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1.
Mov Disord ; 39(5): 778-787, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38532269

RESUMO

BACKGROUND: Re-emergent tremor is characterized as a continuation of resting tremor and is often highly therapy refractory. This study examines variations in brain activity and oscillatory responses between resting and re-emergent tremors in Parkinson's disease. METHODS: Forty patients with Parkinson's disease (25 males, mean age, 66.78 ± 5.03 years) and 40 age- and sex-matched healthy controls were included in the study. Electroencephalogram and electromyography signals were simultaneously recorded during resting and re-emergent tremors in levodopa on and off states for patients and mimicked by healthy controls. Brain activity was localized using the beamforming technique, and information flow between sources was estimated using effective connectivity. Cross-frequency coupling was used to assess neuronal oscillations between tremor frequency and canonical frequency oscillations. RESULTS: During levodopa on, differences in brain activity were observed in the premotor cortex and cerebellum in both the patient and control groups. However, Parkinson's disease patients also exhibited additional activity in the primary sensorimotor cortex. On withdrawal of levodopa, different source patterns were observed in the supplementary motor area and basal ganglia area. Additionally, levodopa was found to suppress the strength of connectivity (P < 0.001) between the identified sources and influence the tremor frequency-related coupling, leading to a decrease in ß (P < 0.001) and an increase in γ frequency coupling (P < 0.001). CONCLUSIONS: Distinct variations in cortical-subcortical brain activity are evident in tremor phenotypes. The primary sensorimotor cortex plays a crucial role in the generation of re-emergent tremor. Moreover, oscillatory neuronal responses in pathological ß and prokinetic γ activity are specific to tremor phenotypes. © 2024 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.


Assuntos
Eletromiografia , Levodopa , Doença de Parkinson , Tremor , Humanos , Doença de Parkinson/fisiopatologia , Doença de Parkinson/complicações , Doença de Parkinson/tratamento farmacológico , Masculino , Feminino , Tremor/fisiopatologia , Tremor/etiologia , Pessoa de Meia-Idade , Idoso , Levodopa/uso terapêutico , Levodopa/farmacologia , Ritmo Gama/fisiologia , Ritmo Gama/efeitos dos fármacos , Ritmo beta/fisiologia , Ritmo beta/efeitos dos fármacos , Eletroencefalografia/métodos , Antiparkinsonianos/uso terapêutico
2.
Brain Res Bull ; 181: 121-128, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35077843

RESUMO

Beta band (12-30 Hz) hypersynchrony within the basal ganglia-thalamocortical network has been suggested as a hallmark of Parkinson's disease (PD) pathophysiology. Abnormal beta band oscillations are found in the pedunculopontine nucleus (PPN) and primary motor cortex (M1) and are correlated with dopamine depletion. Dopamine acts locomotion and motor performance mainly through dopamine receptors (D1 and D2). However, the precise mechanism by which dopamine receptors regulate beta band electrophysiological activities between the PPN and M1 is still unknown. Here, we recorded the neuronal activity of the PPN and M1 simultaneously by the administration of the drug (SCH23390 and raclopride), selectively blocking the dopamine D1 receptor and D2 receptor. We discovered that the increased coherent activity of the beta band (12-30 Hz) between M1 and PPN in the lesioned group could be reduced and restored by injecting raclopride in the resting and wheel running states. Our studies revealed the unique role of D2 dopamine receptor signaling in regulating ß band oscillatory activity in M1 and PPN and their relationship after the loss of dopamine, which contributes to elucidating the underlying mechanism of the pathophysiology of PD.


Assuntos
Ritmo beta/efeitos dos fármacos , Antagonistas de Dopamina/farmacologia , Córtex Motor/efeitos dos fármacos , Doença de Parkinson/metabolismo , Doença de Parkinson/fisiopatologia , Núcleo Tegmental Pedunculopontino/efeitos dos fármacos , Receptores de Dopamina D1/antagonistas & inibidores , Receptores de Dopamina D2/efeitos dos fármacos , Animais , Benzazepinas/farmacologia , Modelos Animais de Doenças , Racloprida/farmacologia , Ratos
3.
Neuropharmacology ; 203: 108881, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34785162

RESUMO

Although serotonin 1A (5-HT1A) receptor agonists are widely used as the additive compound to reduce l-dopa-induced dyskinesia in Parkinson's disease (PD), few studies focused on the effect and mechanism of 5-HT1A receptor agonist on the motor symptoms of PD. Unilateral 6-hydroxydopamine (6-OHDA)-lesioned rats were used and implantation of electrodes was performed in the motor cortex of these rats. So the effect of 5-HT1A receptor agonist 8-OH-DPAT on motor behaviors and oscillatory activities were evaluated. In addition, 8-OH-DPAT combined with D2 receptor antagonist raclopride, NMDA receptor antagonist MK-801, or its agonist d-cycloserine (DCS) were co-administrated. 8-OH-DPAT administration significantly improved spontaneous locomotor activity and asymmetric forepaw function in 6-OHDA-lesioned rats. Meanwhile, 8-OH-DPAT identified selective modulation of the abnormal high beta oscillations (25-40 Hz) in the motor cortex of 6-OHDA-lesioned rats, without inducing pathological finely tuned gamma around 80 Hz. Different from 8-OH-DPAT, l-dopa treatment produced a prolonged improvement on motor performances and differential regulation of high beta and gamma oscillations. However, dopamine D2 receptor antagonist had no influence on the 8-OH-DPAT-mediated-motor behaviors and beta oscillations in 6-OHDA-lesioned rats. In contrast, subthreshold NMDA receptor antagonist MK-801 obviously elevated the 8-OH-DPAT-mediated-motor behaviors, while NMDA receptor agonist DCS partially impaired the 8-OH-DPAT-mediated symptoms in 6-OHDA-lesioned rats. This study suggests that 5-HT1A receptor agonist 8-OH-DPAT improves motor activity and modulates the oscillations in the motor cortex of parkinsonian rats. Different from l-dopa, 8-OH-DPAT administration ameliorates motor symptoms of PD through glutamatergic rather than the dopaminergic pathway.


