Deep Brain Stimulation for Parkinson Disease: An Expert Consensus and Review of Key Issues
Identifieur interne : 000174 ( France/Analysis ); précédent : 000173; suivant : 000175Deep Brain Stimulation for Parkinson Disease: An Expert Consensus and Review of Key Issues
Auteurs : Jeff M. Bronstein [États-Unis] ; Michele Tagliati [États-Unis] ; Ron L. Alterman [États-Unis] ; Andres M. Lozano [Canada] ; Jens Volkmann [Allemagne] ; Alessandro Stefani [Italie] ; Fay B. Horak [États-Unis] ; Michael S. Okun [États-Unis] ; Kelly D. Foote [États-Unis] ; Paul Krack [France] ; Rajesh Pahwa [États-Unis] ; Jaimie M. Henderson [États-Unis] ; Marwan I. Hariz [Royaume-Uni] ; Roy A. Bakay [États-Unis] ; Ali Rezai [États-Unis] ; William J. Jr Marks [États-Unis] ; Elena Moro [Canada] ; Jerrold L. Vitek [États-Unis] ; Frances M. Weaver [États-Unis] ; Robert E. Gross [États-Unis] ; Mahlon R. Delong [États-Unis]Source :
- Archives of neurology : (Chicago) [ 0003-9942 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Objective: To provide recommendations to patients, physicians, and other health care providers on several issues involving deep brain stimulation (DBS) for Parkinson disease (PD). Data Sources and Study Selection: An international consortium of experts organized, reviewed the literature, and attended the workshop. Topics were introduced at the workshop, followed by group discussion. Data Extraction and Synthesis: A draft of a consensus statement was presented and further edited after plenary debate. The final statements were agreed on by all members. Conelusions: (1) Patients with PD without significant active cognitive or psychiatric problems who have medically intractable motor fluctuations, intractable tremor, or intolerance of medication adverse effects are good candidates for DBS. (2) Deep brain stimulation surgery is best performed by an experienced neurosurgeon with expertise in stereotactic neurosurgery who is working as part of a interprofessional team. (3) Surgical complication rates are extremely variable, with infection being the most commonly reported complication of DBS. (4) Deep brain stimulation programming is best accomplished by a highly trained clinician and can take 3 to 6 months to obtain optimal results. (5) Deep brain stimulation improves levodopa-responsive symptoms, dyskinesia, and tremor; benefits seem to be long-lasting in many motor domains. (6) Subthalamic nuclei DBS may be complicated by increased depression, apathy, impulsivity, worsened verbal fluency, and executive dysfunction in a subset of patients. (7) Both globus pallidus pars interna and subthalamic nuclei DBS have been shown to be effective in addressing the motor symptoms of PD. (8) Ablative therapy is still an effective alternative and should be considered in a select group of appropriate patients.
Affiliations:
- Allemagne, Canada, France, Italie, Royaume-Uni, États-Unis
- Angleterre, Auvergne-Rhône-Alpes, Californie, Grand Londres, Géorgie (États-Unis), Illinois, Latium, Ohio, Ontario, Oregon, Rhône-Alpes, Schleswig-Holstein, État de New York
- Grenoble, Kiel, Londres, Portland, Rome, Toronto
- Université de Toronto
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Pascal:11-0108954Le document en format XML
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Gross</name><affiliation wicri:level="2"><inist:fA14 i1="16"><s1>Emory University School of Medicine</s1><s2>Decatur, Georgia</s2><s3>USA</s3><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Delong, Mahlon R" sort="Delong, Mahlon R" uniqKey="Delong M" first="Mahlon R." last="Delong">Mahlon R. 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Bronstein</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>University of California, Los Angeles (UCLA), School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of California, Los Angeles (UCLA), School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Tagliati, Michele" sort="Tagliati, Michele" uniqKey="Tagliati M" first="Michele" last="Tagliati">Michele Tagliati</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Mount Sinai School of Medicine, New York</s1><s2>New York</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Alterman, Ron L" sort="Alterman, Ron L" uniqKey="Alterman R" first="Ron L." last="Alterman">Ron L. Alterman</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Mount Sinai School of Medicine, New York</s1><s2>New York</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ><sZ>17 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Christian-Albrechts-Universit</s1><s2>Kiel</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Stefani, Alessandro" sort="Stefani, Alessandro" uniqKey="Stefani A" first="Alessandro" last="Stefani">Alessandro