Medical Management of Parkinson's Disease after Initiation of Deep Brain Stimulation.
Identifieur interne : 000291 ( Main/Exploration ); précédent : 000290; suivant : 000292Medical Management of Parkinson's Disease after Initiation of Deep Brain Stimulation.
Auteurs : Alfonso Fasano [Canada] ; Silke Appel-Cresswell [Canada] ; Mandar Jog [Canada] ; Mateusz Zurowkski [Canada] ; Sarah Duff-Canning [Canada] ; Melanie Cohn [Canada] ; Marina Picillo [Italie] ; Christopher R. Honey [Canada] ; Michel Panisset [Canada] ; Renato Puppi Munhoz [Canada]Source :
- The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [ 0317-1671 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- complications : Parkinson Disease.
- drug therapy : Cognition Disorders.
- etiology : Cognition Disorders.
- methods : Deep Brain Stimulation.
- therapy : Parkinson Disease.
- Disease Management, Humans.
Abstract
In this review, we have gathered all the available evidence to guide medication management after deep brain stimulation (DBS) in Parkinson's disease (PD). Surprisingly, we found that almost no study addressed drug-based management in the postoperative period. Dopaminergic medications are usually reduced, but whether the levodopa or dopamine agonist is to be reduced is left to the personal preference of the treating physician. We have summarized the pros and cons of both approaches. No study on the management of cognitive problems after DBS has been done, and only a few studies have explored the pharmacological management of such DBS-resistant symptoms as voice (amantadine), balance (donepezil) or gait disorders (amantadine, methylphenidate). As for the psychiatric problems so frequently reported in PD patients, researchers have directed their attention to the complex interplay between stimulation and reduction of dopaminergic drugs only recently. In conclusion, studies addressing medical management following DBS are still needed and will certainly contribute to the ultimate success of DBS procedures.
DOI: 10.1017/cjn.2016.274
PubMed: 27670207
Affiliations:
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Le document en format XML
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Safra Program in Parkinson's Disease,Toronto Western Hospital,and Division of Neurology,University Health Network,University of Toronto,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Appel Cresswell, Silke" sort="Appel Cresswell, Silke" uniqKey="Appel Cresswell S" first="Silke" last="Appel-Cresswell">Silke Appel-Cresswell</name><affiliation wicri:level="1"><nlm:affiliation>3Pacific Parkinson's Research Centre,Djavad Mowafaghian Centre for Brain Health,University of British Columbia,Vancouver,British Columbia,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>3Pacific Parkinson's Research Centre,Djavad Mowafaghian Centre for Brain Health,University of British Columbia,Vancouver,British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Jog, Mandar" sort="Jog, Mandar" uniqKey="Jog M" first="Mandar" last="Jog">Mandar Jog</name><affiliation wicri:level="1"><nlm:affiliation>4Clinical Neurological Sciences,Movement Disorders Centre,Lawson Health Research Institute and Western University,London,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>4Clinical Neurological Sciences,Movement Disorders Centre,Lawson Health Research Institute and Western University,London,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Zurowkski, Mateusz" sort="Zurowkski, Mateusz" uniqKey="Zurowkski M" first="Mateusz" last="Zurowkski">Mateusz Zurowkski</name><affiliation wicri:level="1"><nlm:affiliation>5Department of Psychiatry,University of Toronto,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>5Department of Psychiatry,University of Toronto,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Duff Canning, Sarah" sort="Duff Canning, Sarah" uniqKey="Duff Canning S" first="Sarah" last="Duff-Canning">Sarah Duff-Canning</name><affiliation wicri:level="1"><nlm:affiliation>6Division of Neurology,Toronto Western Hospital,University Health Network,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>6Division of Neurology,Toronto Western Hospital,University Health Network,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Cohn, Melanie" sort="Cohn, Melanie" uniqKey="Cohn M" first="Melanie" last="Cohn">Melanie Cohn</name><affiliation wicri:level="1"><nlm:affiliation>6Division of Neurology,Toronto Western Hospital,University Health Network,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>6Division of Neurology,Toronto Western Hospital,University Health Network,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Picillo, Marina" sort="Picillo, Marina" uniqKey="Picillo M" first="Marina" last="Picillo">Marina Picillo</name><affiliation