Assuntos
Ritmo beta/fisiologia , Córtex Motor/fisiologia , Transtornos Parkinsonianos/fisiopatologia , Receptor 5-HT1A de Serotonina/fisiologia , Receptores de N-Metil-D-Aspartato/fisiologia , Agonistas do Receptor 5-HT1 de Serotonina/farmacologia , 8-Hidroxi-2-(di-n-propilamino)tetralina/toxicidade , Animais , Ritmo beta/efeitos dos fármacos , Locomoção/efeitos dos fármacos , Locomoção/fisiologia , Masculino , Córtex Motor/efeitos dos fármacos , Transtornos Motores/induzido quimicamente , Transtornos Motores/tratamento farmacológico , Transtornos Motores/fisiopatologia , Oxidopamina/toxicidade , Transtornos Parkinsonianos/induzido quimicamente , Transtornos Parkinsonianos/tratamento farmacológico , Ratos , Ratos Sprague-Dawley , Agonistas do Receptor 5-HT1 de Serotonina/uso terapêutico
4.
Nat Commun ; 12(1): 7026, 2021 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-34857767

RESUMO

Βeta oscillatory activity (human: 13-35 Hz; primate: 8-24 Hz) is pervasive within the cortex and basal ganglia. Studies in Parkinson's disease patients and animal models suggest that beta-power increases with dopamine depletion. However, the exact relationship between oscillatory power, frequency and dopamine tone remains unclear. We recorded neural activity in the cortex and basal ganglia of healthy non-human primates while acutely and chronically up- and down-modulating dopamine levels. We assessed changes in beta oscillations in patients with Parkinson's following acute and chronic changes in dopamine tone. Here we show beta oscillation frequency is strongly coupled with dopamine tone in both monkeys and humans. Power, coherence between single-units and local field potentials (LFP), spike-LFP phase-locking, and phase-amplitude coupling are not systematically regulated by dopamine levels. These results demonstrate that beta frequency is a key property of pathological oscillations in cortical and basal ganglia networks.


Assuntos
Potenciais de Ação/fisiologia , Gânglios da Base/metabolismo , Ritmo beta/fisiologia , Córtex Cerebral/metabolismo , Dopamina/farmacologia , Doença de Parkinson/metabolismo , Transtornos Parkinsonianos/metabolismo , Potenciais de Ação/efeitos dos fármacos , Animais , Gânglios da Base/diagnóstico por imagem , Gânglios da Base/efeitos dos fármacos , Gânglios da Base/fisiopatologia , Ritmo beta/efeitos dos fármacos , Carbidopa/farmacologia , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/efeitos dos fármacos , Córtex Cerebral/fisiopatologia , Chlorocebus aethiops , Dopamina/metabolismo , Eletrodos Implantados , Tecnologia de Rastreamento Ocular , Feminino , Humanos , Levodopa/farmacologia , Imageamento por Ressonância Magnética , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/efeitos dos fármacos , Rede Nervosa/metabolismo , Rede Nervosa/fisiopatologia , Compostos Orgânicos/farmacologia , Doença de Parkinson/diagnóstico por imagem , Doença de Parkinson/fisiopatologia , Transtornos Parkinsonianos/diagnóstico por imagem , Transtornos Parkinsonianos/fisiopatologia , Pupila/efeitos dos fármacos , Pupila/fisiologia , Técnicas Estereotáxicas
5.
PLoS Comput Biol ; 17(7): e1009116, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34233347

RESUMO

Parkinson's disease motor symptoms are associated with an increase in subthalamic nucleus beta band oscillatory power. However, these oscillations are phasic, and there is a growing body of evidence suggesting that beta burst duration may be of critical importance to motor symptoms. This makes insights into the dynamics of beta bursting generation valuable, in particular to refine closed-loop deep brain stimulation in Parkinson's disease. In this study, we ask the question "Can average burst duration reveal how dynamics change between the ON and OFF medication states?". Our analysis of local field potentials from the subthalamic nucleus demonstrates using linear surrogates that the system generating beta oscillations is more likely to act in a non-linear regime OFF medication and that the change in a non-linearity measure is correlated with motor impairment. In addition, we pinpoint the simplest dynamical changes that could be responsible for changes in the temporal patterning of beta oscillations between medication states by fitting to data biologically inspired models, and simpler beta envelope models. Finally, we show that the non-linearity can be directly extracted from average burst duration profiles under the assumption of constant noise in envelope models. This reveals that average burst duration profiles provide a window into burst dynamics, which may underlie the success of burst duration as a biomarker. In summary, we demonstrate a relationship between average burst duration profiles, dynamics of the system generating beta oscillations, and motor impairment, which puts us in a better position to understand the pathology and improve therapies such as deep brain stimulation.


