Motor Network Physiology Characterization During Deep Brain Stimulation Surgery

Status: Recruiting
Location: See location...
Intervention Type: Drug, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The brain networks controlling movement are complex, involving multiple areas of the brain. Some neurological disorders, like Parkinson's disease (PD) and essential tremor (ET), cause abnormalities in these brain networks. Deep brain stimulation is a treatment that is used to treat these types of neurological diseases and is thought to help patients by modulating brain networks responsible for movement. Levodopa medication is also used to modulate this brain networks in patients with PD. The overall objective is to develop a unified theory of basal ganglia thalamocortical (BGTC) circuit dynamics that accounts for disease symptomatology, movement, and their inter-relationship. The underlying hypothesis, is that the rigidity and bradykinesia of PD are fundamentally related to excessive functional coupling across nodes in the BGTC motor circuit impeding effective information flow. In this research, the investigator will take advantage of the unique opportunity provided by awake deep brain stimulation surgery to learn more about how the brain functions in a diseased state and how deep brain stimulation changes these networks to make movement more normal. The investigator will simultaneously assess cortical and subcortical electrophysiology in relation to clinical symptoms and behavioral measures and in response to deep brain stimulation, cortical stimulation, and pharmacologic therapy in patients undergoing Deep Brain Stimulation (DBS) implantation surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 89
Healthy Volunteers: f
View:

• Diagnosis of Parkinson's disease who have been recommended to undergo deep brain stimulation for management of their movement disorder

• Preoperative MRI without evidence of cortical or subdural adhesions or vascular abnormalities

• Willingness and ability to cooperate during conscious operative procedure for up to 40 minutes

Locations
United States
Texas
UT Southwestern Medical Center
RECRUITING
Dallas
Contact Information
Primary
Nader Pouratian, MD, PhD
nader.pouratian@utsouthwestern.edu
(214)645-5465
Backup
Sachil Chilukuri
sahil.chilukuri@utsouthwestern.edu
2146455465
Time Frame
Start Date: 2022-02-18
Estimated Completion Date: 2028-12-01
Participants
Target number of participants: 120
Treatments
Experimental: Parkinson's disease patients
This group consists of Parkinson's disease patients who are undergoing deep brain stimulation surgery for treatment of their movement disorder. Participants will complete behavioral assessments while receiving subcortical DBS stimulation and / or inhaled levodopa medication, Inbrija. Stimulation will be applied at the previously determined therapeutic frequency. Two capsules (84 mg) of Inbrija will be administered.
Sponsors
Leads: University of Texas Southwestern Medical Center
Collaborators: University of California, Los Angeles, National Institute of Neurological Disorders and Stroke (NINDS)

This content was sourced from clinicaltrials.gov