» Articles » PMID: 39344591

Current and Future Applications of Local Field Potential-guided Programming for Parkinson's Disease with the Percept™ Rechargeable Neurostimulator

Overview
Date 2024 Sep 30
PMID 39344591
Authors
Affiliations
Soon will be listed here.
Abstract

Deep brain stimulation (DBS) has been established as an effective neuromodulatory treatment for Parkinson's disease (PD) with motor complications or refractory tremor. Various DBS devices with unique technology platforms are commercially available and deliver continuous, open-loop stimulation. The Percept™ family of neurostimulators use BrainSense™ technology with five key features to sense local field potentials while stimulating, enabling integration of physiologic data into the routine practice of DBS programming. The newly approved Percept™ rechargeable RC implantable pulse generator offers a smaller, thinner design and reduced recharge time with prolonged recharge interval. In this review, we describe the application of local field potential sensing-based programming in PD and highlight the potential future clinical implementation of closed-loop stimulation using the Percept™ RC implantable pulse generator.

References
1.
Marceglia S, Conti C, Svanidze O, Foffani G, Lozano A, Moro E . Double-blind cross-over pilot trial protocol to evaluate the safety and preliminary efficacy of long-term adaptive deep brain stimulation in patients with Parkinson's disease. BMJ Open. 2022; 12(1):e049955. PMC: 8724732. DOI: 10.1136/bmjopen-2021-049955. View

2.
Kuhn A, Kupsch A, Schneider G, Brown P . Reduction in subthalamic 8-35 Hz oscillatory activity correlates with clinical improvement in Parkinson's disease. Eur J Neurosci. 2006; 23(7):1956-60. DOI: 10.1111/j.1460-9568.2006.04717.x. View

3.
Stanslaski S, Summers R, Tonder L, Tan Y, Case M, Raike R . Sensing data and methodology from the Adaptive DBS Algorithm for Personalized Therapy in Parkinson's Disease (ADAPT-PD) clinical trial. NPJ Parkinsons Dis. 2024; 10(1):174. PMC: 11408616. DOI: 10.1038/s41531-024-00772-5. View

4.
Wiest C, Tinkhauser G, Pogosyan A, Bange M, Muthuraman M, Groppa S . Local field potential activity dynamics in response to deep brain stimulation of the subthalamic nucleus in Parkinson's disease. Neurobiol Dis. 2020; 143:105019. PMC: 7115855. DOI: 10.1016/j.nbd.2020.105019. View

5.
van Wijk B, Beudel M, Jha A, Oswal A, Foltynie T, Hariz M . Subthalamic nucleus phase-amplitude coupling correlates with motor impairment in Parkinson's disease. Clin Neurophysiol. 2016; 127(4):2010-9. PMC: 4803022. DOI: 10.1016/j.clinph.2016.01.015. View