Assuntos
Ritmo beta/fisiologia , Doença de Parkinson/fisiopatologia , Núcleo Subtalâmico/fisiologia , Núcleo Subtalâmico/fisiopatologia , Antiparkinsonianos/farmacologia , Ritmo beta/efeitos dos fármacos , Biologia Computacional , Humanos , Modelos Neurológicos , Núcleo Subtalâmico/efeitos dos fármacos
6.
Neurobiol Dis ; 155: 105393, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34000417

RESUMO

Evidence suggests that exaggerated beta range local field potentials (LFP) in basal ganglia-thalamocortical circuits constitute an important biomarker for feedback for deep brain stimulation in Parkinson's disease patients, although the role of this phenomenon in triggering parkinsonian motor symptoms remains unclear. A useful model for probing the causal role of motor circuit LFP synchronization in motor dysfunction is the unilateral dopamine cell-lesioned rat, which shows dramatic motor deficits walking contralaterally to the lesion but can walk steadily ipsilaterally on a circular treadmill. Within hours after 6-OHDA injection, rats show marked deficits in ipsilateral walking with early loss of significant motor cortex (MCx) LFP peaks in the mid-gamma 41-45 Hz range in the lesioned hemisphere; both effects were reversed by dopamine agonist administration. Increases in MCx and substantia nigra pars reticulata (SNpr) coherence and LFP power in the 29-40 Hz range emerged more gradually over 7 days, although without further progression of walking deficits. Twice-daily chronic dopamine antagonist treatment induced rapid onset of catalepsy and also reduced MCx 41-45 Hz LFP activity at 1 h, with increases in MCx and SNpr 29-40 Hz power/coherence emerging over 7 days, as assessed during periods of walking before the morning treatments. Thus, increases in high beta power in these parkinsonian models emerge gradually and are not linearly correlated with motor deficits. Earlier changes in cortical circuits, reflected in the rapid decreases in MCx LFP mid-gamma LFP activity, may contribute to evolving plasticity supporting increased beta range synchronized activity in basal ganglia-thalamocortical circuits after loss of dopamine receptor stimulation.


Assuntos
Ritmo beta/fisiologia , Ritmo Gama/fisiologia , Córtex Motor/fisiopatologia , Transtornos Motores/fisiopatologia , Oxidopamina/toxicidade , Transtornos Parkinsonianos/fisiopatologia , Animais , Ritmo beta/efeitos dos fármacos , Antagonistas dos Receptores de Dopamina D2/administração & dosagem , Teste de Esforço/métodos , Ritmo Gama/efeitos dos fármacos , Masculino , Córtex Motor/efeitos dos fármacos , Transtornos Motores/induzido quimicamente , Transtornos Parkinsonianos/induzido quimicamente , Ratos , Ratos Long-Evans , Receptores de Dopamina D1/antagonistas & inibidores
7.
Clin Neurophysiol ; 132(1): 25-35, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33248432

RESUMO

OBJECTIVE: To determine the quantitative EEG responses in a population of drug-naïve patients with Temporal Lobe Epilepsy (TLE) after Levetiracetam (LEV) initiation as first antiepileptic drug (AED). We hypothesized that the outcome of AED treatment can be predicted from EEG data in patients with TLE. METHODS: Twenty-three patients with TLE and twenty-five healthy controls were examined. Clinical outcome was dichotomized into seizure-free (SF) and non-seizure-free (NSF) after two years of LEV. EEG parameters were compared between healthy controls and patients with TLE at baseline (EEGpre) and after three months of AED therapy (EEGpre-post) and between SF and NSF patients. Receiver Operating Characteristic curves models were built to test whether EEG parameters predicted outcome. RESULTS: AED therapy induces an increase in EEG power for Alpha (p = 0.06) and a decrease in Theta (p < 0.05). Connectivity values were lower in SF compared to NSF patients (p < 0.001). Quantitative EEG predicted outcome after LEV treatment with an estimated accuracy varying from 65.2% to 91.3% (area under the curve [AUC] = 0.56-0.93) for EEGpre and from 69.9% to 86.9% (AUC = 0.69-0.94) for EEGpre-post. CONCLUSIONS: AED therapy induces EEG modifications in TLE patients, and such modifications are predictive of clinical outcome. SIGNIFICANCE: Quantitative EEG may help understanding the effect of AEDs in the central nervous system and offer new prognostic biomarkers for patients with epilepsy.


Assuntos
Anticonvulsivantes/farmacologia , Eletroencefalografia/efeitos dos fármacos , Epilepsia do Lobo Temporal/tratamento farmacológico , Levetiracetam/farmacologia , Adulto , Idoso , Ritmo alfa/efeitos dos fármacos , Ritmo alfa/fisiologia , Análise de Variância , Área Sob a Curva , Ritmo beta/efeitos dos fármacos , Encéfalo/fisiologia , Estudos de Casos e Controles , Conectoma , Ritmo Delta/efeitos dos fármacos , Eletroencefalografia/métodos , Sincronização de Fases em Eletroencefalografia/efeitos dos fármacos , Sincronização de Fases em Eletroencefalografia/fisiologia , Epilepsia do Lobo Temporal/fisiopatologia , Feminino , Ritmo Gama/efeitos dos fármacos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Curva ROC , Reprodutibilidade dos Testes , Estudos Retrospectivos , Ritmo Teta/efeitos dos fármacos , Ritmo Teta/fisiologia , Adulto Jovem
8.
Sci Rep ; 10(1): 19444, 2020 11 10.
Artigo em Inglês | MEDLINE | ID: mdl-33173114

