CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(08): 539-545
DOI: 10.1590/0004-282X20170109
ARTICLES

Bereitschaftspotential preceding eyelid blinks in Parkinson’s disease

Potencial de Bereitschafts precedendo o piscamento ocular na doença de Parkinson
Isabella Araújo Mota
1   Hospital Universitário Lauro Wanderley, Ambulatório de Neurologia, João Pessoa PB, Brasil;
,
Maria das Graças Coriolano
2   Universidade Federal de Pernambuco, Departamento de Anatomia, Recife PE, Brasil;
,
Otávio Gomes Lins
3   Universidade Federal de Pernambuco, Departamento de Neuropsiquiatria, Recife PE, Brasil.
› Author Affiliations

ABSTRACT

The Bereitschaftspotential (BP) is a negative wave observed in EEG retrograde averaging, preceding a motor act. The objective was to study the BP preceding voluntary eyelid blinks in Parkinson’s disease (PD) patients during off and on phases of levodopa.

Methods

Ten PD patients in stages 1 and 2 of the Hoehn & Yahr classification were compared to 18 healthy controls. Artifact-free EEG segments of two seconds preceding the onset of the blink potential were averaged and analyzed, and the statistical significance of the measured amplitudes were evaluated by analysis of variance models.

Results

The presence of a BP in the PD patients was demonstrated. The mean amplitudes at 0 ms were respectively 0.6 μV and 3.3 μV for the BP patients and the normal controls, respectively.

Conclusions

The BP amplitudes were significantly smaller in PD patients than normal participants. The amplitudes of the BP were not modified by levodopa.

RESUMO

O Potencial de Bereitschafts (PB) é uma onda negativa observada retrogradamente no EEG precedendo um ato motor.

Objetivo

Estudar o PB precedendo o piscamento palpebral voluntário em pacientes com doença de Parkinson (DP) durante as fases off e on da levodopa. Foram comparados dez pacientes com DP nos estágios 1 e 2 de Hoehn & Yahr com 18 controles saudáveis. Os segmentos de EEG livres de artefatos 2 segundos antes do início do potencial foram calculados e analisados e a significância estatística das amplitudes foi medida por modelos de análise de variância.

Resultados

A presença de PB nos pacientes com DP foi demonstrada. As amplitudes médias a 0 ms foram respectivamente 0,6 μV e 3,3 μV para os pacientes com DP e controles respectivamente.

Conclusões

As amplitudes do PB foram significativamente menores nos pacientes com DP do que controles. As amplitudes do PB não foram modificadas pela levodopa.



