High‐frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor
Identifieur interne : 003B81 ( Main/Exploration ); précédent : 003B80; suivant : 003B82High‐frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor
Auteurs : Thérèse Koller [États-Unis] ; Rajesh Pahwa [États-Unis] ; Karen Busenbark [États-Unis] ; Jean Hubble [États-Unis] ; Steve Wilkinson [États-Unis] ; Anthony Lang [Canada] ; Paul Tuite [Canada] ; Elspeth Sime [Canada] ; Andres Lazano [Canada] ; Robert Hauser [États-Unis] ; Teresita Malapira [États-Unis] ; Donald Smith [États-Unis] ; Daniel Tarsy [États-Unis] ; Edison Miyawaki [États-Unis] ; Thorkild Norregaard [États-Unis] ; Theresa Kormos [États-Unis] ; C. Warren Olanow [États-Unis]Source :
- Annals of Neurology [ 0364-5134 ] ; 1997-09.
Abstract
Pharmacologic treatment for essential tremor and the tremor of Parkinson's disease is often inadequate. Stereotaxic surgery, such as thalamotomy, can effectively reduce tremors. We performed a multicenter trial of unilateral high‐frequency stimulation of the ventral intermedius nucleus of the thalamus in 29 patients with essential tremor and 24 patients with Parkinson's disease, using a blinded assessment at 3 months after surgery to compare clinical rating of tremor with stimulation ON with stimulation OFF and baseline and a 1‐year follow‐up. Six patients were not implanted because of lack of intraoperative tremor suppression (2 patients), hemorrhage (2 patients), withdrawal of consent (1 patient), and persistent microthalamotomy effect (1 patient). A significant reduction in both essential and parkinsonian tremor occurred contralaterally with stimulation. Patients reported a significant reduction in disability. Measures of function were significantly improved in patients with essential tremor. Complications related to surgery in implanted patients were few. Stimulation was commonly associated with transient paresthesias. Other adverse effects were mild and well tolerated. Efficacy was not reduced at 1 year. Chronic high‐frequency stimulation is safe and highly effective in ameliorating essential and parkinsonian tremor.
Url:
DOI: 10.1002/ana.410420304
Affiliations:
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Center, Kansas City</wicri:cityArea></affiliation></author><author><name sortKey="Busenbark, Karen" sort="Busenbark, Karen" uniqKey="Busenbark K" first="Karen" last="Busenbark">Karen Busenbark</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Kansas</region></placeName><wicri:cityArea>Department of Neurology, University of Kansas Medical Center, Kansas City</wicri:cityArea></affiliation></author><author><name sortKey="Hubble, Jean" sort="Hubble, Jean" uniqKey="Hubble J" first="Jean" last="Hubble">Jean Hubble</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Neurology, Ohio State University Hospitals, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Wilkinson, Steve" sort="Wilkinson, Steve" uniqKey="Wilkinson S" first="Steve" last="Wilkinson">Steve Wilkinson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Kansas</region></placeName><wicri:cityArea>Department of Neurosurgery, University of Kansas Medical Center, Kansas City</wicri:cityArea></affiliation></author><author><name sortKey="Lang, Anthony" sort="Lang, Anthony" uniqKey="Lang A" first="Anthony" last="Lang">Anthony Lang</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Neurology, Toronto Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tuite, Paul" sort="Tuite, Paul" uniqKey="Tuite P" first="Paul" last="Tuite">Paul Tuite</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Neurology, Toronto Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Sime, Elspeth" sort="Sime, Elspeth" uniqKey="Sime E" first="Elspeth" last="Sime">Elspeth Sime</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Neurology, Toronto Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Lazano, Andres" sort="Lazano, Andres" uniqKey="Lazano A" first="Andres" last="Lazano">Andres Lazano</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Neurosurgery, Toronto Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Hauser, Robert" sort="Hauser, Robert" uniqKey="Hauser R" first="Robert" last="Hauser">Robert Hauser</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Parkinson's Disease and Movement Disorders Center, University of South Florida, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Malapira, Teresita" sort="Malapira, Teresita" uniqKey="Malapira T" first="Teresita" last="Malapira">Teresita Malapira</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Parkinson's Disease and Movement Disorders Center, University of South Florida, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Smith, Donald" sort="Smith, Donald" uniqKey="Smith D" first="Donald" last="Smith">Donald Smith</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Division of Neurosurgery, University of South Florida, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Beth Israel–Deaconess Hospital Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Miyawaki, Edison" sort="Miyawaki, Edison" uniqKey="Miyawaki E" first="Edison" last="Miyawaki">Edison Miyawaki</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Beth Israel–Deaconess