RESUMO

The intravenous injection of the anaesthetic propofol is clinical routine to induce loss of responsiveness (LOR). However, there are only a few studies investigating the influence of the injection rate on the frontal electroencephalogram (EEG) during LOR. Therefore, we focused on changes of the frontal EEG especially during this period. We included 18 patients which were randomly assigned to a slow or fast induction group and recorded the frontal EEG. Based on this data, we calculated the power spectral density, the band powers and band ratios. To analyse the behaviour of processed EEG parameters we calculated the beta ratio, the spectral entropy, and the spectral edge frequency. Due to the prolonged induction period in the slow injection group we were able to distinguish loss of responsiveness to verbal command (LOvR) from loss of responsiveness to painful stimulus (LOpR) whereas in the fast induction group we could not. At LOpR, we observed a higher relative alpha and beta power in the slow induction group while the relative power in the delta range was lower than in the fast induction group. When concentrating on the slow induction group the increase in relative alpha power pre-LOpR and even before LOvR indicated that frontal EEG patterns, which have been suggested as an indicator of unconsciousness, can develop before LOR. Further, LOvR was best reflected by an increase of the alpha to delta ratio, and LOpR was indicated by a decrease of the beta to alpha ratio. These findings highlight the different spectral properties of the EEG at various levels of responsiveness and underline the influence of the propofol injection rate on the frontal EEG during induction of general anesthesia.


Assuntos
Eletroencefalografia/efeitos dos fármacos , Propofol/farmacologia , Inconsciência/fisiopatologia , Adolescente , Adulto , Idoso , Ritmo alfa/efeitos dos fármacos , Anestesia Geral/métodos , Anestésicos Intravenosos/administração & dosagem , Anestésicos Intravenosos/farmacologia , Ritmo beta/efeitos dos fármacos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Propofol/administração & dosagem , Inconsciência/induzido quimicamente , Adulto Jovem
9.
Clin Neurophysiol ; 131(9): 2086-2099, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32682236

RESUMO

OBJECTIVE: Phasic bursts of beta band synchronisation have been linked to motor impairment in Parkinson's disease (PD). However, little is known about what terminates bursts. METHODS: We used the Hilbert-Huang transform to investigate beta bursts in the local field potential recorded from the subthalamic nucleus in nine patients with PD on and off levodopa. RESULTS: The sharpness of the beta waveform extrema fell as burst amplitude dropped. Conversely, an index of phase slips between waveform extrema, and the power of concurrent theta activity increased as burst amplitude fell. Theta activity was also increased on levodopa when beta bursts were attenuated. These phenomena were associated with reduction in coupling between beta phase and high gamma activity amplitude. We discuss how these findings may suggest that beta burst termination is associated with relative desynchronization of the beta drive, increase in competing theta activity and increased phase slips in the beta activity. CONCLUSIONS: We characterise the dynamical nature of beta bursts, thereby permitting inferences about underlying activities and, in particular, about why bursts terminate. SIGNIFICANCE: Understanding the dynamical nature of beta bursts may help point to interventions that can cause their termination and potentially treat motor impairment in PD.


Assuntos
Antiparkinsonianos/administração & dosagem , Ritmo beta/fisiologia , Estimulação Encefálica Profunda , Levodopa/administração & dosagem , Doença de Parkinson/fisiopatologia , Núcleo Subtalâmico/fisiopatologia , Idoso , Ritmo beta/efeitos dos fármacos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/tratamento farmacológico , Núcleo Subtalâmico/efeitos dos fármacos
10.
Neuropharmacology ; 171: 108072, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32243874

RESUMO

Quantitative Electroencephalography (qEEG) and event-related potential (ERP) assessment have emerged as powerful tools to unravel translational biomarkers in preclinical and clinical psychiatric drug discovery trials. The aim of the present study was to compare the GluN2B negative allosteric modulator (NAM) traxoprodil (CP-101,606) with the unselective NMDA receptor channel blocker S-ketamine to give insight into central target engagement and differentiation on multiple EEG readouts. For qEEG recordings telemetric transmitters were implanted in male Wistar rats. Recorded EEG data were analyzed using fast Fourier transformation to determine power spectra and vigilance states. Additionally, body temperature and locomotor activity were assessed via telemetry. For recordings of auditory event-related potentials (AERP) male C57Bl/6J mice were chronically implanted with deep electrodes using a tethered system. Power spectral analysis revealed a significant increase in gamma power following ketamine treatment, whereas traxoprodil (6&18 mg/kg) induced an overall decrease primarily within alpha and beta bands. Additionally, ketamine disrupted sleep and enhanced time spent in wake vigilance states, whereas traxoprodil did not alter sleep-wake architecture. AERP and mismatch negativity (MMN) revealed that ketamine (10 mg/kg) selectively disrupts auditory deviance detection, whereas traxoprodil (6 mg/kg) did not alter MMN at clinically relevant doses. In contrast to ketamine treatment, traxoprodil did not produce hyperactivity and hypothermia. In conclusion, ketamine and traxoprodil showed very different effects on diverse EEG readouts differentiating selective GluN2B antagonism from non-selective pan-NMDA-R antagonists like ketamine. These readouts are thus perfectly suited to support drug discovery efforts on NMDA-R and understanding the different functions of NMDA-R subtypes.


