TY  - JOUR
A1  - Isaias, Ioannis U.
A1  - Marzegan, Alberto
A1  - Pezzoli, Gianni
A1  - Marotta, Giorgio
A1  - Canesi, Margherita
A1  - Biella, Gabriele E. M.
A1  - Volkmann, Jens
A1  - Cavallari, Paolo
T1  - A role for locus coeruleus in Parkinson tremor
JF  - Frontiers in Human Neuroscience
N2  - We analyzed rest tremor, one of the etiologically most elusive hallmarks of Parkinson disease(PD), in 12 consecutive PD patients during a specific task activating the locus coeruleus (LC) to investigate a putative role of noradrenaline (NA) in tremor generation and suppression. Clinical diagnosis was confirmed in all subjects by reduced dopamine reuptake transporter (DAT) binding values investigated by single photon computed tomography imaging (SPECT) with [\(^{123}\)I] N-\(\omega\)-fluoropropyl-2 \(\beta\)-carbomethoxy-3 \(\beta\)-(4-iodophenyl) tropane (FP-CIT). The intensity of tremor (i.e., the power of Electromyography [EMG] signals), but not its frequency, significantly increased during the task. In six subjects, tremor appeared selectively during the task. In a second part of the study, we retrospectively reviewed SPECT with FP-CIT data and confirmed the lack of correlation between dopaminergic loss and tremor by comparing DAT binding values of 82 PD subjects with bilateral tremor (n = 27), unilateral tremor (n = 22), and no tremor (n = 33). This study suggests a role of the LC in Parkinson tremor.
KW  - locus coeruleus
KW  - disease
KW  - basal ganglia
KW  - resting tremor
KW  - functional neuroanatomy
KW  - dopamine
KW  - norepinephrine
KW  - progression
KW  - binding
KW  - rat
KW  - noradrenalin
KW  - parkinson disease
KW  - tremor
Y1  - 2012
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-133955
VL  - 5
IS  - 179
ER  - 
TY  - JOUR
A1  - Del Vecchio, Jasmin
A1  - Hanafi, Ibrahem
A1  - Pozzi, Nicoló Gabriele
A1  - Capetian, Philipp
A1  - Isaias, Ioannis U.
A1  - Haufe, Stefan
A1  - Palmisano, Chiara
T1  - Pallidal recordings in chronically implanted dystonic patients: mitigation of tremor-related artifacts
JF  - Bioengineering
N2  - Low-frequency oscillatory patterns of pallidal local field potentials (LFPs) have been proposed as a physiomarker for dystonia and hold the promise for personalized adaptive deep brain stimulation. Head tremor, a low-frequency involuntary rhythmic movement typical of cervical dystonia, may cause movement artifacts in LFP signals, compromising the reliability of low-frequency oscillations as biomarkers for adaptive neurostimulation. We investigated chronic pallidal LFPs with the Percept\(^{TM}\) PC (Medtronic PLC) device in eight subjects with dystonia (five with head tremors). We applied a multiple regression approach to pallidal LFPs in patients with head tremors using kinematic information measured with an inertial measurement unit (IMU) and an electromyographic signal (EMG). With IMU regression, we found tremor contamination in all subjects, whereas EMG regression identified it in only three out of five. IMU regression was also superior to EMG regression in removing tremor-related artifacts and resulted in a significant power reduction, especially in the theta-alpha band. Pallido-muscular coherence was affected by a head tremor and disappeared after IMU regression. Our results show that the Percept PC can record low-frequency oscillations but also reveal spectral contamination due to movement artifacts. IMU regression can identify such artifact contamination and be a suitable tool for its removal.
KW  - dystonia
KW  - tremor
KW  - local field potentials
KW  - globus pallidus
KW  - deep brain stimulation
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-313498
SN  - 2306-5354
VL  - 10
IS  - 4
ER  -