lesioning this nucleus and may provide a new means of directing the search for therapeutic targets.

Original languageEnglish
Pages (from-to)301-10
Number of pages10
JournalNeuroImage
Volume66
DOIs
Publication statusPublished - 1 Feb 2013

Keywords

  • Adult
  • Basal Ganglia
  • Cerebral Cortex
  • Deep Brain Stimulation
  • Electrodes, Implanted
  • Electroencephalography
  • Electrophysiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Neurological
  • Nerve Net
  • Parkinson Disease
  • Subthalamic Nucleus

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