Assuntos
Eletroencefalografia/efeitos dos fármacos , Potenciais Evocados Auditivos/efeitos dos fármacos , Ketamina/farmacologia , Piperidinas/farmacologia , Receptores de N-Metil-D-Aspartato/antagonistas & inibidores , Ritmo alfa/efeitos dos fármacos , Animais , Ritmo beta/efeitos dos fármacos , Biomarcadores , Temperatura Corporal/efeitos dos fármacos , Eletrodos Implantados , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Atividade Motora/efeitos dos fármacos , Ratos , Ratos Wistar , Sono/efeitos dos fármacos , Pesquisa Translacional Biomédica
11.
Sci Rep ; 10(1): 6192, 2020 04 10.
Artigo em Inglês | MEDLINE | ID: mdl-32277117

RESUMO

There have been few comparative studies using electroencephalogram (EEG) spectral characteristics during the induction of general anesthesia for cesarean section. This retrospective study investigated the differences in the depth of anesthesia through EEG analysis between propofol- and thiopental-induced anesthesia. We reviewed data of 42 patients undergoing cesarean section who received either thiopental (5 mg/kg) or propofol (2 mg/kg). EEG data were extracted from the bispectral index (BIS) monitor, and 10-second segments were selected from the following sections: 1) Stage I, BIS below 60 after induction; 2) Stage II, after intubation completion; 3) Stage III, end-tidal sevoflurane above 0 vol%. The risk of awareness was represented by the BIS and entropy measures. In Stage III, the thiopental group (n = 20) showed significantly higher BIS value than the propofol group (n = 22) (67.9 [18.66] vs 44.5 [20.63], respectively, p = 0.002). The thiopental group had decreased slow-delta oscillations and increased beta-oscillations as compared to the propofol group in Stages II and III (p < 0.05). BIS, spectral entropy, and Renyi permutation entropy were also higher in the thiopental group at Stages II and III (p < 0.05). In conclusion, frontal spectral EEG analysis demonstrated that propofol induction maintained a deeper anesthesia than thiopental in pregnant women.


Assuntos
Anestesia Obstétrica/métodos , Consciência no Peroperatório/diagnóstico , Monitorização Neurofisiológica Intraoperatória/estatística & dados numéricos , Propofol/administração & dosagem , Tiopental/administração & dosagem , Adulto , Anestesia Obstétrica/efeitos adversos , Ritmo beta/efeitos dos fármacos , Cesárea/efeitos adversos , Ritmo Delta/efeitos dos fármacos , Feminino , Humanos , Consciência no Peroperatório/epidemiologia , Consciência no Peroperatório/etiologia , Monitorização Neurofisiológica Intraoperatória/métodos , Gravidez , Estudos Retrospectivos , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos
12.
Anesthesiology ; 132(5): 1034-1044, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32044799

RESUMO

BACKGROUND: General anesthetics-induced changes of electrical oscillations in the basal ganglia may render the identification of the stimulation targets difficult. The authors hypothesized that while sevoflurane anesthesia entrains coherent lower frequency oscillations, it does not affect the identification of the subthalamic nucleus and clinical outcome. METHODS: A cohort of 19 patients with Parkinson's disease with comparable disability underwent placement of electrodes under either sevoflurane general anesthesia (n = 10) or local anesthesia (n = 9). Microelectrode recordings during targeting were compared for neuronal spiking characteristics and oscillatory dynamics. Clinical outcomes were compared at 5-yr follow-up. RESULTS: Under sevoflurane anesthesia, subbeta frequency oscillations predominated (general vs. local anesthesia, mean ± SD; delta: 13 ± 7.3% vs. 7.8 ± 4.8%; theta: 8.4 ± 4.1% vs. 3.9 ± 1.6%; alpha: 8.1 ± 4.1% vs. 4.8 ± 1.5%; all P < 0.001). In addition, distinct dorsolateral beta and ventromedial gamma oscillations were detected in the subthalamic nucleus solely in awake surgery (mean ± SD; dorsal vs. ventral beta band power: 20.5 ± 6.6% vs. 15.4 ± 4.3%; P < 0.001). Firing properties of subthalamic neurons did not show significant difference between groups. Clinical outcomes with regard to improvement in motor and psychiatric symptoms and adverse effects were comparable for both groups. Tract numbers of microelectrode recording, active contact coordinates, and stimulation parameters were also equivalent. CONCLUSIONS: Sevoflurane general anesthesia decreased beta-frequency oscillations by inducing coherent lower frequency oscillations, comparable to the pattern seen in the scalp electroencephalogram. Nevertheless, sevoflurane-induced changes in electrical activity patterns did not reduce electrode placement accuracy and clinical effect. These observations suggest that microelectrode-guided deep brain stimulation under sevoflurane anesthesia is a feasible clinical option.


Assuntos
Anestésicos Inalatórios/administração & dosagem , Estimulação Encefálica Profunda/métodos , Neurônios/efeitos dos fármacos , Doença de Parkinson/terapia , Sevoflurano/administração & dosagem , Núcleo Subtalâmico/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Adulto , Idoso , Anestésicos Locais/administração & dosagem , Ritmo beta/efeitos dos fármacos , Ritmo beta/fisiologia , Estudos de Coortes , Eletroencefalografia/efeitos dos fármacos , Eletroencefalografia/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Neurônios/fisiologia , Doença de Parkinson/fisiopatologia , Núcleo Subtalâmico/fisiologia , Resultado do Tratamento
13.
Clin Neurophysiol ; 131(1): 88-95, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31759193

