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Functional Recovery in a Primate Model of Parkinson's Disease following Motor
Cortex Stimulation


http://www.neuron.org/content/article/abstract?uid=PIIS0896627304007573

A concept in Parkinson's disease postulates that motor cortex may pattern
abnormal rhythmic activities in the basal ganglia, underlying the genesis of
observed motor symptoms. We conducted a preclinical study of electrical
interference in the primary motor cortex using a chronic MPTP primate model
in which dopamine depletion was progressive and regularly documented using
18F-DOPA positron tomography. High-frequency motor cortex stimulation
significantly reduced akinesia and bradykinesia. This behavioral benefit was
associated with an increased metabolic activity in the supplementary motor
area as assessed with 18-F-deoxyglucose PET, a normalization of mean firing
rate in the internal globus pallidus (GPi) and the subthalamic nucleus (STN),
and a reduction of synchronized oscillatory neuronal activities in these two
structures. Motor cortex stimulation is a simple and safe procedure to
modulate subthalamo-pallido-cortical loop and alleviate parkinsonian symptoms
without requiring deep brain stereotactic surgery.

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