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Acta Neurochirurgica

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28-09-2023 | Parkinson's Disease | Original Article

Exploring the network effects of deep brain stimulation for rapid eye movement sleep behavior disorder in Parkinson’s disease

Authors: Guangrui Zhao, Yifeng Cheng, Min Wang, Yuzhang Wu, Jingtao Yan, Keke Feng, Shaoya Yin

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Background

The research findings on the effects of subthalamic nucleus (STN) deep brain stimulation (DBS) in Parkinson’s disease (PD) with Rapid Eye Movement Sleep Behavior Disorder (RBD) are inconsistent, and there is a lack of research on DBS electrode sites and their network effects for the explanation of the differences. Our objective is to explore the optimal stimulation sites (that is the sweet spot) and the brain network effects of STN-DBS for RBD in PD.

Methods

In this study, among the 50 PD patients who underwent STN-DBS treatment, 24 PD patients with RBD were screened. According to clinical scores and imaging data, the sweet spot of STN-DBS was analyzed in PD patients with RBD, and the optimal structure and functional network models of subthalamic stimulation were constructed.

Results

Bilateral STN-DBS can effectively improve the symptoms of RBD and other non-motor symptoms in 24 PD patients with RBD. RBD Questionnaire-Hong Kong (RBDQ-HK) score was 41.33 ± 17.45 at baseline and 30.83 ± 15.83 at 1-year follow-up, with statistical significance between them (P < 0.01). However, the MoCA score was an exception with a baseline of 22.04 ± 4.28 and a 1-year follow-up of 21.58 ± 4.33, showing no statistical significance (P = 0.12). The sweet spot and optimal network connectivity models for RBD improvement have been validated as effective.

Conclusions

Bilateral STN-DBS can improve the symptoms of RBD in PD. There exist the sweet spot and brain network effects of bilateral STN-DBS in the treatment of PD with RBD. Our study also demonstrates that RBD is a brain network disease.

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Title: Exploring the network effects of deep brain stimulation for rapid eye movement sleep behavior disorder in Parkinson’s disease
Authors: Guangrui Zhao
Yifeng Cheng
Min Wang
Yuzhang Wu
Jingtao Yan
Keke Feng
Shaoya Yin
Publication date: 28-09-2023
Publisher: Springer Vienna
Keywords: Parkinson's Disease
Deep Brain Stimulation
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05806-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Exploring the network effects of deep brain stimulation for rapid eye movement sleep behavior disorder in Parkinson’s disease

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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