RT Journal Article T1 Understanding Deep Brain Stimulation: In Vivo Metabolic Consequences of the Electrode Insertional Effect A1 Casquero Veiga, Marta A1 García García, David A1 Desco Menéndez, Manuel A1 Soto Montenegro, Mª Luisa AB Deep brain stimulation (DBS) is a neurosurgery technique widely used in movement disorders, although its mechanism of action remains unclear. In fact, apart from the stimulation itself, the mechanical insertion of the electrode may play a crucial role. Here we aimed to distinguish between the insertional and the DBS effects on brain glucose metabolism. To this end, electrodes were implanted targeting the medial prefrontal cortex in five adult male Wistar rats. Positron Emission Tomography (PET) studies were performed before surgery (D0) and seven (D7) and nine days (D9) after that. DBS was applied during the (18)FDG uptake of the D9 study. PET data were analysed with statistical parametric mapping. We found an electrode insertional effect in cortical areas, while DBS resulted in a more widespread metabolic pattern. The consequences of simultaneous electrode and DBS factors revealed a combination of both effects. Therefore, the insertion metabolic effects differed from the stimulation ones, which should be considered when assessing DBS protocols. PB Hindawi SN 2314-6133 YR 2018 FD 2018-10-17 LK https://hdl.handle.net/10016/38829 UL https://hdl.handle.net/10016/38829 LA eng DS e-Archivo RD 17 jul. 2024