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Asymmetric pallidal neuronal activity in patients with cervical dystonia

Overview of attention for article published in Frontiers in Systems Neuroscience, January 2014
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69 Mendeley
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Title
Asymmetric pallidal neuronal activity in patients with cervical dystonia
Published in
Frontiers in Systems Neuroscience, January 2014
DOI 10.3389/fnsys.2014.00015
Pubmed ID
Authors

Christian K. E. Moll, Edgar Galindo-Leon, Andrew Sharott, Alessandro Gulberti, Carsten Buhmann, Johannes A. Koeppen, Maxine Biermann, Tobias Bäumer, Simone Zittel, Manfred Westphal, Christian Gerloff, Wolfgang Hamel, Alexander Münchau, Andreas K. Engel

Abstract

The origin of asymmetric clinical manifestation of symptoms in patients suffering from cervical dystonia (CD) is hitherto poorly understood. Dysregulated neuronal activity in the basal ganglia has been suggested to have a role in the pathophysiology of CD. Here, we re-assessed the question to what extent relative changes occur in the direct vs. indirect basal ganglia pathway in CD, whether these circuit changes are lateralized, and how these alterations relate to CD symptoms. To this end, we recorded ongoing single cell and local field potential (LFP) activity from the external (GPe) and internal pallidal segment (GPi) of 13 CD patients undergoing microelectrode-guided stereotactic surgery for deep brain stimulation in the GPi. We compared pallidal recordings from CD patients operated under local anaesthesia (LA) with those obtained in CD patients operated under general anaesthesia (GA). In awake patients, mean GPe discharge rate (52 Hz) was lower than that of GPi (72 Hz). Mean GPi discharge ipsilateral to the side of head turning was higher than contralateral and correlated with torticollis symptom severity. Lateralized differences were absent at the level of the GPe and in recordings from patients operated under GA. Furthermore, in the GPi of CD patients there was a subpopulation of theta-oscillatory cells with unique bursting characteristics. Power and coherence of GPe- and GPi-LFPs were dominated by a theta peak and also exhibited band-specific interhemispheric differences. Strong cross-frequency coupling of low-gamma amplitude to theta phase was a feature of pallidal LFPs recorded under LA, but not GA. These results indicate that CD is associated with an asymmetric pallidal outflow. Based on the finding of symmetric neuronal discharges in the GPe, we propose that an imbalanced interhemispheric direct pathway gain may be involved in CD pathophysiology.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
France 1 1%
Unknown 67 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 15 22%
Student > Master 8 12%
Student > Bachelor 8 12%
Student > Ph. D. Student 7 10%
Other 3 4%
Other 12 17%
Unknown 16 23%
Readers by discipline Count As %
Medicine and Dentistry 13 19%
Neuroscience 11 16%
Agricultural and Biological Sciences 6 9%
Engineering 5 7%
Psychology 2 3%
Other 6 9%
Unknown 26 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 March 2019.
All research outputs
#7,442,740
of 22,751,628 outputs
Outputs from Frontiers in Systems Neuroscience
#606
of 1,340 outputs
Outputs of similar age
#91,879
of 305,229 outputs
Outputs of similar age from Frontiers in Systems Neuroscience
#12
of 24 outputs
Altmetric has tracked 22,751,628 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,340 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.6. This one has gotten more attention than average, scoring higher than 52% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 305,229 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 24 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.