Pallidal spiketrain variability and randomness are the most important
signatures to classify Parkinson's disease and cervical dystonia
Abstract
Movement disorders such as Parkinson’s disease (PD) and cervical
dystonia (CD) are associated with abnormal neuronal activity in the
globus pallidus internus (GPi). Reduced firing rate and presence of
spiking bursts are typical for CD, while PD is characterized by high
frequency tonic activity. This research aims to identify the most
important pallidal spiking parameters to classify these conditions. We
analyzed the single unit activity of the external (GPe) and internal
(GPi) segments of the globus pallidus in 11 CD and 10 PD patients who
underwent standard DBS implantation. We compared firing rate, firing
pattern and oscillatory characteristics of tonic, burst and pause cells
and used logistic regression and random forest models to classify
patients according to their pallidal activity. In the GPi we discovered
prevalence of high firing rate tonic cells in patients with PD, while in
dystonia burst neurons with high firing rate were predominant. GPi pause
cells were mostly observed in CD patients and exhibited less spike
variability compared to PD. Characteristics of neurons and their
distribution in the GPe was similar. Logistic regression and random
forest models identified spike variability and randomness as the key
features for distinguishing between PD and CD, instead of firing rate or
oscillation properties. Our study demonstrates that pallidal activity
can predict Parkinson’s disease and cervical dystonia with high
accuracy. Burst dynamics and characteristics of spiking randomness
including entropy appear to be the most meaningful reflections of the
neurophysiology of studied diseases.