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Deep brain stimulation of terminating axons.

Kelsey L Bower1, Cameron C McIntyre1

  • 1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.

Brain Stimulation
|September 12, 2020
PubMed
Summary

Terminating axons in the subthalamic region are more excitable to deep brain stimulation (DBS) than fibers of passage. This heightened excitability of terminating axons is consistent across various DBS parameters.

Keywords:
Afferent inputsAnodicCathodicHyperdirect pathwaySubthalamic nucleus

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Area of Science:

  • Neuroscience
  • Computational modeling
  • Biophysics

Background:

  • Deep brain stimulation (DBS) of the subthalamic region treats Parkinson's disease motor symptoms.
  • The subthalamic region contains neurons, fibers of passage, and afferents.
  • The hyperdirect pathway's afferents may mediate therapeutic effects of subthalamic DBS.

Purpose of the Study:

  • Quantify axon termination's effect on neural excitability during DBS.
  • Evaluate how stimulation parameters influence the relative excitability of terminating axons (TAs) versus fibers of passage (FOPs).

Main Methods:

  • Utilized finite element electric field models of DBS.
  • Coupled models to multi-compartment cable models of axons.
  • Calculated activation thresholds for TAs and FOPs under varying stimulation conditions (anodic/cathodic, pulse widths).

Main Results:

  • Terminating axons consistently showed lower activation thresholds than FOPs.
  • Short pulse widths amplified the relative excitability of TAs over FOPs.

Conclusions:

  • Terminating axons exhibit robust hyperexcitability to DBS.
  • This finding is consistent across varied stimulation and axon model parameters.