An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice
Identifieur interne : 003538 ( Main/Exploration ); précédent : 003537; suivant : 003539An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice
Auteurs : Christopher Dromey [Canada, États-Unis] ; Rajeev Kumar [Canada] ; Anthony E. Lang [Canada] ; Andres M. Lozano [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Acoustic measurement, Adult, Aged, Antiparkinson Agents (adverse effects), Bilateral, Deep brain stimulation, Electric Stimulation Therapy, Electrical stimulus, Electrodes, Implanted, Female, Functional neurosurgery, Humans, Instrumentation therapy, Levodopa (adverse effects), Male, Middle Aged, Neurosurgical Procedures (methods), Parkinson Disease (complications), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Performance evaluation, Speaking voice, Speech, Speech Intelligibility, Speech analysis, Subthalamic Nucleus (surgery), Subthalamic nucleus, Treatment Outcome, Voice (drug effects), Voice Disorders (etiology), Voice Disorders (therapy).
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- complications : Parkinson Disease.
- drug effects : Voice.
- etiology : Voice Disorders.
- methods : Neurosurgical Procedures.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- therapy : Parkinson Disease, Voice Disorders.
- Adult, Aged, Electric Stimulation Therapy, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Speech Intelligibility, Treatment Outcome.
Abstract
Seven patients with Parkinson's disease were implanted with deep brain stimulators to provide chronic electrical stimulation to the subthalamic nucleus bilaterally. Acoustic recordings and neurologic assessments were undertaken before surgery in the medication‐off and medication‐on conditions and after surgery with and without electrical stimulation in the medication‐off and medication‐on conditions. The data showed significant improvements in limb motor performance in response to medication before surgery and when the subthalamic nucleus was stimulated after surgery. Six months after surgery, there were small but statistically significant increases in sound pressure level and fundamental frequency variability in response to stimulation in the medication‐on condition. No other statistically significant speech changes were measured. These findings are consistent with several other studies that have reported disparity between limb and speech improvements after neurosurgical intervention for Parkinson's disease.
Url:
DOI: 10.1002/1531-8257(200011)15:6<1132::AID-MDS1011>3.0.CO;2-O
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Seven patients with Parkinson's disease were implanted with deep brain stimulators to provide chronic electrical stimulation to the subthalamic nucleus bilaterally. Acoustic recordings and neurologic assessments were undertaken before surgery in the medication‐off and medication‐on conditions and after surgery with and without electrical stimulation in the medication‐off and medication‐on conditions. The data showed significant improvements in limb motor performance in response to medication before surgery and when the subthalamic nucleus was stimulated after surgery. Six months after surgery, there were small but statistically significant increases in sound pressure level and fundamental frequency variability in response to stimulation in the medication‐on condition. No other statistically significant speech changes were measured. These findings are consistent with several other studies that have reported disparity between limb and speech improvements after neurosurgical intervention for Parkinson's disease.</div>
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