RESUMO

OBJECTIVE: In clinical trials in Alzheimer's Disease (AD), an improvement of impaired functional connectivity (FC) could provide biological support for the potential efficacy of the drug. Electroencephalography (EEG) analysis of the SAPHIR-trial showed a treatment induced improvement of global relative theta power but not of FC measured by the phase lag index (PLI). We compared the PLI with the amplitude envelope correlation with leakage correction (AEC-c), a presumably more sensitive FC measure. METHODS: Patients with early AD underwent 12 weeks of placebo or treatment with PQ912, a glutaminylcyclase inhibitor. Eyes-closed task free EEG was measured at baseline and follow-up (PQ912 n = 47, placebo n = 56). AEC-c and PLI were measured in multiple frequency bands. Change in FC was compared between treatment groups by using two models of covariates. RESULTS: A significant increase in global AEC-c in the alpha frequency band was found with PQ912 treatment compared to placebo (p = 0.004, Cohen's d = 0.58). The effect remained significant when corrected for sex, country, ApoE ε4 carriage, age, baseline value (model 1; p = 0.006) and change in relative alpha power (model 2; p = 0.004). CONCLUSIONS: Functional connectivity in early AD, measured with AEC-c in the alpha frequency band, improved after PQ912 treatment. SIGNIFICANCE: AEC-c may be a robust and sensitive FC measure for detecting treatment effects.


Assuntos
Ritmo alfa/efeitos dos fármacos , Doença de Alzheimer/tratamento farmacológico , Benzimidazóis/uso terapêutico , Conectoma , Imidazolinas/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Ritmo alfa/fisiologia , Doença de Alzheimer/líquido cefalorraquidiano , Doença de Alzheimer/complicações , Doença de Alzheimer/fisiopatologia , Amiloide/líquido cefalorraquidiano , Apolipoproteína E4/líquido cefalorraquidiano , Ritmo beta/efeitos dos fármacos , Ritmo beta/fisiologia , Disfunção Cognitiva/líquido cefalorraquidiano , Disfunção Cognitiva/tratamento farmacológico , Disfunção Cognitiva/etiologia , Disfunção Cognitiva/fisiopatologia , Ritmo Delta/efeitos dos fármacos , Ritmo Delta/fisiologia , Método Duplo-Cego , Eletroencefalografia/efeitos dos fármacos , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Testes de Estado Mental e Demência , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Ritmo Teta/efeitos dos fármacos , Ritmo Teta/fisiologia
14.
Brain Res ; 1725: 146471, 2019 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-31568768

RESUMO

Slow cortical rhythm (SCR) is a rhythmic alternation of UP and DOWN states during sleep and anesthesia. SCR-associated slow waves reflect homeostatic sleep functions. Adenosine accumulating during prolonged wakefulness and sleep deprivation (SD) may play a role in the delta power increment during recovery sleep. NREM sleep is a local, use-dependent process of the brain. In the present study, direct effect of adenosine on UP and DOWN states was tested by topical application to frontal, somatosensory and visual cortices, respectively, in urethane-anesthetized rats. Local field potentials (LFPs) were recorded using an electrode array inserted close to the location of adenosine application. Multiple unit activity (MUA) was measured from layer V-VI in close proximity of the recording array. In the frontal and somatosensory cortex, adenosine modulated SCR with slow kinetics on the LFP level while MUA remained mostly unaffected. In the visual cortex, adenosine modulated SCR with fast kinetics. In each region, delta power increment was based on the increased frequency of state transitions as well as increased height of UP-state associated slow waves. These results show that adenosine may directly modulate SCR in a complex and region-specific manner which may be related to the finding that restorative processes may take place with varying duration and intensity during recovery sleep in different cortical regions. Adenosine may play a direct role in the increment of the slow wave power observed during local sleep, furthermore it may shape the region-specific characteristics of the phenomenon.


Assuntos
Adenosina/fisiologia , Anestésicos Intravenosos/administração & dosagem , Córtex Cerebral/efeitos dos fármacos , Córtex Cerebral/fisiologia , Ritmo Delta , Uretana/administração & dosagem , Adenosina/administração & dosagem , Animais , Ritmo beta/efeitos dos fármacos , Ritmo beta/fisiologia , Ritmo Delta/efeitos dos fármacos , Lobo Frontal/efeitos dos fármacos , Lobo Frontal/fisiologia , Masculino , Neurônios/efeitos dos fármacos , Neurônios/fisiologia , Ratos Wistar , Córtex Somatossensorial/efeitos dos fármacos , Córtex Somatossensorial/fisiologia , Córtex Visual/efeitos dos fármacos , Córtex Visual/fisiologia
15.
Clin EEG Neurosci ; 50(5): 332-338, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31304784

