PMID- 34584095 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220218 IS - 2373-8057 (Print) IS - 2373-8057 (Electronic) IS - 2373-8057 (Linking) VI - 7 IP - 1 DP - 2021 Sep 28 TI - Eight-hours conventional versus adaptive deep brain stimulation of the subthalamic nucleus in Parkinson's disease. PG - 88 LID - 10.1038/s41531-021-00229-z [doi] LID - 88 AB - This study compares the effects on motor symptoms between conventional deep brain stimulation (cDBS) and closed-loop adaptive deep brain stimulation (aDBS) in patients with Parkinson's Disease. The aDBS stimulation is controlled by the power in the beta band (12-35 Hz) of local field potentials recorded directly by subthalamic nucleus electrodes. Eight subjects were assessed in two 8-h stimulation sessions (first day, cDBS; second day, aDBS) with regular levodopa intake and during normal daily activities. The Unified Parkinson's Disease Rating Scale (UPDRS) part III scores, the Rush scale for dyskinesias, and the total electrical energy delivered to the tissues per second (TEEDs) were significantly lower in the aDBS session (relative UPDRS mean, cDBS: 0.46 +/- 0.05, aDBS: 0.33 +/- 0.04, p = 0.015; UPDRS part III rigidity subset mean, cDBS: 2.9143 +/- 0.6551 and aDBS: 2.1429 +/- 0.5010, p = 0.034; UPDRS part III standard deviation cDBS: 2.95, aDBS: 2.68; p = 0.047; Rush scale, cDBS 2.79 +/- 0.39 versus aDBS 1.57 +/- 0.23, p = 0.037; cDBS TEEDs mean: 28.75 +/- 3.36 microj s(-1), aDBS TEEDs mean: 16.47 +/- 3.33, p = 0.032 Wilcoxon's sign rank test). This work further supports the safety and effectiveness of aDBS stimulation compared to cDBS in a daily session, both in terms of motor performance and TEED to the patient. CI - (c) 2021. The Author(s). FAU - Bocci, Tommaso AU - Bocci T AD - "Aldo Ravelli" Research Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan Medical School, Milan, Italy. AD - III Neurology Clinic, ASST Santi Paolo e Carlo, Milan, Italy. FAU - Prenassi, Marco AU - Prenassi M AUID- ORCID: 0000-0003-0240-0860 AD - Dipartimento in Ingegneria e Architettura, Universita degli studi di Trieste, Trieste, Italy. FAU - Arlotti, Mattia AU - Arlotti M AD - Newronika S.p.A., Milan, Italy. FAU - Cogiamanian, Filippo Maria AU - Cogiamanian FM AD - U.O. Fisiopatologia,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy. FAU - Borellini, Linda AU - Borellini L AD - U.O. Fisiopatologia,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy. FAU - Moro, Elena AU - Moro E AD - Division of Neurology, Centre Hospitalier Universitaire de Grenoble, Grenoble, France. FAU - Lozano, Andres M AU - Lozano AM AD - Division of Neurosurgery, University of Toronto, Toronto, ON, Canada. FAU - Volkmann, Jens AU - Volkmann J AD - Department of Neurology, University of Wurzburg, Wurzburg, Germany. FAU - Barbieri, Sergio AU - Barbieri S AD - U.O. Fisiopatologia,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy. FAU - Priori, Alberto AU - Priori A AUID- ORCID: 0000-0002-1549-3851 AD - "Aldo Ravelli" Research Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan Medical School, Milan, Italy. Alberto.priori@unimi.it. AD - III Neurology Clinic, ASST Santi Paolo e Carlo, Milan, Italy. Alberto.priori@unimi.it. FAU - Marceglia, Sara AU - Marceglia S AD - Dipartimento in Ingegneria e Architettura, Universita degli studi di Trieste, Trieste, Italy. AD - U.O. Fisiopatologia,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy. LA - eng PT - Journal Article DEP - 20210928 PL - United States TA - NPJ Parkinsons Dis JT - NPJ Parkinson's disease JID - 101675390 EIN - NPJ Parkinsons Dis. 2022 Feb 15;8(1):18. PMID: 35169155 PMC - PMC8478873 COIS- T.B, M.P., and L.B. declare no conflict of interest. A.M.L., and J.V. are consultants for Medtronic, Boston Scientific, Abbott and Newronika. E.M. is a consultant for Abbott, Medtronic and Newronika. F.C., S.M., S.B., and A.P. are founders and shareholders of Newronika Spa. M.A. is an employer and stock options holder of Newronika S.p.A. EDAT- 2021/09/30 06:00 MHDA- 2021/09/30 06:01 PMCR- 2021/09/28 CRDT- 2021/09/29 06:09 PHST- 2020/10/28 00:00 [received] PHST- 2021/07/23 00:00 [accepted] PHST- 2021/09/29 06:09 [entrez] PHST- 2021/09/30 06:00 [pubmed] PHST- 2021/09/30 06:01 [medline] PHST- 2021/09/28 00:00 [pmc-release] AID - 10.1038/s41531-021-00229-z [pii] AID - 229 [pii] AID - 10.1038/s41531-021-00229-z [doi] PST - epublish SO - NPJ Parkinsons Dis. 2021 Sep 28;7(1):88. doi: 10.1038/s41531-021-00229-z.