Connectomic deep brain stimulators in Parkinson`s sub cortical functional zones

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Original Article

Author Details : Venkateshwarla Rama Raju*

Volume : 10, Issue : 1, Year : 2024

Article Page : 22-29

https://doi.org/10.18231/j.ijn.2024.005

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Abstract

Background: Shaking palsy is a brain disease involving motor and non motor zones affecting circa 1 to 2%of humans>60 years age. To date there has been no invention for curing this chronic disease and to stop its progression. But existing therapeutic procedures can offer symptomatic relief to Parkinson patients. DBS is most successful therapy for the Parkinson`s yet depends on the accuracy of electrode implantation and location within the anatomical subcortical neural-structures.
Purpose: This study examines the likelihood of net-work-based induced stimuli and the application of connectomic DBS in Parkinson`s.
Materials and Methods: The subthalamic nucleus is divided into3 sub zones, namely, limbic (anterior), associative (middle) and motor (posterior) as well as diffusion weighted imaging (D W I). The surgical targets are tiny (few millimeters) and good enough to neuroanatomical-structures within the b r a i n. STN (size:12×5×3mm3) and lies nearby internal capsule, medial lemniscus, corticospinal tract, plus red-nucleus. Through sub optimal lead insertion and over stimuli, flow of electrons can spread to these adjoining sucortics, thereby developing dyskinesias ( ). With time, DW-MRI plus f-MRI is used to study the anatomical-structural functional connectivity in advanced idiopathic Parkinson`s. Contrasting conventional lesion based stimulus hypothesis, the novel net stimulus hypothesis advocated that induced stimulus of exact circuits of b r a i n can modulate pathophysiological net-work, reinstate near the tissue region, thus producing stabilization-of human-brain-connectome within Parkinson`s.
Results: The DBS connectomes makes use of circuit based stimulus procedure instead of lesion-based stimulus, has transformed neuromodulation.
Conclusion: Connectomes via DBS can be tailor made for every Parkinson plus enhance the operation. It`s just a sketch for human-brain-connectivity (HMC) transversely compound longitudinal-scales. Yet, it won`t yield cell information plus cotacts with cells at the level of micro scale.
 

Keywords: Connectomes, DBS, Parkinson`s disease, HBC, Sub thalamic­nuclus

How to cite : Raju V R, Connectomic deep brain stimulators in Parkinson`s sub cortical functional zones. IP Indian J Neurosci 2024;10(1):22-29

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