PMID- 27889627 OWN - NLM STAT- MEDLINE DCOM- 20170531 LR - 20210507 IS - 1872-8952 (Electronic) IS - 1388-2457 (Linking) VI - 128 IP - 1 DP - 2017 Jan TI - Subthalamic oscillations and phase amplitude coupling are greater in the more affected hemisphere in Parkinson's disease. PG - 128-137 LID - S1388-2457(16)30643-5 [pii] LID - 10.1016/j.clinph.2016.10.095 [doi] AB - OBJECTIVE: Determine the incidence of resting state oscillations in alpha/beta, high frequency (HFO) bands, and their phase amplitude coupling (PAC) in a large cohort in Parkinson's disease (PD). METHODS: Intra-operative local field potentials (LFPs) from subthalamic nucleus (STN) were recorded from 100 PD subjects, data from 74 subjects were included in the analysis. RESULTS: Alpha/beta oscillations were evident in >99%, HFO in 87% and PAC in 98% of cases. Alpha/beta oscillations (P<0.01) and PAC were stronger in the more affected (MA) hemisphere (P=0.03). Alpha/beta oscillations were primarily found in 13-20Hz (low beta). Beta and HFO frequencies with the greatest coupling, were positively correlated (P=0.001). Tremor attenuated alpha (P=0.002) and beta band oscillations (P<0.001). CONCLUSIONS: STN alpha/beta band oscillations and PAC were evident in ⩾98% cases and were greater in MA hemisphere. Resting tremor attenuated underlying alpha/beta band oscillations. SIGNIFICANCE: Beta band LFP power may be used to drive adaptive deep brain stimulation (aDBS), augmented by a kinematic classifier in tremor dominant PD. CI - Copyright (c) 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved. FAU - Shreve, Lauren A AU - Shreve LA AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Velisar, Anca AU - Velisar A AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Malekmohammadi, Mahsa AU - Malekmohammadi M AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Koop, Mandy Miller AU - Koop MM AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Trager, Megan AU - Trager M AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Quinn, Emma J AU - Quinn EJ AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Hill, Bruce C AU - Hill BC AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Blumenfeld, Zack AU - Blumenfeld Z AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. FAU - Kilbane, Camilla AU - Kilbane C AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA; Department of Neurosurgery, Stanford University, Stanford, CA, USA. FAU - Mantovani, Alessandra AU - Mantovani A AD - Department of Neurosurgery, Stanford University, Stanford, CA, USA. FAU - Henderson, Jaimie M AU - Henderson JM AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA; Department of Neurosurgery, Stanford University, Stanford, CA, USA. FAU - Bronte-Stewart, Helen AU - Bronte-Stewart H AD - Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA; Department of Neurosurgery, Stanford University, Stanford, CA, USA. Electronic address: hbs@stanford.edu. LA - eng GR - R21 NS096398/NS/NINDS NIH HHS/United States PT - Journal Article DEP - 20161110 PL - Netherlands TA - Clin Neurophysiol JT - Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology JID - 100883319 SB - IM MH - Aged MH - *Alpha Rhythm/physiology MH - *Beta Rhythm/physiology MH - Cohort Studies MH - Deep Brain Stimulation/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Parkinson Disease/diagnosis/*physiopathology/surgery MH - Subthalamic Nucleus/*physiopathology/surgery OTO - NOTNLM OT - Beta oscillations OT - Deep brain stimulation OT - Parkinson's disease OT - Phase amplitude coupling OT - Phenotypes OT - Tremor EDAT- 2016/11/28 06:00 MHDA- 2017/06/01 06:00 CRDT- 2016/11/28 06:00 PHST- 2016/05/07 00:00 [received] PHST- 2016/10/27 00:00 [revised] PHST- 2016/10/29 00:00 [accepted] PHST- 2016/11/28 06:00 [pubmed] PHST- 2017/06/01 06:00 [medline] PHST- 2016/11/28 06:00 [entrez] AID - S1388-2457(16)30643-5 [pii] AID - 10.1016/j.clinph.2016.10.095 [doi] PST - ppublish SO - Clin Neurophysiol. 2017 Jan;128(1):128-137. doi: 10.1016/j.clinph.2016.10.095. Epub 2016 Nov 10.