Objectives Subthalamic nucleus (STN) is the main target for surgery treatment of Parkinson’s disease (PD) patients. The aim of the study was to characterize spontaneous single unit activity in subthalamic nucleus of PD patients and to search for the possible correlations between characteristics of neuronal activity and clinical phenotype. Methods We have analyzed single unit activity of 493 cells registered in subthalamic nucleus of 9 patients (3 males and 6 females) with PD (56.8 ± 4.8 yrs, UPDRS III score in off-state 52.0 ± 12.2), that were undergoing bilateral DBS surgery at Burdenko Neurosurgery Center in 2015–2017. For each neuron we determined several characteristics: firing rate, coefficient of variation (CV), mean and median interspike interval (ISI), asymmetry index (AI), burst characteristics. We also have performed spectral analysis of oscillations in the spiketrains. Results We have identified three different patterns of neuronal activity: tonic regular activity (AI > 0.7, CV 0.7, CV > 0.85)? in 5–25% of neurons, burst-like activity (AI Significance The unevenness of neuronal activity patterns and oscillations of STN could be used for choosing optimal location of DBS electrodes in PD patients.
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