RESUMO

Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder and is characterized by symptoms of inattention and/or hyperactivity and impulsivity. In the current study, we obtained quantitative EEG (QEEG) recordings of 51 children aged between 6 and 12 years before the initiation of methylphenidate treatment. The relationship between changes in the scores of ADHD symptoms and initial QEEG features (power/power ratios values) were assessed. In addition, the children were classified as responder and nonresponder according to the ratio of their response to the medication (>25% improvement after medication). Logistic regression analyses were performed to analyze the accuracy of QEEG features for predicting responders. The findings indicate that patients with increased delta power at F8, theta power at Fz, F4, C3, Cz, T5, and gamma power at T6 and decreased beta powers at F8 and P3 showed more improvement in ADHD hyperactivity symptoms. In addition, increased delta/beta power ratio at F8 and theta/beta power ratio at F8, F3, Fz, F4, C3, Cz, P3, and T5 showed negative correlations with Conners' score difference of hyperactivity as well. This means, those with greater theta/beta and delta/beta powers showed more improvement in hyperactivity following medication. Theta power at Cz and T5 and theta/beta power ratios at C3, Cz, and T5 have significantly classified responders and nonresponders according to the logistic binary regression analysis. The results show that slow and fast oscillations may have predictive value for treatment response in ADHD. Future studies should seek for more sensitive biomarkers.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Encéfalo/efeitos dos fármacos , Eletroencefalografia/efeitos dos fármacos , Metilfenidato/uso terapêutico , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/fisiopatologia , Ritmo beta/efeitos dos fármacos , Ritmo beta/fisiologia , Encéfalo/fisiopatologia , Criança , Cognição/efeitos dos fármacos , Cognição/fisiologia , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Ritmo Teta/efeitos dos fármacos , Ritmo Teta/fisiologia
16.
Clin Neurophysiol ; 130(9): 1488-1498, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31295717

RESUMO

OBJECTIVE: It has been reported that sleep deprivation affects the neurophysiological mechanisms underpinning the vigilance. Here, we tested the following hypotheses in the PharmaCog project (www.pharmacog.org): (i) sleep deprivation may alter posterior cortical delta and alpha sources of resting state eyes-closed electroencephalographic (rsEEG) rhythms in healthy young adults; (ii) after the sleep deprivation, a vigilance enhancer may recover those rsEEG source markers. METHODS: rsEEG data were recorded in 36 healthy young adults before (Pre-sleep deprivation) and after (Post-sleep deprivation) one night of sleep deprivation. In the Post-sleep deprivation, these data were collected after a single dose of PLACEBO or MODAFINIL. rsEEG cortical sources were estimated by eLORETA freeware. RESULTS: In the PLACEBO condition, the sleep deprivation induced an increase and a decrease in posterior delta (2-4 Hz) and alpha (8-13 Hz) source activities, respectively. In the MODAFINIL condition, the vigilance enhancer partially recovered those source activities. CONCLUSIONS: The present results suggest that posterior delta and alpha source activities may be both related to the regulation of human brain arousal and vigilance in quiet wakefulness. SIGNIFICANCE: Future research in healthy young adults may use this methodology to preselect new symptomatic drug candidates designed to normalize brain arousal and vigilance in seniors with dementia.


Assuntos
Ondas Encefálicas/efeitos dos fármacos , Córtex Cerebral/efeitos dos fármacos , Modafinila/farmacologia , Descanso/fisiologia , Privação do Sono/fisiopatologia , Promotores da Vigília/farmacologia , Adulto , Ritmo alfa/efeitos dos fármacos , Ritmo alfa/fisiologia , Ritmo beta/efeitos dos fármacos , Ritmo beta/fisiologia , Ondas Encefálicas/fisiologia , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/fisiologia , Estudos Cross-Over , Ritmo Delta/efeitos dos fármacos , Ritmo Delta/fisiologia , Eletroencefalografia/métodos , Lateralidade Funcional , Ritmo Gama/efeitos dos fármacos , Ritmo Gama/fisiologia , Voluntários Saudáveis , Humanos , Masculino , Tamanho da Amostra , Ritmo Teta/efeitos dos fármacos , Ritmo Teta/fisiologia , Vigília/efeitos dos fármacos , Vigília/fisiologia
17.
Hum Brain Mapp ; 40(16): 4789-4800, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31361073

RESUMO

Multiple sclerosis (MS) is a demyelinating, neuroinflammatory, and -degenerative disease that affects the brain's neurophysiological functioning through brain atrophy, a reduced conduction velocity and decreased connectivity. Currently, little is known on how MS affects the fast temporal dynamics of activation and deactivation of the different large-scale, ongoing brain networks. In this study, we investigated whether these temporal dynamics are affected in MS patients and whether these changes are induced by the pathology or by the use of benzodiazepines (BZDs), an important symptomatic treatment that aims at reducing insomnia, spasticity and anxiety and reinforces the inhibitory effect of GABA. To this aim, we employed a novel method capable of detecting these fast dynamics in 90 MS patients and 46 healthy controls. We demonstrated a less dynamic frontal default mode network in male MS patients and a reduced activation of the same network in female MS patients, regardless of BZD usage. Additionally, BZDs strongly altered the brain's dynamics by increasing the time spent in the deactivating sensorimotor network and the activating occipital network. Furthermore, BZDs induced a decreased power in the theta band and an increased power in the beta band. The latter was strongly expressed in those states without activation of the sensorimotor network. In summary, we demonstrate gender-dependent changes to the brain dynamics in the frontal DMN and strong effects from BZDs. This study is the first to characterise the effect of multiple sclerosis and BZDs in vivo in a spatially, temporally and spectrally defined way.