Hospital Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Norregaard, Thorkild" sort="Norregaard, Thorkild" uniqKey="Norregaard T" first="Thorkild" last="Norregaard">Thorkild Norregaard</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Neurology, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Kormos, Theresa" sort="Kormos, Theresa" uniqKey="Kormos T" first="Theresa" last="Kormos">Theresa Kormos</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Beth Israel–Deaconess Hospital Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Olanow, C Warren" sort="Olanow, C Warren" uniqKey="Olanow C" first="C. Warren" last="Olanow">C. Warren Olanow</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Neurology, Mt Sinai Medical Center, New York</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of Neurology</title><title level="j" type="sub">Official Journal of the American Neurological Association and the Child Neurology Society</title><title level="j" type="abbrev">Ann Neurol.</title><idno type="ISSN">0364-5134</idno><idno type="eISSN">1531-8249</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1997-09">1997-09</date><biblScope unit="volume">42</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="292">292</biblScope><biblScope unit="page" to="299">299</biblScope></imprint><idno type="ISSN">0364-5134</idno></series><idno type="istex">E5B0F830BCD310C2722E4D0B8B1006F0B142C8E4</idno><idno type="DOI">10.1002/ana.410420304</idno><idno type="ArticleID">ANA410420304</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0364-5134</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pharmacologic treatment for essential tremor and the tremor of Parkinson's disease is often inadequate. Stereotaxic surgery, such as thalamotomy, can effectively reduce tremors. We performed a multicenter trial of unilateral high‐frequency stimulation of the ventral intermedius nucleus of the thalamus in 29 patients with essential tremor and 24 patients with Parkinson's disease, using a blinded assessment at 3 months after surgery to compare clinical rating of tremor with stimulation ON with stimulation OFF and baseline and a 1‐year follow‐up. Six patients were not implanted because of lack of intraoperative tremor suppression (2 patients), hemorrhage (2 patients), withdrawal of consent (1 patient), and persistent microthalamotomy effect (1 patient). A significant reduction in both essential and parkinsonian tremor occurred contralaterally with stimulation. Patients reported a significant reduction in disability. Measures of function were significantly improved in patients with essential tremor. Complications related to surgery in implanted patients were few. Stimulation was commonly associated with transient paresthesias. Other adverse effects were mild and well tolerated. Efficacy was not reduced at 1 year. Chronic high‐frequency stimulation is safe and highly effective in ameliorating essential and parkinsonian tremor.</div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Floride</li><li>Kansas</li><li>Massachusetts</li><li>Ohio</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Kansas"><name sortKey="Koller, Therese" sort="Koller, Therese" uniqKey="Koller T" first="Thérèse" last="Koller">Thérèse Koller</name></region><name sortKey="Busenbark, Karen" sort="Busenbark, Karen" uniqKey="Busenbark K" first="Karen" last="Busenbark">Karen Busenbark</name><name sortKey="Hauser, Robert" sort="Hauser, Robert" uniqKey="Hauser R" first="Robert" last="Hauser">Robert Hauser</name><name sortKey="Hubble, Jean" sort="Hubble, Jean" uniqKey="Hubble J" first="Jean" last="Hubble">Jean Hubble</name><name sortKey="Kormos, Theresa" sort="Kormos, Theresa" uniqKey="Kormos T" first="Theresa" last="Kormos">Theresa Kormos</name><name sortKey="Malapira, Teresita" sort="Malapira, Teresita" uniqKey="Malapira T" first="Teresita" last="Malapira">Teresita Malapira</name><name sortKey="Miyawaki, Edison" sort="Miyawaki, Edison" uniqKey="Miyawaki E" first="Edison" last="Miyawaki">Edison Miyawaki</name><name sortKey="Norregaard, Thorkild" sort="Norregaard, Thorkild" uniqKey="Norregaard T" first="Thorkild" last="Norregaard">Thorkild Norregaard</name><name sortKey="Olanow, C Warren" sort="Olanow, C Warren" uniqKey="Olanow C" first="C. Warren" last="Olanow">C. Warren Olanow</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Smith, Donald" sort="Smith, Donald" uniqKey="Smith D" first="Donald" last="Smith">Donald Smith</name><name sortKey="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name><name sortKey="Wilkinson, Steve" sort="Wilkinson, Steve" uniqKey="Wilkinson S" first="Steve" last="Wilkinson">Steve Wilkinson</name></country><country name="Canada"><noRegion><name sortKey="Lang, Anthony" sort="Lang, Anthony" uniqKey="Lang A" first="Anthony" last="Lang">Anthony Lang</name></noRegion><name sortKey="Lazano, Andres" sort="Lazano, Andres" uniqKey="Lazano A" first="Andres" last="Lazano">Andres Lazano</name><name sortKey="Sime, Elspeth" sort="Sime, Elspeth" uniqKey="Sime E" first="Elspeth" last="Sime">Elspeth Sime</name><name sortKey="Tuite, Paul" sort="Tuite, Paul" uniqKey="Tuite P" first="Paul" last="Tuite">Paul Tuite</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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