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Development of DBS programming based on local field potential analysis

Research Project

Project/Area Number 26462219
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionJuntendo University

Principal Investigator

Umemura Atsushi  順天堂大学, 医学(系)研究科(研究院), 先任准教授 (00244567)

Co-Investigator(Renkei-kenkyūsha) Shimo Yasushi  順天堂大学, 医学研究科, 准教授 (70286714)
Oyama Genko  順天堂大学, 医学研究科, 准教授 (00407256)
Hattori Nobutaka  順天堂大学, 医学研究科, 教授 (80218510)
Research Collaborator Iwamuro Hirokazu  
Nakajima Madoka  
Nakajima Asuka  
Jo Takayuki  
Sekimoto Satoko  
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2015: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2014: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Keywordsパーキンソン病 / 脳深部刺激療法 / 視床下核 / 局所フィールド電位
Outline of Final Research Achievements

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has been performed for medically refractory Parkinson’s disease (PD). The aim of this study was to investigate local field potentials (LFPs) from STN during surgery and use it for optimal programming of DBS. The power-spectra analysis of LFPs in the STN of each patient showed a distinct peak in the power within the low beta band (β-oscillation). In most of the patients, this peak was detected as well in the dorsal and ventral areas to the STN. The repetitive hand movement induced a significant increase in the peak power. These results suggest that neuronal activity is abnormally synchronized in the beta band not only in the STN but also widely in the basal ganglia, and it is a pathophysiological feature which reflects rigidity in PD patients. This study is still on-going. Development of new programming method based on the LFPs analysis will be next subjects.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (21 results)

All 2017 2016 2015 2014

All Journal Article (10 results) (of which Peer Reviewed: 5 results,  Open Access: 4 results) Presentation (8 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results) Book (3 results)

  • [Journal Article] Deep Brain Stimulation for Parkinson Disease:Mechanisms and New Technology2017

    • Author(s)
      梅村淳,下泰司,岩室宏一,大山彦光,服部信孝,新井一
    • Journal Title

      Neurological Surgery 脳神経外科

      Volume: 45 Issue: 1 Pages: 5-14

    • DOI

      10.11477/mf.1436203439

    • ISSN
      0301-2603, 1882-1251
    • Year and Date
      2017-01-10
    • Related Report
      2016 Annual Research Report
  • [Journal Article] Interleaving stimulation with a combination of bipolar and monopolar configurations for secondary failure of bilateral subthalamic stimulation in Parkinson’s disease.2017

    • Author(s)
      Tsukada R, Oyama G, Shimo Y, Sekimoto S, Jo T, Nakajima A, Umemura A, Arai H, Hattori N
    • Journal Title

      Neurol Clin Neurosci

      Volume: 5 Pages: 32-33

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 進行期パーキンソン病の治療 手術療法2017

    • Author(s)
      梅村淳,大山彦光,下泰司,服部信孝
    • Journal Title

      日本臨床

      Volume: 75 Pages: 83-88

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Current Topics in Deep Brain Stimulation for Parkinson Disease2016

    • Author(s)
      Umemura A, Oyama G, Shimo Y, Nakajima M, Nakajima A, Jo T, Sekimoto S, Ito M, Mitsuhashi T, Hattori N, Arai H
    • Journal Title

      Neurologia medico-chirurgica

      Volume: 56 Issue: 10 Pages: 613-625

    • DOI

      10.2176/nmc.ra.2016-0021

    • NAID

      130005429955

    • ISSN
      0470-8105, 1349-8029
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Peking University - Juntendo University Joint Symposium on Brain and Skin Diseases2016

    • Author(s)
      Umemura A
    • Journal Title

      Juntendo Medical Journal

      Volume: 62 Issue: 4 Pages: 315-317

    • DOI

      10.14789/jmj.62.315

    • NAID

      130005433497

    • ISSN
      2187-9737, 2188-2126
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of zonisamide on post-traumatic Holmes’ tremor.2016

    • Author(s)
      Sekimoto S, Oyama G, Izawa N, Ueno S, Jo T, Shimo Y, Nakajima A, Nakajima M, Umemura A, Arai H, Hattori N
    • Journal Title

      Neurol Clin Neurosci

      Volume: 4 Issue: 5 Pages: 184-185

    • DOI

      10.1111/ncn3.12063

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 運動障害疾患に対する機能的脳外科治療の変遷2015

    • Author(s)
      梅村淳
    • Journal Title

      医学の歩み

      Volume: 254 Pages: 199-202

    • Related Report
      2015 Research-status Report
  • [Journal Article] Five-year outcomes of bilateral subthalamic nucleus stimulation in Japanese patients with Parkinson’s disease.2015

