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Deep brain stimulation does not modulate resting-state functional connectivity in essential tremor
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Medicine, Department of Integrative Medical Biology (IMB), Physiology.
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Medicine, Department of Radiation Sciences.ORCID iD: 0000-0003-2081-3562
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Neurosciences.
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Medicine, Department of Radiation Sciences. Umeå University, Faculty of Medicine, Department of Integrative Medical Biology (IMB), Physiology.ORCID iD: 0000-0002-3367-1746
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2024 (English)In: Brain Communications, E-ISSN 2632-1297, Vol. 6, no 2, article id fcae012Article in journal (Refereed) Published
Abstract [en]

While the effectiveness of deep brain stimulation in alleviating essential tremor is well-established, the underlying mechanisms of the treatment are unclear. Essential tremor, as characterized by tremor during action, is proposed to be driven by a dysfunction in the cerebello-thalamo-cerebral circuit that is evident not only during motor actions but also during rest. Stimulation effects on resting-state functional connectivity were investigated by functional MRI in 16 essential tremor patients with fully implanted deep brain stimulation in the caudal zona incerta during On-and-Off therapeutic stimulation, in a counterbalanced design. Functional connectivity was calculated between different constellations of sensorimotor as well as non-sensorimotor regions (as derived from seed-based and data-driven approaches), and compared between On and Off stimulation. We found that deep brain stimulation did not modulate resting-state functional connectivity. The lack of modulation by deep brain stimulation during resting-state, in combination with previously demonstrated effects on the cerebello-thalamo-cerebral circuit during motor tasks, suggests an action-dependent modulation of the stimulation in essential tremor.

Place, publisher, year, edition, pages
Oxford University Press, 2024. Vol. 6, no 2, article id fcae012
Keywords [en]
caudal zona incerta, deep brain stimulation, essential tremor, functional connectivity, resting-state fMRI
National Category
Neurology
Identifiers
URN: urn:nbn:se:umu:diva-222642DOI: 10.1093/braincomms/fcae012ISI: 001184993600003PubMedID: 38482375Scopus ID: 2-s2.0-85188020052OAI: oai:DiVA.org:umu-222642DiVA, id: diva2:1852819
Funder
Knut and Alice Wallenberg FoundationRegion VästerbottenAvailable from: 2024-04-19 Created: 2024-04-19 Last updated: 2024-04-19Bibliographically approved

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Awad, AmarGrill, FilipBlomstedt, PatricNyberg, LarsEriksson, Johan

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Awad, AmarGrill, FilipBlomstedt, PatricNyberg, LarsEriksson, Johan
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