“…Deep brain stimulation has demonstrated alleviation of motor symptoms of PD while decreasing the need for pharmaceutical dopamine treatment, indicating DBS impacts dopaminergic system. In preclinical research, STN-DBS has both local and distant effects on dopaminergic systems ( Meissner et al, 2002 ; Walker et al, 2009 ; He et al, 2014 ; Yamamoto et al, 2014 ; Carcenac et al, 2015 ; Melon et al, 2015 ; Min et al, 2016 ; Nakajima et al, 2017 ; Du et al, 2018 ; Sahai et al, 2020 ). In contrast, clinical results demonstrate local impacts from STN-DBS using electrophysiological and microdialysis, but such data shows less consistency compared to distant effect from neuroimaging studies ( Hilker et al, 2003 ; Strafella et al, 2003 ; Nimura et al, 2005 ; Hesse et al, 2008 ; Thobois et al, 2010 ; Yamamoto et al, 2015 ).…”