wicri:level="1"><nlm:affiliation>8Department of Medicine and Surgery,Centre for Neurodegenerative Diseases,University of Salerno,Salerno,Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>8Department of Medicine and Surgery,Centre for Neurodegenerative Diseases,University of Salerno,Salerno</wicri:regionArea><wicri:noRegion>Salerno</wicri:noRegion></affiliation></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name><affiliation wicri:level="1"><nlm:affiliation>9Division of Neurosurgery,University of British Columbia,Vancouver,British Columbia,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>9Division of Neurosurgery,University of British Columbia,Vancouver,British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Panisset, Michel" sort="Panisset, Michel" uniqKey="Panisset M" first="Michel" last="Panisset">Michel Panisset</name><affiliation wicri:level="1"><nlm:affiliation>1Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,and Division of Neurology,University Health Network,University of Toronto,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,and Division of Neurology,University Health Network,University of Toronto,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Munhoz, Renato Puppi" sort="Munhoz, Renato Puppi" uniqKey="Munhoz R" first="Renato Puppi" last="Munhoz">Renato Puppi Munhoz</name><affiliation wicri:level="1"><nlm:affiliation>1Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,and Division of Neurology,University Health Network,University of Toronto,Toronto,Ontario,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease,Toronto Western Hospital,and Division of Neurology,University Health Network,University of Toronto,Toronto,Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</title><idno type="ISSN">0317-1671</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antiparkinson Agents (therapeutic use)</term><term>Cognition Disorders (drug therapy)</term><term>Cognition Disorders (etiology)</term><term>Deep Brain Stimulation (methods)</term><term>Disease Management</term><term>Humans</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (therapy)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Management</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In this review, we have gathered all the available evidence to guide medication management after deep brain stimulation (DBS) in Parkinson's disease (PD). Surprisingly, we found that almost no study addressed drug-based management in the postoperative period. Dopaminergic medications are usually reduced, but whether the levodopa or dopamine agonist is to be reduced is left to the personal preference of the treating physician. We have summarized the pros and cons of both approaches. No study on the management of cognitive problems after DBS has been done, and only a few studies have explored the pharmacological management of such DBS-resistant symptoms as voice (amantadine), balance (donepezil) or gait disorders (amantadine, methylphenidate). As for the psychiatric problems so frequently reported in PD patients, researchers have directed their attention to the complex interplay between stimulation and reduction of dopaminergic drugs only recently. In conclusion, studies addressing medical management following DBS are still needed and will certainly contribute to the ultimate success of DBS procedures.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Italie</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name></noRegion><name sortKey="Appel Cresswell, Silke" sort="Appel Cresswell, Silke" uniqKey="Appel Cresswell S" first="Silke" last="Appel-Cresswell">Silke Appel-Cresswell</name><name sortKey="Cohn, Melanie" sort="Cohn, Melanie" uniqKey="Cohn M" first="Melanie" last="Cohn">Melanie Cohn</name><name sortKey="Duff Canning, Sarah" sort="Duff Canning, Sarah" uniqKey="Duff Canning S" first="Sarah" last="Duff-Canning">Sarah Duff-Canning</name><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name><name sortKey="Jog, Mandar" sort="Jog, Mandar" uniqKey="Jog M" first="Mandar" last="Jog">Mandar Jog</name><name sortKey="Munhoz, Renato Puppi" sort="Munhoz, Renato Puppi" uniqKey="Munhoz R" first="Renato Puppi" last="Munhoz">Renato Puppi Munhoz</name><name sortKey="Panisset, Michel" sort="Panisset, Michel" uniqKey="Panisset M" first="Michel" last="Panisset">Michel Panisset</name><name sortKey="Zurowkski, Mateusz" sort="Zurowkski, Mateusz" uniqKey="Zurowkski M" first="Mateusz" last="Zurowkski">Mateusz Zurowkski</name></country><country name="Italie"><noRegion><name sortKey="Picillo, Marina" sort="Picillo, Marina" uniqKey="Picillo M" first="Marina" last="Picillo">Marina Picillo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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