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Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients
Deep brain stimulation (DBS) requires a precise localization, which is especially difficult at the hypothalamus, because it is usually performed in anesthetized patients. We aimed to characterize the neurophysiological properties posteromedial hypothalamus (PMH), identified by the best neurophysiolo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8773588/ https://www.ncbi.nlm.nih.gov/pubmed/35053786 http://dx.doi.org/10.3390/brainsci12010043 |
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author | Pastor, Jesús Vega-Zelaya, Lorena Martín-Abad, Elena |
author_facet | Pastor, Jesús Vega-Zelaya, Lorena Martín-Abad, Elena |
author_sort | Pastor, Jesús |
collection | PubMed |
description | Deep brain stimulation (DBS) requires a precise localization, which is especially difficult at the hypothalamus, because it is usually performed in anesthetized patients. We aimed to characterize the neurophysiological properties posteromedial hypothalamus (PMH), identified by the best neurophysiological response to electrical stimulation. We obtained microelectrode recordings from four patients with intractable aggressivity operated under general anesthesia. We pooled data from 1.5 mm at PMH, 1.5 mm upper (uPMH) and 1.5 mm lower (lPMH). We analyzed 178 units, characterized by the mean action potential (mAP). Only 11% were negative. We identified the next types of units: P1N1 (30.9%), N1P1N2 (29.8%), P1P2N1 (16.3%), N1P1 and N1N2P1 (6.2%) and P1N1P2 (5.0%). Besides, atypical action potentials (amAP) were recorded in 11.8%. PMH was highly different in cell composition from uPMH and lPMH, exhibiting also a higher percentage of amAP. Different kinds of cells shared similar features for the three hypothalamic regions. Although features for discharge pattern did not show region specificity, the probability mass function of inter-spike interval were different for all the three regions. Comparison of the same kind of mAP with thalamic neurons previously published demonstrate that most of cells are different for derivatives, amplitude and/or duration of repolarization and depolarization phases and also for the first phase, demonstrating a highly specificity for both brain centers. Therefore, the different properties described for PMH can be used to positively refine targeting, even under general anesthesia. Besides, we describe by first time the presence of atypical extracellular action potentials. |
format | Online Article Text |
id | pubmed-8773588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87735882022-01-21 Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients Pastor, Jesús Vega-Zelaya, Lorena Martín-Abad, Elena Brain Sci Article Deep brain stimulation (DBS) requires a precise localization, which is especially difficult at the hypothalamus, because it is usually performed in anesthetized patients. We aimed to characterize the neurophysiological properties posteromedial hypothalamus (PMH), identified by the best neurophysiological response to electrical stimulation. We obtained microelectrode recordings from four patients with intractable aggressivity operated under general anesthesia. We pooled data from 1.5 mm at PMH, 1.5 mm upper (uPMH) and 1.5 mm lower (lPMH). We analyzed 178 units, characterized by the mean action potential (mAP). Only 11% were negative. We identified the next types of units: P1N1 (30.9%), N1P1N2 (29.8%), P1P2N1 (16.3%), N1P1 and N1N2P1 (6.2%) and P1N1P2 (5.0%). Besides, atypical action potentials (amAP) were recorded in 11.8%. PMH was highly different in cell composition from uPMH and lPMH, exhibiting also a higher percentage of amAP. Different kinds of cells shared similar features for the three hypothalamic regions. Although features for discharge pattern did not show region specificity, the probability mass function of inter-spike interval were different for all the three regions. Comparison of the same kind of mAP with thalamic neurons previously published demonstrate that most of cells are different for derivatives, amplitude and/or duration of repolarization and depolarization phases and also for the first phase, demonstrating a highly specificity for both brain centers. Therefore, the different properties described for PMH can be used to positively refine targeting, even under general anesthesia. Besides, we describe by first time the presence of atypical extracellular action potentials. MDPI 2021-12-29 /pmc/articles/PMC8773588/ /pubmed/35053786 http://dx.doi.org/10.3390/brainsci12010043 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pastor, Jesús Vega-Zelaya, Lorena Martín-Abad, Elena Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title | Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title_full | Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title_fullStr | Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title_full_unstemmed | Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title_short | Neurophysiological Characterization of Posteromedial Hypothalamus in Anaesthetized Patients |
title_sort | neurophysiological characterization of posteromedial hypothalamus in anaesthetized patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8773588/ https://www.ncbi.nlm.nih.gov/pubmed/35053786 http://dx.doi.org/10.3390/brainsci12010043 |
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