Stefani</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>University of Rome Tor Vergata</s1><s2>Rome</s2><s3>ITA</s3><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Horak, Fay B" sort="Horak, Fay B" uniqKey="Horak F" first="Fay B." last="Horak">Fay B. Horak</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Oregon Health and Science University</s1><s2>Portland</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Portland</settlement><region type="state">Oregon</region></placeName></affiliation></author><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>University of Florida</s1><s2>Gainesville</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Florida</wicri:noRegion></affiliation></author><author><name sortKey="Foote, Kelly D" sort="Foote, Kelly D" uniqKey="Foote K" first="Kelly D." last="Foote">Kelly D. Foote</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>University of Florida</s1><s2>Gainesville</s2><s3>USA</s3><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of Florida</wicri:noRegion></affiliation></author><author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Centre Hospitalier Universitaire, University of Grenoble</s1><s2>Grenoble</s2><s3>FRA</s3><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author><author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Kansas University School of Medicine</s1><s2>Kansas City</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Kansas University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Henderson, Jaimie M" sort="Henderson, Jaimie M" uniqKey="Henderson J" first="Jaimie M." last="Henderson">Jaimie M. Henderson</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Institute of Neurology, National Hospital for Neurology and Neurosurgery</s1><s2>London</s2><s3>GBR</s3><sZ>13 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Bakay, Roy A" sort="Bakay, Roy A" uniqKey="Bakay R" first="Roy A." last="Bakay">Roy A. Bakay</name><affiliation wicri:level="2"><inist:fA14 i1="12"><s1>Rush Medical College</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>14 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Rezai, Ali" sort="Rezai, Ali" uniqKey="Rezai A" first="Ali" last="Rezai">Ali Rezai</name><affiliation wicri:level="2"><inist:fA14 i1="13"><s1>Cleveland Clinic</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>15 aut.</sZ><sZ>18 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Marks, William J Jr" sort="Marks, William J Jr" uniqKey="Marks W" first="William J. Jr" last="Marks">William J. Jr Marks</name><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>University of California, San Francisco, School of Medicine</s1><s3>USA</s3><sZ>16 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>University of California, San Francisco, School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Moro, Elena" sort="Moro, Elena" uniqKey="Moro E" first="Elena" last="Moro">Elena Moro</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ><sZ>17 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Vitek, Jerrold L" sort="Vitek, Jerrold L" uniqKey="Vitek J" first="Jerrold L." last="Vitek">Jerrold L. Vitek</name><affiliation wicri:level="2"><inist:fA14 i1="13"><s1>Cleveland Clinic</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>15 aut.</sZ><sZ>18 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Weaver, Frances M" sort="Weaver, Frances M" uniqKey="Weaver F" first="Frances M." last="Weaver">Frances M. Weaver</name><affiliation wicri:level="2"><inist:fA14 i1="15"><s1>Hines Veterans Affairs Hospital</s1><s2>Hines, Illinois</s2><s3>USA</s3><sZ>19 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Gross, Robert E" sort="Gross, Robert E" uniqKey="Gross R" first="Robert E." last="Gross">Robert E. Gross</name><affiliation wicri:level="2"><inist:fA14 i1="16"><s1>Emory University School of Medicine</s1><s2>Decatur, Georgia</s2><s3>USA</s3><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Delong, Mahlon R" sort="Delong, Mahlon R" uniqKey="Delong M" first="Mahlon R." last="Delong">Mahlon R. Delong</name><affiliation wicri:level="2"><inist:fA14 i1="16"><s1>Emory University School of Medicine</s1><s2>Decatur, Georgia</s2><s3>USA</s3><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Archives of neurology : (Chicago)</title><title level="j" type="abbreviated">Arch. neurol. : (Chic.)</title><idno type="ISSN">0003-9942</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Archives of neurology : (Chicago)</title><title level="j" type="abbreviated">Arch. neurol. : (Chic.)