Assuntos
Encéfalo/patologia , Esclerose Múltipla/patologia , Esclerose Múltipla/terapia , Adulto , Benzodiazepinas/uso terapêutico , Ritmo beta/efeitos dos fármacos , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Estudos de Coortes , Feminino , Humanos , Hipnóticos e Sedativos/uso terapêutico , Imageamento por Ressonância Magnética , Magnetoencefalografia , Masculino , Cadeias de Markov , Pessoa de Meia-Idade , Esclerose Múltipla/diagnóstico por imagem , Rede Nervosa/efeitos dos fármacos , Rede Nervosa/patologia , Caracteres Sexuais , Ritmo Teta/efeitos dos fármacos
18.
Neuroscience ; 409: 26-34, 2019 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-31022464

RESUMO

Oscillatory activity is a prominent characteristic of the olfactory system. We previously demonstrated that beta and gamma oscillations occurrence in the olfactory bulb (OB) is modulated by the physical properties of the odorant. However, it remains unknown whether such odor-related modulation of oscillatory patterns is maintained in the piriform cortex (PC) and whether those patterns are similar between the anterior PC (aPC) and posterior PC (pPC). The present study was designed to analyze how different odorant molecular features can affect the local field potential (LFP) oscillatory signals in both the aPC and the pPC in anesthetized rats. As reported in the OB, three oscillatory patterns were observed: standard pattern (gamma + beta), gamma-only and beta-only patterns. These patterns occurred with significantly different probabilities in the two PC areas. We observed that odor identity has a strong influence on the probability of occurrence of LFP beta and gamma oscillatory activity in the aPC. Thus, some odor coding mechanisms observed in the OB are retained in the aPC. By contrast, probability of occurrence of different oscillatory patterns is homogeneous in the pPC with beta-only pattern being the most prevalent one for all the different odor families. Overall, our results confirmed the functional heterogeneity of the PC with its anterior part tightly coupled with the OB and mainly encoding odorant features whereas its posterior part activity is not correlated with odorant features but probably more involved in associative and multi-sensory encoding functions.


Assuntos
Potenciais de Ação/efeitos dos fármacos , Ritmo beta/efeitos dos fármacos , Ritmo Gama/efeitos dos fármacos , Odorantes , Condutos Olfatórios/efeitos dos fármacos , Córtex Piriforme/efeitos dos fármacos , Potenciais de Ação/fisiologia , Animais , Ritmo beta/fisiologia , Ritmo Gama/fisiologia , Masculino , Condutos Olfatórios/fisiologia , Percepção Olfatória/efeitos dos fármacos , Percepção Olfatória/fisiologia , Córtex Piriforme/fisiologia , Ratos , Ratos Wistar
19.
Exp Brain Res ; 237(6): 1521-1529, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30919011

RESUMO

Volatile general anesthetics are used commonly in adults and children, yet their mechanisms of action are complex and the changes in single unit firing and synaptic activity that underlie the broad decreases in neuronal activity induced by these drugs have not been well characterized. Capturing such changes throughout the anesthesia process is important for comparing the effects of different anesthetics and gaining a better understanding of their mechanisms of action and their impact on different brain regions. Using chronically implanted electrodes in the rabbit somatosensory cortex, we compared the effects of two common general anesthetics, isoflurane, and sevoflurane, on cortical neurons. Single unit activity and local field potentials (LFP) were recorded continuously before and during anesthetic delivery at 1 MAC, as well as during recovery. Our findings show that although isoflurane and sevoflurane belong to the same class of volatile general anesthetics, their effects upon cortical single units and LFP were quite different. Overall, the suppression of neuronal firing was greater and more uniform under sevoflurane. Moreover, the changes in LFP frequency bands suggest that effect of anesthesia upon beta oscillations does not necessarily depend on the level of single unit activity, but rather on the changes in GABA/glutamate neurotransmission induced by each drug.


Assuntos
Potenciais de Ação/efeitos dos fármacos , Anestésicos Inalatórios/farmacologia , Ondas Encefálicas/efeitos dos fármacos , Fenômenos Eletrofisiológicos/efeitos dos fármacos , Isoflurano/farmacologia , Neurônios/efeitos dos fármacos , Sevoflurano/farmacologia , Córtex Somatossensorial/efeitos dos fármacos , Animais , Ritmo beta/efeitos dos fármacos , Eletrodos Implantados , Feminino , Coelhos
20.
Sci Rep ; 9(1): 2604, 2019 02 22.
Artigo em Inglês | MEDLINE | ID: mdl-30796340

RESUMO

Motor symptoms are defining traits in the diagnosis of Parkinson's disease (PD). A crucial component in motor function is the integration of afferent proprioceptive sensory feedback. Previous studies have indicated abnormal movement-related cortical oscillatory activity in PD, but the role of the proprioceptive afference on abnormal oscillatory activity in PD has not been elucidated. We examine the cortical oscillations in the mu/beta-band (8-30 Hz) in the processing of proprioceptive stimulation in PD patients, ON/OFF levodopa medication, as compared to that of healthy controls (HC). We used a proprioceptive stimulator that generated precisely controlled passive movements of the index finger and measured the induced cortical oscillatory responses following the proprioceptive stimulation using magnetoencephalography. Both PD patients and HC showed a typical beta-band desynchronization during the passive movement. However, the subsequent beta rebound after the passive movement that was almost absent in PD patients compared to HC. Furthermore, we found no difference in the degree of beta rebound attenuation between patients ON and OFF levodopa medication. The results demonstrate a disease-related deterioration in cortical processing of proprioceptive afference in PD.


Assuntos
Antiparkinsonianos/uso terapêutico , Ritmo beta/efeitos dos fármacos , Retroalimentação Sensorial/efeitos dos fármacos , Levodopa/uso terapêutico , Córtex Motor , Doença de Parkinson , Propriocepção/efeitos dos fármacos , Adulto , Idoso , Feminino , Humanos , Magnetoencefalografia/métodos , Masculino , Pessoa de Meia-Idade , Córtex Motor/efeitos dos fármacos , Córtex Motor/fisiopatologia , Doença de Parkinson/tratamento farmacológico , Doença de Parkinson/fisiopatologia
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