“…Building upon the hypothesis that standard and temporally alternative patterns of STN-DBS exert their local-level effect through desynchronization of subthalamic neuronal activity, in this study, we employ methods from stochastic nonlinear dynamics [39][40][41] and two microelectrode recording (MER) datasets to comparatively assess the desynchronizing effect of standard (regular at 130 Hz) versus eleven temporally alternative patterns of STN-DBS for PD and OCD, and to further determine the particular pattern characteristics correlated with a significantly stronger desynchronizing effect. In particular, on the grounds of a recently developed stochastic phase model describing an ensemble of globally coupled chaotic oscillators driven by common, independent noises, and external forcing [42] (figure 1), we evaluate, for a total of 2×96 subthalamic MERs (each dataset acquired during STN-DBS for PD and STN-DBS for OCD, respectively) the invariant density (steady-state phase distribution) [43,44], as a quantity herein reflecting the desynchronizing effect of the applied patterns of stimulation on the subthalamic neural population activity. We corroborate the robustness of this measure in discriminating desynchronization scenarios through comparisons with an alternative outcome variable, the Lyapunov exponent, and provide indications for its possible correlation with the clinical effectiveness of stimulation.…”