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| Name | Class |
|---|---|
| Université de Bordeaux, IMN, UMR CNRS 5293 | UNKNOWN |
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Expression of hypokinetic and hyperkinetic motor symptoms in Parkinson's disease (PD) is associated with pathological synchronous oscillations of neuronal activity (local field potential/LFP) in the cortico-subcortical network with a wide frequency range. In the present project, we propose to study cortico-subcortical oscillations and their synchronization in patients operated for PD (subthalamic deep brain stimulation (STN-DBS)) during distinct pharmacological and stimulation conditions (hypokinetic and hyperkinetic), using a simple motor task.
To define the link between the characteristics of neuronal oscillations (frequency, amplitude, phase relationship) within the cortico-subcortical network and the movement, we designed a simple motor task of gripping/pulling a lever. The LFPs will be collected at the cortical and subcortical levels (STN) during the motor task using a high-resolution EEG (HR-EEG) and the Perceptâ„¢ system (Medtronic). Recordings will be realized in four conditions: without pharmacological treatment and without stimulation (Off condition), without pharmacological treatment and during stimulation (DBS condition), during pharmacological treatment and without stimulation (DOPA condition) and during pharmacological treatment and stimulation (DOPA+DBS condition).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recruited patient | Experimental | Patient with idiopathic Parkinson's disease and having a STN DBS with a PERCEPTâ„¢ for less than a year or being candidate for subthalamic nucleus deep brain stimulation with the PERCEPTâ„¢ device (first-implantation) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrophysiological recordings | Other | Electrophysiological recordings will be made during a motor task in four different conditions:
|
| Measure | Description | Time Frame |
|---|---|---|
| Cortico-subcortical electrophysiological coherence | Statistically significant difference in the cortico-subcortical electrophysiological coherence value between a movement performed in hypokinetic condition and a movement performed in hyperkinetic condition | At inclusion (Day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Spectral signal power | Demonstration of a significant difference in spectral signal power between movement in hypokinetic and hyperkinetic conditions. | At inclusion (Day 0) |
| Effect of STN-DBS on spectral signal power |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| GUEHL Dominique, Pr | Contact | 5 57 82 12 42 | +33 | dominique.guehl@chu-bordeaux.fr |
| Claire BRANDET | Contact | claire.brandet@chu-bordeaux.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bordeaux University Hospital | Recruiting | Bordeaux | France |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D006948 | Hyperkinesis |
| D018476 | Hypokinesia |
| D020820 | Dyskinesias |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Demonstration of a significant effect of STN-DBS on spectral signal power and cortico-subcortical synchronization during movement in hypokinetic or hyperkinetic conditions
| At inclusion (Day 0) |
| Correlation between semiological characteristics | Demonstration of a statistical correlation between semiological characteristics (hypo- and hyperkinesia, movement parameters (reaction time and movement time)) and electrophysiological characteristics. | At inclusion (Day 0) |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |