Subthalamic neurons display uncommon intrinsic behaviors that are likely to contribute to the motor and cognitive functions of the basal ganglia and to many of its disorders. Here, we report silent plateau potentials in these cells. These plateau responses start with a transient burst of action potentials that quickly diminish in amplitude because of spike inactivation and current shunt. The resulting interruption of spiking reveals a stable depolarization (up state) that clamps the cell membrane potential near ؊40 mV for several seconds. These plateau potentials coexist in single subthalamic neurons with more familiar patterns of burst and pacemaker firing. Within a narrow range of baseline membrane potentials (؊67 to ؊60 mV), depolarization abruptly switches single cells from bistable to rhythmic bursts or tonic firing modes, thus selecting entirely distinct algorithms for integrating cortical and pallidal synaptic inputs.basal ganglia ͉ bistability ͉ cortex S ubthalamic neurons contribute to the motor (1, 2) and limbic (3, 4) functions of the basal ganglia. Their importance is particularly obvious in Parkinson's disease, in which symptoms improve with high-frequency subthalamic stimulation (5) or subthalamic lesion (6). Thus, there is considerable interest in understanding the synaptic and intrinsic mechanisms that control firing in these cells.At rest, subthalamic neurons display a regular pacemaker activity maintained by sustained (7,8) and resurgent (9) voltagegated Na currents. However, there is little consensus on their firing patterns when they are hyperpolarized.Studies in whole-cell or perforated-patch configurations have reported a quasilinear modulation of cell firing by current injection, excitatory postsynaptic potentials (EPSPs), or inhibitory postsynaptic potentials (IPSPs) (8,(10)(11)(12), with nonlinearities limited to small rebound bursts after IPSPs (13). Consistent with these findings, the in vivo subthalamic responses to cortical stimulation (14-17), their synchronization to cortical slow oscillations (18), and spike-wave discharges (19) are readily explained by the summating contributions of direct cortical inputs and indirect pathways (18,20,21).Studies in whole-cell or cell-attached configurations have revealed more complex bursts of action potentials or spikegenerating plateau potentials that switch to pacemaker firing with membrane depolarization (22-26). These bursts may occur spontaneously (23, 24), generating rhythms strikingly similar to the multisecond-long oscillations reported in subthalamic neurons of locally anesthetized rats (27) and awake monkeys (28).In this study, we investigated the intrinsic behaviors of subthalamic neurons challenged with a wide range of synaptic and current stimuli, during whole-cell, perforated-patch, or cellattached recordings. We found an unexpected homogeneity and complexity in their firing patterns. Independent of the recording conditions, subthalamic neurons display the following four selfsustaining regimes: a resting down state, a quiescent pla...