Temporal excitation properties of paresthesias evoked by thalamic microstimulation.

Published

Journal Article

OBJECTIVE: The neuronal elements mediating the effects of deep brain stimulation (DBS) are unknown. The objective was to determine the strength-duration properties of the neuronal elements that mediate paresthesias evoked by thalamic microstimulation. METHODS: The strength-duration properties of the neuronal elements causing paresthesias were measured using intraoperative microstimulation of the human thalamus. The sample included both concordant (reported in the same region as the mapped sensory receptive fields) and discordant paresthesias (reported in a region different than the mapped sensory receptive fields). RESULTS: There were no significant differences between the chronaxies of concordant and discordant paresthesias. There was no significant correlation between chronaxie and rheobase for concordant paresthesias, but a strong negative correlation existed for discordant paresthesias. CONCLUSIONS: Chronaxies did not distinguish the neuronal elements mediating concordant and discordant paresthesias, but correlations between chronaxie and rheobase suggest that concordant paresthesias were produced by activation of local cells while discordant paresthesias were caused by activation of axons of passage. SIGNIFICANCE: The similarity between the strength-duration properties of paresthesias evoked by thalamic stimulation, tremor reduction evoked by thalamic DBS, and EMG responses to thalamic DBS does not mean that these effects are caused by the same neural elements.

Full Text

Duke Authors

Cited Authors

  • Grill, WM; Simmons, AM; Cooper, SE; Miocinovic, S; Montgomery, EB; Baker, KB; Rezai, AR

Published Date

  • May 2005

Published In

Volume / Issue

  • 116 / 5

Start / End Page

  • 1227 - 1234

PubMed ID

  • 15826866

Pubmed Central ID

  • 15826866

Electronic International Standard Serial Number (EISSN)

  • 1872-8952

International Standard Serial Number (ISSN)

  • 1388-2457

Digital Object Identifier (DOI)

  • 10.1016/j.clinph.2004.12.020

Language

  • eng