Publication History

Received: 10 February 2017

Accepted: 04 May 2017

Article published online:
05 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Korosec M, Zidar I, Reits D, Evinger C, Vanderwerf F. Eyelid movements during blinking in patients with Parkinson’s disease. Mov Disord. 2006;21(8):1248-51. https://doi.org/10.1002/mds.20930
  • 2 Tickle-Degnen L, Zebrowitz LA, Ma HI. Culture, gender and health care stigma: practitioners’ response to facial masking experienced by people with Parkinson’s disease. Soc Sci Med. 2011;73:95-102. https://doi.org/10.1016/j.socscimed.2011.05.008
  • 3 Berardelli A, Rothwell JC, Thompson PD, Hallett M. Pathophysiology of bradykinesia in Parkinson’s disease. Review Article. Brain. 2001;124(11): 2131-46. https://doi.org/10.1093/brain/124.11.2131
  • 4 Almeida QJ, Brown MJN. Is DOPA-responsive hypokinesia responsible for bimanual coordination deficits in Parkinson’s disease? Front Neurol. 2013;4:89. https://doi.org/10.3389/fneur.2013.00089
  • 5 Yu R, Liu B, Wang L, Chen J, Liu X. Enhanced functional connectivity between putamen and supplementary motor area in Parkinson’s disease patients. PLoS One. 2013;8:59717. https://doi.org/10.1371/journal.pone.0059717
  • 6 Gröger A, Kolb R, Schäfer R, Klose U. Dopamine reduction in the substantia nigra of Parkinson’s disease patients confirmed by in vivo magnetic resonance spectroscopic imaging. PLoS One. 2014;9(1):84081. https://doi.org/10.1371/journal.pone.0084081
  • 7 Deuschl G, Goddemeier C. Spontaneous and reflex activity of facial muscles in dystonia, Parkinson’s disease, and in normal subjects. J Neurol Neurosurg Psychiatry. 1998;64(3):320-4. https://doi.org/10.1136/jnnp.64.3.320
  • 8 Taylor JR, Elsworth JD, Lawrence MS, Sladek JR Jr, Roth RH, Redmond DE Jr. Spontaneous blink rates correlate with dopamine levels in the caudate nucleus of MPTP-treated monkeys. Exp Neurol. 1999;158(1):214-20. https://doi.org/10.1006/exnr.1999.7093
  • 9 Colzato LS, Wildenberg, WPM, Hommel, B. Reduced spontaneous eye blink rates in recreational cocaine users: evidence for dopaminergic hypoactivity. PLoS One. 2008;3(10):3461. https://doi.org/10.1371/journal.pone.0003461
  • 10 Agostino R, Bologna M, Dinapoli L, Gregori B, Fabbrini G, Accornero N et al. Voluntary, spontaneous, and reflex blinking in parkinson’s disease. Mov Disord. 2008;23(5):669-75. https://doi.org/10.1002/mds.21887
  • 11 Penders CA, Delwaide PJ. Blink reflex studies in patients with Parkinsonism before and during therapy. J Neurol Neurosurg Psychiatry. 1971;34(6):674-8. https://doi.org/10.1136/jnnp.34.6.674
  • 12 Tolosa E, Katzenschlager R. Pharmacological management of Parkinson`s disease. In: Jankovic J, Tolosa E. Parkinson´s disease and movement disorders. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 113-6.
  • 13 Porras G, De Deurwaerdere P, Li Q, Marti M, Morgenstern R, Sohr R et al. L-dopa-induced dyskinesia: beyond an excessive dopamine tone in the striatum. Sci Rep. 2014;4(1):3730. https://doi.org/10.1038/srep03730
  • 14 Espay AJ, Giuffrida JP, Chen R, Payne M, Mazzella F, Dunn E et al. Differential response of speed, amplitude, and rhythm to dopaminergic medications in Parkinson’s disease. Mov Disord. 2011;26(14):2504-8. https://doi.org/10.1002/mds.23893
  • 15 Caviness JN, Evidente VG, Joshi N. An investigation on the reproducibility of the Bereitschaftspotential. Neurology. 1998;50:A224-5.
  • 16 Shibasaki H, Hallet M. What is the Bereitschaftspotential? Clin Neurophysiol. 2006;117(11):2341-56. https://doi.org/10.1016/j.clinph.2006.04.025
  • 17 Colebatch JG. Bereitschaftspotential and movement-related potentials: origin, significance, and application in disorders of human movement. Mov Disord. 2007;22(5):601-60. https://doi.org/10.1002/mds.21323
  • 18 Mota IA, Lins OG. Bereitschaftspotential preceding spontaneous and voluntary eyelid blinks in normal individuals. Clin Neurophysiol. 2017;128(1):100-5. https://doi.org/10.1016/j.clinph.2016.10.010
  • 19 Shimizu N, Okiyama R. Bereitschaftspotential preceding voluntary saccades is abnormal in patients with Parkinson’s disease. Adv Neurol. 1993;60:398-402.
  • 20 Jahanshahi M, Jenkins IH, Brown RG, Marsden CD, Passingham RE, Brooks DJ. Self-initiated versus externally triggered movements. I. An investigation using measurement of regional cerebral blood flow with PET and movement-related potentials in normal and Parkinson´s disease subjects. Brain. 1995;118(4):913-33. https://doi.org/10.1093/brain/118.4.913
  • 21 Praamstra P, Cools AR, Stegeman DF, Horstink MW. Movement-related potential measures of different modes of movement selection in Parkinson’s disease. J Neurol Sci. 1996;140(1-2):67-74. https://doi.org/10.1016/0022-510X(96)00076-7
  • 22 Dick JP, Rothwell JC, Day BL, Cantello R, Buruma O, Gioux M et al. The Bereitschaftspotential is abnormal in Parkinson’s disease. Brain. 1989;112(1):233-44. https://doi.org/10.1093/brain/112.1.233
  • 23 Cunnington R, Iansek R, Johnson KA, Bradshaw JL. Movement-related potentials in Parkinson’s disease. Motor imagery and movement preparation. Brain. 1997;120(8):1339-53. https://doi.org/10.1093/brain/120.8.1339
  • 24 Filipović SR, Sternić N, Svetel M, Dragasević N, Lecic D, Kostić VS. Bereitschaftspotential in depressed and non-depressed patients with Parkinson’s disease. Mov Disord. 2001;16(2):294-300. https://doi.org/10.1002/mds.1059
  • 25 Fumuro T, Matsuhashi M, Mitsueda T, Inouchi M, Hitomi T, Nakagawa T et al. Bereitschaftspotential augmentation by neuro-feedback training in Parkinson’s disease. Clin Neurophysiol. 2013;124(7):1398-405. https://doi.org/10.1016/j.clinph.2013.01.026
  • 26 Touge T, Werhahn KJ, Rothwell JC, Marsden CD. Movement-related cortical potentials preceding repetitive and random-choice hand movements in Parkinson’s disease. Ann Neurol. 1995;37(6):791-9. https://doi.org/10.1002/ana.410370613
  • 27 Fattapposta F, Pierelli F, My F, Mostarda M, Del Monte S, Parisi L et al. L-dopa effects on preprogramming and control activity in a skilled motor act in Parkinson’s disease. Clin Neurophysiol. 2002;113(2):243-53. https://doi.org/10.1016/S1388-2457(01)00723-4
  • 28 Gironell A, Rodríguez-Fornells A, Kulisevsky J, Pascual B, Barbanoj M, Otermin P. Motor circuitry re-organization after pallidotomy in Parkinson disease: a neurophysiological study of the bereitschaftspotential, contingent negative variation, and N30. J Clin Neurophysiol. 2002;19(6):553-61. https://doi.org/10.1097/00004691-200212000-00009
  • 29 Yamamoto J, Ikeda A, Satow T, Matsuhashi M, Baba K, Yamane F et al. Human eye fields in the frontal lobe as studied by epicortical recording of movement-related cortical potentials. Brain. 2004;127(4):873-87. https://doi.org/10.1093/brain/awh110
  • 30 Singh J, Knight RT, Woods DL, Beckley DJ, Clayworth C. Lack of age effects on human brain potentials preceding voluntary movements. Neurosci Lett. 1990;119(1): 27-31. https://doi.org/10.1016/0304-3940(90)90747-W