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Brain Advance Access published online on August 25, 2004

Brain, doi:10.1093/brain/awh288
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Received December 19, 2003
Revised July 15, 2004
Accepted July 17, 2004

Article

Involvement of human thalamus in the preparation of self-paced movement

Guillermo Paradiso 1, Danny Cunic 2, Jean A. Saint-Cyr 3, Tasnuva Hoque 2, Andrés M. Lozano 3, Anthony E. Lang 1, Robert Chen 1*

1 The Krembil Neuroscience Centre and Toronto Western Research Institute, Toronto, Ontario, Canada; Division of Neurology, University of Toronto, Toronto, Ontario, Canada
2 The Krembil Neuroscience Centre and Toronto Western Research Institute, Toronto, Ontario, Canada
3 The Krembil Neuroscience Centre and Toronto Western Research Institute, Toronto, Ontario, Canada; Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada

* To whom correspondence should be addressed. E-mail: robert.chen{at}uhn.on.ca.


   Abstract

Summary Cortical areas participating in the preparation of voluntary movements have been studied extensively. There is emerging evidence that subcortical structures, particularly the basal ganglia, also contribute to movement preparation. The thalamus is connected to both the basal ganglia and the cerebellar pathways, but its role in movement preparation has not been studied extensively in humans. We studied seven patients who underwent deep brain stimulation (DBS) electrode implantation in the thalamus for treatment of tremor (six patients) and myoclonus-dystonia (one patient). We recorded from the DBS contacts and scalp simultaneously, while patients performed self-paced wrist extension movements. Post-surgical MRI was used for precise localization of the DBS contacts in six patients. Back-averaging of the scalp recordings showed a slow negative movement-related potential (MRP) in all patients (onset 1846 ± 189 ms prior to electromyography onset), whereas DBS electrode recordings showed pre-movement MRP in five out of seven patients. The thalamic MRP preceded both contralateral and ipsilateral wrist movements. There was no significant difference between the onset time of thalamic MRP (-2116 ± 607 ms) and cortical MRP. Neither the scalp nor the thalamus showed pre-movement potentials with passive wrist extensions in two patients. In four patients with postoperative MRI who had thalamic MRP, the maximum amplitude or phase reversal occurred at contacts located in the ventral lateral nucleus. Frequency analysis was performed in the five patients with thalamic MRP. The medial frontocentral scalp contacts and the thalamic contacts with maximum MRP amplitude showed two discrete frequency bands in the {alpha} (mean peak 9 Hz) and {beta} (mean peak 17 Hz) range. Both frequency bands showed pre-movement event-related desynchronization (ERD). In the grand average, {alpha} and {beta} ERD in the scalp and {beta} ERD in the thalamus began 2.5-2.8 s prior to the onset of movement. However, the thalamic {alpha} ERD began considerably later, at 1.2 s before EMG onset. The {beta} band showed cortico-thalamic coherence from the beginning of the baseline period until ~0.5 s before the onset of movement. There was no cortico-thalamic coherence in the {alpha} band. Our findings suggest that the cerebellar thalamus is involved early in the process of movement preparation. Different cortico-subcortical circuits may mediate {alpha} and {beta} oscillations. During movement preparation, the motor thalamus and the supplementary motor area predominantly interact in the {beta} band.

Keywords: ventrolateral nucleus of the thalamus; pre-movement potential; event-related desynchronization; coherence; cerebellar pathway.
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