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Brain Advance Access originally published online on February 11, 2004
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Brain, Vol. 127, No. 4, 735-746, 2004
© 2004 Guarantors of Brain
doi: 10.1093/brain/awh106

Event-related beta desynchronization in human subthalamic nucleus correlates with motor performance

Andrea A. Kühn1,3, David Williams1, Andreas Kupsch3, Patricia Limousin1,2, Marwan Hariz1,2, Gerd-Helge Schneider4, Kielan Yarrow1 and Peter Brown1

1 Sobell Department of Motor Neuroscience and Movement Disorders and 2 Unit of Functional Neurosurgery, Institute of Neurology, London, UK and 3 Department of Neurology and 4 Department of Neurosurgery, Charité Campus Virchow, Humboldt University, Berlin, Germany

Correspondence to: Dr P. Brown, Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, Queen Square, London WCIN 3BG, UK E-mail: p.brown{at}ion.ucl.ac.uk

Although the basal ganglia play an important role in self-generated movement, their involvement in externally paced voluntary movement is less clear. We recorded local field potentials (LFPs) from the region of the subthalamic nuclei of eight patients with Parkinson’s disease during the performance of a warned reaction time task in which an imperative cue instructed the subject to move or not to move. In ‘go’ trials, LFP activity in the beta frequency band (~20 Hz) decreased prior to movement, with an onset latency that strongly correlated with mean reaction time across patients. This was followed by a late post-movement increase in beta power. In contrast, in ‘nogo’ trials the beta power drop following imperative signals was prematurely terminated compared with go trials and reversed into an early beta power increase. These differences were manifest as power increases when go trials were subtracted from nogo trials. In six patients these relative beta power increases in nogo–go difference trials were of shorter latency than the respective reaction time. The findings suggest that, firstly, the subthalamic nucleus is involved in the preparation of externally paced voluntary movements in humans and, secondly, the degree of synchronization of subthalamic nucleus activity in the beta band may be an important determinant of whether motor programming and movement initiation is favoured or suppressed.

Key Words: subthalamic nucleus; Parkinson’s disease; synchronous oscillatory activity; beta power modulations; motor programming

Abbreviations: DBS = deep-brain stimulation; ERD = event-related desynchronization; ERS = event-related synchronization; ERP = event-related potential; LFP = local field potential; STN = subthalamic nucleus

Received October 29, 2003. Revised December 3, 2003. Accepted December 9, 2003.


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