Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects
The subthalamic nucleus (STN) is a small almond-shaped subcortical structure classically known for its role in motor inhibition through the indirect pathway within the basal ganglia. Little is known about the role of the STN in mediating cognitive functions in humans. Here, we explore the role of th...
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doaj-c34e6aa3efd240cfa94457a14e873fa72021-05-05T16:08:44ZengeLife Sciences Publications LtdeLife2050-084X2018-09-01710.7554/eLife.36460Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjectsShaun R Patel0https://orcid.org/0000-0002-9334-2522Todd M Herrington1Sameer A Sheth2Matthew Mian3Sarah K Bick4Jimmy C Yang5Alice W Flaherty6Michael J Frank7https://orcid.org/0000-0001-8451-0523Alik S Widge8https://orcid.org/0000-0001-8510-341XDarin Dougherty9Emad N Eskandar10Department Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, United States; Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment of Neurosurgery, Baylor College of Medicine, Houston, United StatesDepartment Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, United States; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment of Cognitive, Linguistic and Psychological Sciences, Brown University, Providence, United StatesDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesDepartment Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, United StatesThe subthalamic nucleus (STN) is a small almond-shaped subcortical structure classically known for its role in motor inhibition through the indirect pathway within the basal ganglia. Little is known about the role of the STN in mediating cognitive functions in humans. Here, we explore the role of the STN in human subjects making decisions under conditions of uncertainty using single-neuron recordings and intermittent deep brain stimulation (DBS) during a financial decision-making task. Intraoperative single-neuronal data from the STN reveals that on high-uncertainty trials, spiking activity encodes the upcoming decision within a brief (500 ms) temporal window during the choice period, prior to the manifestation of the choice. Application of intermittent DBS selectively prior to the choice period alters decisions and biases subject behavior towards conservative wagers.https://elifesciences.org/articles/36460subthalamic nucleusneurophysiologyfMRIhumandecision-makingdeep brain stimulation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shaun R Patel Todd M Herrington Sameer A Sheth Matthew Mian Sarah K Bick Jimmy C Yang Alice W Flaherty Michael J Frank Alik S Widge Darin Dougherty Emad N Eskandar |
spellingShingle |
Shaun R Patel Todd M Herrington Sameer A Sheth Matthew Mian Sarah K Bick Jimmy C Yang Alice W Flaherty Michael J Frank Alik S Widge Darin Dougherty Emad N Eskandar Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects eLife subthalamic nucleus neurophysiology fMRI human decision-making deep brain stimulation |
author_facet |
Shaun R Patel Todd M Herrington Sameer A Sheth Matthew Mian Sarah K Bick Jimmy C Yang Alice W Flaherty Michael J Frank Alik S Widge Darin Dougherty Emad N Eskandar |
author_sort |
Shaun R Patel |
title |
Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
title_short |
Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
title_full |
Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
title_fullStr |
Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
title_full_unstemmed |
Intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
title_sort |
intermittent subthalamic nucleus deep brain stimulation induces risk-aversive behavior in human subjects |
publisher |
eLife Sciences Publications Ltd |
series |
eLife |
issn |
2050-084X |
publishDate |
2018-09-01 |
description |
The subthalamic nucleus (STN) is a small almond-shaped subcortical structure classically known for its role in motor inhibition through the indirect pathway within the basal ganglia. Little is known about the role of the STN in mediating cognitive functions in humans. Here, we explore the role of the STN in human subjects making decisions under conditions of uncertainty using single-neuron recordings and intermittent deep brain stimulation (DBS) during a financial decision-making task. Intraoperative single-neuronal data from the STN reveals that on high-uncertainty trials, spiking activity encodes the upcoming decision within a brief (500 ms) temporal window during the choice period, prior to the manifestation of the choice. Application of intermittent DBS selectively prior to the choice period alters decisions and biases subject behavior towards conservative wagers. |
topic |
subthalamic nucleus neurophysiology fMRI human decision-making deep brain stimulation |
url |
https://elifesciences.org/articles/36460 |
work_keys_str_mv |
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