Abstract

Our objective was to describe the electrophysiological properties of the extracellular action potential (AP) picked up through microelectrode recordings (MERs). Five patients were operated under general anesthesia for centromedian deep brain stimulation (DBS). APs from the same cell were pooled to obtain a mean AP (mAP). The amplitudes and durations for all 2/3 phases were computed from the mAP, together with the maximum (dVmax) and minimum (dVmin) values of the first derivative, as well as the slopes of different phases during repolarization. The mAPs are denominated according to the phase polarity (P/N for positive/negative). We obtained a total of 1109 mAPs, most of the positive (98.47%) and triphasic (93.69%) with a small P/N deflection (Vphase1) before depolarization. The percentage of the different types of mAPs was different for the nuclei addressed. The relationship between dVmax and the depolarizing phase is specific. The descending phase of the first derivative identified different phases during the repolarizing period. We observed a high correlation between Vphase1 and the amplitudes of either depolarization or repolarization phases. Human thalamic nuclei differ in their electrophysiological properties of APs, even under general anesthesia. Capacitive current, which is probably responsible for Vphase1, is very common in thalamic APs. Moreover, subtle differences during repolarization are neuron-specific.

Highlights

  • Capacitive current, which is probably responsible for Vphase1, is very common in thalamic

  • We focused on the following nuclei: Ce, V.c, ventrointermedial (V.im), ventral oralis (V.o), and dorsal, collectively addressed as (DDNN for dorsal nuclei)

  • All of the properties analyzed were obtained from mean AP (mAP) and mDAPs

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Summary

Introduction

The identification of thalamic nuclei is very important to obtain a good functional outcome in deep brain stimulation (DBS) to optimize battery life and decrease secondary effects. Microelectrode recordings (MERs) are useful tools used during DBS surgery to identify deep nuclei [9]. In addition to MER, other physiological tests can be performed to identify nuclei, such as cellular responses to voluntary or passive movements, tactile stimulus, or paresthesia induced by electrical stimulation [10,11]. Most of these responses (except for the response to tactile stimuli) are nonspecific, and all of them need the conscious collaboration of the patient. We have recently shown that raw traces are different for different thalamic nuclei in anesthetized patients [12]

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