Subthalamic nucleus oscillations during facial emotion processing and apathy in Parkinson's disease

被引：0
作者：
Li, Jun [1 ,2 ]
Wang, Linbin [1 ,3 ]
Pan, Yixin [1 ]
Huang, Peng [1 ]
Xu, Lu [1 ]
Zhang, Yuyao [2 ]
De Ridder, Dirk [4 ]
Voon, Valerie [3 ,5 ]
Li, Dianyou [1 ]
机构：
[1] Shanghai Jiao Tong Univ, Ruijin Hosp, Ctr Funct Neurosurg, Dept Neurosurg,Sch Med, Shanghai, Peoples R China
[2] ShanghaiTech Univ, Sch Informat Sci & Technol, Shanghai, Peoples R China
[3] Univ Cambridge, Dept Psychiat, Cambridge, England
[4] Univ Otago, Dept Surg Sci, Unit Neurosurg, Dunedin, Otago, New Zealand
[5] Fudan Univ, Inst Sci & Technol Brain Inspired Intelligence, Shanghai, Peoples R China
来源：
JOURNAL OF AFFECTIVE DISORDERS | 2025年 / 373卷
基金：
英国医学研究理事会; 中国国家自然科学基金;
关键词：
Parkinson's disease; Facial emotion; Subthalamic nucleus; Local field potential; Electroencephalography; Apathy; Anhedonia; RECOGNITION; DIAGNOSIS; STIMULATION; IMPAIRMENT; DEPRESSION; PATTERNS; FEATURES; SCALE;
D O I：
10.1016/j.jad.2025.01.005
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background: Parkinson's disease (PD) is primarily characterized by motor symptoms, but patients also experience a relatively high prevalence of non-motor symptoms, including emotional and cognitive impairments. While the subthalamic nucleus (STN) is a common target for deep brain stimulation to treat motor symptoms in PD, its role in emotion processing is still under investigation. This study examines the subthalamic neural oscillatory activities during facial emotion processing and its association with affective characteristics. Methods: Twenty PD patients who underwent subthalamic deep brain stimulation surgery performed a facialexpression-recognition task while STN local field potential (LFP) and frontal electroencephalography (EEG) were recorded. The facial-emotion-induced time-frequency decomposition of the STN-LFP and the frontal EEG, as well as the LFP-EEG coherence, were analyzed. Furthermore, the correlation between STN activities and affective characteristics was examined. Results: Facial expressions elicited increased delta-theta-band and decreased alpha-beta-band activities in STNLFP. Reduced alpha-beta-band LFP desynchronization was correlated with the severity of apathy. Increased theta-band and decreased alpha-beta-band EEG activities responded to facial emotion. Notably, lower coherence between STN-LFP and frontal EEG in delta-theta-band activity and alpha-band activity correlated with the degree of anhedonia. Conclusion: These results indicate that subthalamic activities during facial emotion processing are associated with apathy and anhedonia, emphasizing the cognitive-limbic function of STN and its role as a physiological target for apathy neuromodulation in PD.
引用
收藏
页码：314 / 324
页数：11
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