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Local field potentials: Therapeutic implications for DBS in dystonia including adaptive DBS for dystonia

Lookup NU author(s): Dr David Ledingham, Professor Mark BakerORCiD, Professor Nicola PaveseORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

Local field potentials (LFPs) are signals generated primarily by the result of the synchronous discharge of postsynapticpotentials. Detection of LFPs from intracranial electrodes sited within the basal ganglia has led to therecognition that there are specific features of the LFP that could serve as neurophysiological biomarkers ofdifferent disease states. For example, in Parkinson’s disease peaks in the beta frequency range of the powerspectrum are known to correlate with the degree of bradykinesia and rigidity, whereas low frequency, alphathetapeaks are increasingly considered a biomarker of dystonic activity. The introduction of newer deepbrain stimulation (DBS) devices capable of simultaneous stimulation and LFP detection creates opportunities toinvestigate new strategies for treating patients with dystonia. This review aims to summarise the LFP findingsseen in patients with dystonia undergoing DBS with a particular focus on the potential implications for futureclinical practice and the development of adaptive DBS systems.


Publication metadata

Author(s): Ledingham D, Baker M, Pavese N

Publication type: Review

Publication status: Published

Journal: Deep Brain Stimulation

Year: 2024

Volume: 5

Pages: 4-19

Print publication date: 01/08/2024

Online publication date: 21/03/2024

Acceptance date: 19/03/2024

ISSN (print): 1935-861X

ISSN (electronic): 1876-4754

URL: https://doi.org/10.1016/j.jdbs.2024.03.003

DOI: 10.1016/j.jdbs.2024.03.003


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