</title><idno type="ISSN">0003-9942</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep brain stimulation</term><term>Expert</term><term>Nervous system diseases</term><term>Parkinson disease</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Expert</term><term>Stimulation cérébrale profonde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To provide recommendations to patients, physicians, and other health care providers on several issues involving deep brain stimulation (DBS) for Parkinson disease (PD). Data Sources and Study Selection: An international consortium of experts organized, reviewed the literature, and attended the workshop. Topics were introduced at the workshop, followed by group discussion. Data Extraction and Synthesis: A draft of a consensus statement was presented and further edited after plenary debate. The final statements were agreed on by all members. Conelusions: (1) Patients with PD without significant active cognitive or psychiatric problems who have medically intractable motor fluctuations, intractable tremor, or intolerance of medication adverse effects are good candidates for DBS. (2) Deep brain stimulation surgery is best performed by an experienced neurosurgeon with expertise in stereotactic neurosurgery who is working as part of a interprofessional team. (3) Surgical complication rates are extremely variable, with infection being the most commonly reported complication of DBS. (4) Deep brain stimulation programming is best accomplished by a highly trained clinician and can take 3 to 6 months to obtain optimal results. (5) Deep brain stimulation improves levodopa-responsive symptoms, dyskinesia, and tremor; benefits seem to be long-lasting in many motor domains. (6) Subthalamic nuclei DBS may be complicated by increased depression, apathy, impulsivity, worsened verbal fluency, and executive dysfunction in a subset of patients. (7) Both globus pallidus pars interna and subthalamic nuclei DBS have been shown to be effective in addressing the motor symptoms of PD. (8) Ablative therapy is still an effective alternative and should be considered in a select group of appropriate patients.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Canada</li><li>France</li><li>Italie</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Auvergne-Rhône-Alpes</li><li>Californie</li><li>Grand Londres</li><li>Géorgie (États-Unis)</li><li>Illinois</li><li>Latium</li><li>Ohio</li><li>Ontario</li><li>Oregon</li><li>Rhône-Alpes</li><li>Schleswig-Holstein</li><li>État de New York</li></region><settlement><li>Grenoble</li><li>Kiel</li><li>Londres</li><li>Portland</li><li>Rome</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Bronstein, Jeff M" sort="Bronstein, Jeff M" uniqKey="Bronstein J" first="Jeff M." last="Bronstein">Jeff M. Bronstein</name></noRegion><name sortKey="Alterman, Ron L" sort="Alterman, Ron L" uniqKey="Alterman R" first="Ron L." last="Alterman">Ron L. Alterman</name><name sortKey="Bakay, Roy A" sort="Bakay, Roy A" uniqKey="Bakay R" first="Roy A." last="Bakay">Roy A. Bakay</name><name sortKey="Delong, Mahlon R" sort="Delong, Mahlon R" uniqKey="Delong M" first="Mahlon R." last="Delong">Mahlon R. Delong</name><name sortKey="Foote, Kelly D" sort="Foote, Kelly D" uniqKey="Foote K" first="Kelly D." last="Foote">Kelly D. Foote</name><name sortKey="Gross, Robert E" sort="Gross, Robert E" uniqKey="Gross R" first="Robert E." last="Gross">Robert E. Gross</name><name sortKey="Henderson, Jaimie M" sort="Henderson, Jaimie M" uniqKey="Henderson J" first="Jaimie M." last="Henderson">Jaimie M. Henderson</name><name sortKey="Horak, Fay B" sort="Horak, Fay B" uniqKey="Horak F" first="Fay B." last="Horak">Fay B. Horak</name><name sortKey="Marks, William J Jr" sort="Marks, William J Jr" uniqKey="Marks W" first="William J. Jr" last="Marks">William J. Jr Marks</name><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Rezai, Ali" sort="Rezai, Ali" uniqKey="Rezai A" first="Ali" last="Rezai">Ali Rezai</name><name sortKey="Tagliati, Michele" sort="Tagliati, Michele" uniqKey="Tagliati M" first="Michele" last="Tagliati">Michele Tagliati</name><name sortKey="Vitek, Jerrold L" sort="Vitek, Jerrold L" uniqKey="Vitek J" first="Jerrold L." last="Vitek">Jerrold L. Vitek</name><name sortKey="Weaver, Frances M" sort="Weaver, Frances M" uniqKey="Weaver F" first="Frances M." last="Weaver">Frances M. Weaver</name></country><country name="Canada"><region name="Ontario"><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name></region><name sortKey="Moro, Elena" sort="Moro, Elena" uniqKey="Moro E" first="Elena" last="Moro">Elena Moro</name></country><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name></region></country><country name="Italie"><region name="Latium"><name sortKey="Stefani, Alessandro" sort="Stefani, Alessandro" uniqKey="Stefani A" first="Alessandro" last="Stefani">Alessandro Stefani</name></region></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. 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