Microelectrode recording for pallidotomy: mandatory, beneficial or dangerous?
Identifieur interne : 003113 ( Main/Exploration ); précédent : 003112; suivant : 003114Microelectrode recording for pallidotomy: mandatory, beneficial or dangerous?
Auteurs : C R Honey [Canada] ; C. Berk ; R S Palur ; M. SchulzerSource :
- Stereotactic and functional neurosurgery [ 1011-6125 ] ; 2001.
English descriptors
- KwdEn :
- Brain Damage, Chronic (etiology), Brain Mapping (instrumentation), Brain Mapping (methods), Cerebral Hemorrhage (etiology), Electric Stimulation (adverse effects), Electrodes, Implanted (adverse effects), Follow-Up Studies, Globus Pallidus (physiopathology), Globus Pallidus (surgery), Humans, Microelectrodes (adverse effects), Monitoring, Intraoperative (adverse effects), Monitoring, Intraoperative (instrumentation), Monitoring, Intraoperative (methods), Motor Activity, Parkinson Disease (physiopathology), Parkinson Disease (surgery), Sample Size, Severity of Illness Index, Stereotaxic Techniques (instrumentation), Treatment Outcome.
- MESH :
- adverse effects : Electric Stimulation, Electrodes, Implanted, Microelectrodes, Monitoring, Intraoperative.
- etiology : Brain Damage, Chronic, Cerebral Hemorrhage.
- instrumentation : Brain Mapping, Monitoring, Intraoperative, Stereotaxic Techniques.
- methods : Brain Mapping, Monitoring, Intraoperative.
- physiopathology : Globus Pallidus, Parkinson Disease.
- surgery : Globus Pallidus, Parkinson Disease.
- Follow-Up Studies, Humans, Motor Activity, Sample Size, Severity of Illness Index, Treatment Outcome.
Abstract
There is an active debate regarding whether pallidotomy should be performed with microelectrode recording or macroelectrode stimulation. A meta-analysis was performed on the published reports (1992-2000) of unilateral pallidotomy for Parkinson's disease to determine if the outcome or complications of this procedure significantly differed between these two techniques. Papers were excluded if they followed a cohort of less than ten patients, had follow-up less than three months, or included previously reported patients. There were no significant differences between the two techniques in improvement of dyskinesia (p = 0.66) or UPDRS motor score (p = 0.62). Microelectrode recording had a significantly higher (p = 0.012) intracerebral hemorrhage rate (1.3 +/- 0.4%) compared to macroelectrode stimulation (0.2 +/- 0.2%).
DOI: 64606
PubMed: 12378064
Affiliations:
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Le document en format XML
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Schulzer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:12378064</idno><idno type="pmid">12378064</idno><idno type="doi">64606</idno><idno type="wicri:Area/PubMed/Corpus">001598</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001598</idno><idno type="wicri:Area/PubMed/Curation">001598</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001598</idno><idno type="wicri:Area/PubMed/Checkpoint">001598</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001598</idno><idno type="wicri:Area/Ncbi/Merge">000251</idno><idno type="wicri:Area/Ncbi/Curation">000251</idno><idno type="wicri:Area/Ncbi/Checkpoint">000251</idno><idno type="wicri:doubleKey">1011-6125:2001:Honey C:microelectrode:recording:for</idno><idno type="wicri:Area/Main/Merge">003572</idno><idno type="wicri:Area/Main/Curation">003113</idno><idno type="wicri:Area/Main/Exploration">003113</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Microelectrode recording for pallidotomy: mandatory, beneficial or dangerous?</title><author><name sortKey="Honey, C R" sort="Honey, C R" uniqKey="Honey C" first="C R" last="Honey">C R Honey</name><affiliation wicri:level="1"><nlm:affiliation>Surgical Centre for Movement Disorders, University of British Columbia, Vancouver, Canada. chris.honey@telus.net</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Surgical Centre for Movement Disorders, University of British Columbia, Vancouver</wicri:regionArea><wicri:noRegion>Vancouver</wicri:noRegion></affiliation></author><author><name sortKey="Berk, C" sort="Berk, C" uniqKey="Berk C" first="C" last="Berk">C. Berk</name></author><author><name sortKey="Palur, R S" sort="Palur, R S" uniqKey="Palur R" first="R S" last="Palur">R S Palur</name></author><author><name sortKey="Schulzer, M" sort="Schulzer, M" uniqKey="Schulzer M" first="M" last="Schulzer">M. Schulzer</name></author></analytic><series><title level="j">Stereotactic and functional neurosurgery</title><idno type="ISSN">1011-6125</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain Damage, Chronic (etiology)</term><term>Brain Mapping (instrumentation)</term><term>Brain Mapping (methods)</term><term>Cerebral Hemorrhage (etiology)</term><term>Electric Stimulation (adverse effects)</term><term>Electrodes, Implanted (adverse effects)</term><term>Follow-Up Studies</term><term>Globus Pallidus (physiopathology)</term><term>Globus Pallidus (surgery)</term><term>Humans</term><term>Microelectrodes (adverse effects)</term><term>Monitoring, Intraoperative (adverse effects)</term><term>Monitoring, Intraoperative (instrumentation)</term><term>Monitoring, Intraoperative (methods)</term><term>Motor Activity</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (surgery)</term><term>Sample Size</term><term>Severity of Illness Index</term><term>Stereotaxic Techniques (instrumentation)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electric Stimulation</term><term>Electrodes, Implanted</term><term>Microelectrodes</term><term>Monitoring, Intraoperative</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Brain Damage, Chronic</term><term>Cerebral Hemorrhage</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Brain Mapping</term><term>Monitoring, Intraoperative</term><term>Stereotaxic Techniques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Brain Mapping</term><term>Monitoring, Intraoperative</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Follow-Up Studies</term><term>Humans</term><term>Motor Activity</term><term>Sample Size</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is an active debate regarding whether pallidotomy should be performed with microelectrode recording or macroelectrode stimulation. A meta-analysis was performed on the published reports (1992-2000) of unilateral pallidotomy for Parkinson's disease to determine if the outcome or complications of this procedure significantly differed between these two techniques. Papers were excluded if they followed a cohort of less than ten patients, had follow-up less than three months, or included previously reported patients. There were no significant differences between the two techniques in improvement of dyskinesia (p = 0.66) or UPDRS motor score (p = 0.62). Microelectrode recording had a significantly higher (p = 0.012) intracerebral hemorrhage rate (1.3 +/- 0.4%) compared to macroelectrode stimulation (0.2 +/- 0.2%).</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Berk, C" sort="Berk, C" uniqKey="Berk C" first="C" last="Berk">C. Berk</name><name sortKey="Palur, R S" sort="Palur, R S" uniqKey="Palur R" first="R S" last="Palur">R S Palur</name><name sortKey="Schulzer, M" sort="Schulzer, M" uniqKey="Schulzer M" first="M" last="Schulzer">M. Schulzer</name></noCountry><country name="Canada"><noRegion><name sortKey="Honey, C R" sort="Honey, C R" uniqKey="Honey C" first="C R" last="Honey">C R Honey</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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