A practical guide to invasive neurophysiology in patients with deep brain stimulation

Wolf-Julian Neumann, Richard M. Köhler, Andrea A. Kühn
Accepted 2 May 2022, Available online 14 May 2022, Version of Record 18 July 2022.

ABSTRACT

Deep brain stimulation (DBS) offers the unique opportunity to record human neural population activity as multiunit activity and local field potentials (LFP) directly from the target area in the depth of the brain. This has led to important discoveries through characterization of pathological activity patterns and identification of motor and cognitive correlates of basal ganglia function in patients with movement disorders. These findings have been covered extensively in a large body of literature, but the technical aspects of microelectrode and LFP recordings in DBS patients are rarely reported. This review summarizes the experience from invasive neurophysiology experiments in over 500 DBS cases in the last 20 years in a single centre. It introduces the basics of intraoperative microelectrode recordings, discusses the neurophysiological and technical aspects of LFP signals and gives and outlook on current and next-generation developments - from sensing enabled implantable devices to combined electrocorticography and LFP recordings during adaptive DBS.

“All DBS and electrode manufacturers have made such an adapter commercially available. However, these adapters do not provide standard EEG connectors. Therefore, an additional cable is required to connect from manufacturer-specific externalization adapter to the input of the EEG System.”

https://www.sciencedirect.com/science/article/pii/S1388245722002693?via%3Dihub