Subthalamic Activity Is Associated With Proactive Inhibition in Parkinson's Disease Patients.

The subthalamic nucleus (STN) is a key element of the indirect pathway of the basal ganglia (BG) and an effective target for improving motor symptoms in Parkinson's disease (PD) using deep brain stimulation (DBS). While dopamine neuron loss in PD results in a net shift towards increased inhibitory output from the BG, the precise mechanisms by which STN contributes to diminished movement remain unclear due to the complexity and multiplicity of processes underlying response inhibition. We used a modified Go/NoGo task varying uncertainty about Go or NoGo responses to determine how changes in response inhibition are related to STN local field potentials measured in 19 PD patients operated for STN-DBS.

Reference Interval for Glycated Albumin, 1,5-AG/GA, and GA/HbA1c Ratios and Cut-Off Values for Type 1, Type 2, and Gestational Diabetes: A Cross-Sectional Study.

Glycated albumin (GA) serves as a biomarker for short-term glycemic control (2-3 weeks), playing a role in diabetes management. Our goal was to establish reference intervals (RIs) for serum GA, and the ratios of 1,5-anhydroglucitol to GA (AGI) and GA to HbA1c in a Euro-Brazilian pediatric population (10 y, n = 299), adults (43.5 y; n = 290), and pregnant women (26 y, n = 406; 26.

Directional Subthalamic Deep Brain Stimulation Better Improves Gait and Balance Disorders in Parkinson's Disease Patients: A Randomized Controlled Study.

Objective: To investigate the effects of directional subthalamic deep brain stimulation (STN-dDBS) on gait and balance disorders, including freezing of gait (FOG), in patients with advanced Parkinson's disease (PD).

Methods: We included 10 participants who underwent STN-DBS and presented severe preoperative FOG, in a randomized, double-blind, crossover study. We used segmented DBS electrodes to investigate whether directing the predicted volume of tissue activated (VTA) to overlap the central STN preferentially improved gait and balance disorders compared to directional DBS applied in the more posterior STN (sensorimotor).