    • Author(s)
      Umemura A, Miyata M, Oka Y, Okita K, Oyama G, Shimo Y, Hattori N
    • Journal Title

      Advance in Parkinson’s Disease

      Volume: 4 Issue: 02 Pages: 21-27

    • DOI

      10.4236/apd.2015.42004

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] パーキンソン病の薬物治療、DBS手術適応、術後のケア2015

    • Author(s)
      梅村淳,大山彦光,下泰司,服部信孝
    • Journal Title

      脳神経外科速報

      Volume: 25 Pages: 294-302

    • Related Report
      2014 Research-status Report
  • [Journal Article] 進化するパーキンソン病治療 手術療法2014

    • Author(s)
      梅村淳,大山彦光,下泰司,服部信孝
    • Journal Title

      Progress in Medicine

      Volume: 34 Pages: 265-269

    • Related Report
      2014 Research-status Report
  • [Presentation] 脳深部刺激療法におけるIPG交換術後のデバイストラブル.2017

    • Author(s)
      梅村淳
    • Organizer
      第56回日本定位・機能神経外科学会
    • Place of Presentation
      大阪
    • Year and Date
      2017-01-28
    • Related Report
      2016 Annual Research Report
  • [Presentation] パーキンソン病に対する淡蒼球内節刺激術後のすくみ足の悪化.2017

    • Author(s)
      梅村淳,中島円,大山彦光,下泰司,中島明日香,城崇之,関本智子,中村亮太,佐々木扶悠子,伊藤賢伸,岩室宏一,服部信孝,新井一
    • Organizer
      第56回日本定位・機能神経外科学会
    • Place of Presentation
      大阪
    • Year and Date
      2017-01-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] DBS for PD at Juntendo.2017

    • Author(s)
      Umemura A
    • Organizer
      Asan-Juntendo Joint Symposium on DBS for PD and other movement disorders.
    • Place of Presentation
      Seoul
    • Year and Date
      2017-01-21
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] パーキンソン病に対する淡蒼球内節刺激術後のすくみ足の悪化.2016

    • Author(s)
      梅村淳,中島円,大山彦光,下泰司,中島明日香,城崇之,関本智子,中村亮太,伊藤賢伸,岩室宏一,服部信孝,新井一
    • Organizer
      社団法人日本脳神経外科学会 第75回学術総会
    • Place of Presentation
      福岡
    • Year and Date
      2016-09-29
    • Related Report
      2016 Annual Research Report
  • [Presentation] パーキンソン病に対するDBS適応判定におけるEARLYSTIMULUSの有用性2015

    • Author(s)
      梅村淳,中島円,大山彦光,下泰司,中島明日香,城崇之,関本智子,伊藤賢伸,服部信孝,新井一
    • Organizer
      社団法人日本脳神経外科学会 第74回学術総会
    • Place of Presentation
      札幌
    • Year and Date
      2015-10-14
    • Related Report
      2015 Research-status Report
  • [Presentation] パーキンソン病に対する機能外科治療発展への期待2015

    • Author(s)
      梅村淳
    • Organizer
      社団法人日本脳神経外科学会 第74回学術総会
    • Place of Presentation
      札幌
    • Year and Date
      2015-10-14
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Usefulness of interleaving programing in pallidal stimulation for Parkinson’s disease.2015

    • Author(s)
      Umemura A, Oyama G, Shimo Y, Nakajima A, Jo T, Nakajima M, Ishii H, Arai H, Hattori N
    • Organizer
      1st International Brain Stimulation Conference
    • Place of Presentation
      Singapore
    • Year and Date
      2015-04-02
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] パーキンソン病に対するDBS ターゲットの選択と刺激方法2014

    • Author(s)
      梅村淳
    • Organizer
      社団法人日本脳神経外科学会 第73回学術総会
    • Place of Presentation
      東京(新高輪プリンスホテル)
    • Year and Date
      2014-10-10
    • Related Report
      2014 Research-status Report
  • [Book] 定位脳手術のデバイスと手術手技.伊達勲(編)デバイスとITを使いこなす脳神経外科手術2017

    • Author(s)
      梅村淳,中島円
    • Total Pages
      151
    • Publisher
      Medical View
    • Related Report
      2016 Annual Research Report
  • [Book] パーキンソン病外来2016

    • Author(s)
      大山彦光,下泰司,梅村淳,服部信孝
    • Total Pages
      264
    • Publisher
      Medical View
    • Related Report
      2015 Research-status Report
  • [Book] 臨床に役立つ神経障害性痛の理解2015

    • Author(s)
      梅村淳
    • Total Pages
      285
    • Publisher
      文光堂
    • Related Report
      2015 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2018-03-22  

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