{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:40:21Z","timestamp":1792658421716,"version":"4.5.0"},"reference-count":119,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Neurology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The human neuroanatomy for gait dysfunction remains unclear. We sought (1) to identify a brain circuit for gait impairment post stroke, (2) to identify a brain circuit for gait changes after subthalamic deep brain stimulation (DBS) for Parkinson's disease (PD), and (3) to test for convergence between these 2 circuits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional retrospective study used data from 4 independent datasets including 109 individuals with stroke and 125 PD patients who received subthalamic DBS. Gait impairment post\u2010stroke was measured using the Combined Walking Index. Gait changes after DBS were measured using the gait subscore on the Unified Parkinson Disease Rating Scale part III. Connectivity between lesion locations or DBS sites and 2 a priori locomotor regions (pedunculopontine nucleus and cerebellar locomotor region) was computed using a large normative connectome. We repeated this analysis in a data\u2010driven fashion to identify additional connections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Connectivity between lesion locations and a priori regions were associated with gait impairment post\u2010stroke (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), along with connectivity to a distributed circuit of other brain regions. Connectivity between DBS sites and our a priori gait regions and connectivity between DBS sites and our lesion\u2010based gait circuit were all associated with gait changes post DBS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u200910\n                      <jats:sup>\u22123<\/jats:sup>\n                      ). Data\u2010driven gait circuits derived from lesions and DBS showed similar topography and converged on a common brain circuit (spatial\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.68,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0063, 10,000 permutations).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Lesion locations impairing gait and DBS sites modulating gait converge on a common brain circuit. ANN NEUROL 2026;100:1089\u20131103<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ana.78320","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T08:46:33Z","timestamp":1786005993000},"page":"1089-1103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Human Gait Circuit Derived from Brain Lesions and Deep Brain Stimulation"],"prefix":"10.1002","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1314-4367","authenticated-orcid":false,"given":"Lan","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Neurology Beth Israel Deaconess Medical Center, Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic L.W.V.J.","family":"Schaper","sequence":"additional","affiliation":[{"name":"Departments of Neurology, Psychiatry, and Radiology, Center for Brain Circuit Therapeutics Brigham and 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Radiology, Center for Brain Circuit Therapeutics Brigham and Women's Hospital, Harvard Medical School  Boston MA USA"},{"name":"Department of Psychiatry Brigham and Women's Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantin","family":"Butenko","sequence":"additional","affiliation":[{"name":"Departments of Neurology, Psychiatry, and Radiology, Center for Brain Circuit Therapeutics Brigham and Women's Hospital, Harvard Medical School  Boston MA USA"},{"name":"Department for Neurology, Movement Disorders and Neuromodulation Unit Charit\u00e9\u2010University Medicine Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Horn","sequence":"additional","affiliation":[{"name":"Departments of Neurology, Psychiatry, and Radiology, Center for Brain Circuit Therapeutics Brigham and Women's Hospital, Harvard Medical School  Boston MA USA"},{"name":"Department for Neurology, Movement Disorders and Neuromodulation Unit Charit\u00e9\u2010University Medicine Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin M.","family":"Reich","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Volkmann","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea A.","family":"K\u00fchn","sequence":"additional","affiliation":[{"name":"Department for Neurology, Movement Disorders and Neuromodulation Unit Charit\u00e9\u2010University Medicine Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Corbetta","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Padova Neuroscience Center 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