Summary of key anatomic tracts and structures
Structure | Figure | Regions Connected | Relevant Disorders | Hypothesized Effects of Stimulation |
---|---|---|---|---|
AL | Fig 4B, -D (yellow) | GPi, VOa | PD and dystonia | Improve dystonia and dyskinesia |
AS | Fig 4B, -C (purple); Fig 3B, -C (blue) | STN, GPi | PD and dystonia | Direct stimulation effect unknown |
ATR | Fig 5A, -B (red) | Thalamus, prefrontal cortex | OCD | Improve OCD |
DRTT | Fig 1C, -D (red and green); Fig 4D (green) | DN, RN, VIM/VOp, M1 | ET and tremor-predominant PD | Improve tremor, worsen ataxia |
FL | Fig 2A; Fig 4D (red) | GPi, VOa | PD and dystonia | Improve dystonia and parkinsonism |
FS | Fig 3B, -C (Pink); Fig 4B, -C (red) | STN, GPe | PD and dystonia | Direct stimulation effect unknown |
Hyperdirect pathway (limbic/associative) | Fig 3A (cyan, yellow) | STN, broad limbic and associative regions | OCD | Improve OCD |
Hyperdirect pathway (motor) | Fig 3A (orange) | STN, motor cortex | PD | Improve parkinsonism |
MMT | Fig 6C (green) | Mammillary body, ANT | Epilepsy | Decrease seizures |
MFB | Fig 5A, -B (cyan) | VTA, nucleus accumbens and olfactory cortex | Depression (off-label use) | Possibly worsens OCD |
TF | Fig 2A | Combination of FL, AL, and DRTT, thalamus | PD, dystonia, ET | Improve tremor |
vtaPP (formerly slMFB)a | Fig 5A, -B (green) | DN, VTA, SFG, MFG, and lateral OFC | OCD | Possibly improve OCD |
ANT | Fig 6A–C | Epilepsy | Decrease seizures | |
VIM | Fig 1A–C; Fig 4D | ET and tremor-predominant PD | Improve tremor, worsen ataxia, dysarthria | |
VOa/VOp | Fig 1A, -B; Fig 4D | ET and tremor-predominant PD | Improve tremor, dystonia, worsen ataxia | |
ZI | Fig 1C; Fig 2A | ET and tremor-predominant PD | Improve tremor, worsen ataxia |
Note:—DN indicates dentate nucleus; M1, primary motor cortex; MFG, middle frontal gyrus; OFC, orbitofrontal cortex; RN, red nucleus; SFG, superior frontal gyrus; VOa, ventralis oralis anterior; VOp, ventralis oralis posterior; VTA, ventral tegmental area; vtaPP, projection pathway from the ventral tegmental area.
↵a vtaPP (slMFB) likely represents misidentification of the limbic/associative hyperdirect pathway.