Latency of subthalamic nucleus deep brain stimulation-evoked cortical activity as a potential biomarker for postoperative motor side effects

Academic Article

Abstract

  • © 2020 International Federation of Clinical Neurophysiology Objective: Here, we investigate whether cortical activation predicts motor side effects of deep brain stimulation (DBS) and whether these potential biomarkers have utility under general anesthesia. Methods: We recorded scalp potentials elicited by DBS during surgery (n = 11), both awake and under general anesthesia, and in an independent ambulatory cohort (n = 8). Across a range of stimulus configurations, we measured the amplitude and timing of short- and long-latency response components and linked them to motor side effects. Results: Regardless of anesthesia state, in both cohorts, DBS settings with capsular side effects elicited early responses with peak latencies clustering at <1 ms. This early response was preserved under anesthesia in all participants (11/11). In contrast, the long-latency components were suppressed completely in 6/11 participants. Finally, the latency of the earliest response could predict the presence of postoperative motor side effects both awake and under general anesthesia (84.8% and 75.8% accuracy, awake and under anesthesia, respectively). Conclusion: DBS elicits short-latency cortical activation, both awake and under general anesthesia, which appears to reveal interactions between the stimulus and the corticospinal tract. Significance: Short-latency evoked cortical activity can potentially be used to aid both DBS lead placement and post-operative programming.
  • Digital Object Identifier (doi)

    Author List

  • Irwin ZT; Awad MZ; Gonzalez CL; Nakhmani A; Bentley JN; Moore TA; Smithson KG; Guthrie BL; Walker HC
  • Start Page

  • 1221
  • End Page

  • 1229
  • Volume

  • 131
  • Issue

  • 6