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Subthalamic modulation of sequential working memory in Parkinson’s disease

Subject Area Human Cognitive and Systems Neuroscience
Term from 2020 to 2023
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 432259499
 
Final Report Year 2024

Final Report Abstract

The ability to organize representations in working memory in a sequential manner is vital for complex behaviors. Serial ordering in working memory is a fundamental aspect of cognitive processing, yet it has been largely overlooked in past research. Our previous studies have identified a neural network responsible for serial ordering, which includes areas such as the dorsolateral and ventrolateral prefrontal cortex, posterior parietal cortex, globus pallidus, thalamus, substantia nigra, cerebellum, and notably, the subthalamic nucleus (STN). We have also found that individuals with Parkinson’s disease (PD) show difficulties with serial ordering in working memory. The STN, a focal point for deep brain stimulation (DBS) in PD treatment, will play a central role in our current study. In the course of the project experimentally influenced the serial ordering network in patients with STN-DBS by having them perform a task with the stimulator turned on and off. Additionally, we also performed several fMRI experiments to further pinpoint the role of the STN (and other brain areas) in serial working memory. Based on the results of our fMRI studies we attempted to affect key cortical areas of the serial ordering network using robot-navigated theta-burst transcranial magnetic stimulation in healthy subjects. To summarize, we have established the role of the STN as a key player in serial working memory. These studies should be extended to assess the STN’s role in the different subdomains of executive functions.

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