La maladie de Parkinson au Canada (serveur d'exploration)

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor

Identifieur interne : 004316 ( Main/Merge ); précédent : 004315; suivant : 004317

High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor

Auteurs : W. Koller [États-Unis] ; R. Pahwa [États-Unis] ; K. Busenbark [États-Unis] ; J. Hubble [États-Unis] ; S. Wilkinson [États-Unis] ; A. Lang [Canada] ; P. Tuite [Canada] ; E. Sime [Canada] ; A. Lazano [Canada] ; R. Hauser [États-Unis] ; T. Malapira [États-Unis] ; D. Smith [États-Unis] ; D. Tarsy [États-Unis] ; E. Miyawaki [États-Unis] ; T. Norregaard [États-Unis] ; T. Kormos [États-Unis] ; C. W. Olanow [États-Unis]

Source :

RBID : Pascal:97-0515054

Descripteurs français

English descriptors

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.

Links toward previous steps (curation, corpus...)


Links to Exploration step

Pascal:97-0515054

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en" level="a">High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor</title>
<author>
<name sortKey="Koller, W" sort="Koller, W" uniqKey="Koller W" first="W." last="Koller">W. Koller</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pahwa, R" sort="Pahwa, R" uniqKey="Pahwa R" first="R." last="Pahwa">R. Pahwa</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Busenbark, K" sort="Busenbark, K" uniqKey="Busenbark K" first="K." last="Busenbark">K. Busenbark</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hubble, J" sort="Hubble, J" uniqKey="Hubble J" first="J." last="Hubble">J. Hubble</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Department of Neurology, Ohio State University Hospitals</s1>
<s2>Columbus, OH</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Columbus, OH</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wilkinson, S" sort="Wilkinson, S" uniqKey="Wilkinson S" first="S." last="Wilkinson">S. Wilkinson</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Department of Neurosurgery, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lang, A" sort="Lang, A" uniqKey="Lang A" first="A." last="Lang">A. Lang</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tuite, P" sort="Tuite, P" uniqKey="Tuite P" first="P." last="Tuite">P. Tuite</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sime, E" sort="Sime, E" uniqKey="Sime E" first="E." last="Sime">E. Sime</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lazano, A" sort="Lazano, A" uniqKey="Lazano A" first="A." last="Lazano">A. Lazano</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Division of Neurosurgery, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hauser, R" sort="Hauser, R" uniqKey="Hauser R" first="R." last="Hauser">R. Hauser</name>
<affiliation wicri:level="4">
<inist:fA14 i1="06">
<s1>Parkinson's Disease and Movement Disorders Center, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Malapira, T" sort="Malapira, T" uniqKey="Malapira T" first="T." last="Malapira">T. Malapira</name>
<affiliation wicri:level="4">
<inist:fA14 i1="06">
<s1>Parkinson's Disease and Movement Disorders Center, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Smith, D" sort="Smith, D" uniqKey="Smith D" first="D." last="Smith">D. Smith</name>
<affiliation wicri:level="4">
<inist:fA14 i1="07">
<s1>Division of Neurosurgery, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Tarsy, D" sort="Tarsy, D" uniqKey="Tarsy D" first="D." last="Tarsy">D. Tarsy</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Miyawaki, E" sort="Miyawaki, E" uniqKey="Miyawaki E" first="E." last="Miyawaki">E. Miyawaki</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Norregaard, T" sort="Norregaard, T" uniqKey="Norregaard T" first="T." last="Norregaard">T. Norregaard</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Department of Neurology, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kormos, T" sort="Kormos, T" uniqKey="Kormos T" first="T." last="Kormos">T. Kormos</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Olanow, C W" sort="Olanow, C W" uniqKey="Olanow C" first="C. W." last="Olanow">C. W. Olanow</name>
<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Department of Neurology, Mt Sinai Medical Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>New York, NY</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">INIST</idno>
<idno type="inist">97-0515054</idno>
<date when="1997">1997</date>
<idno type="stanalyst">PASCAL 97-0515054 INIST</idno>
<idno type="RBID">Pascal:97-0515054</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000E59</idno>
<idno type="wicri:Area/PascalFrancis/Curation">001064</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000D81</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000D81</idno>
<idno type="wicri:doubleKey">0364-5134:1997:Koller W:high:frequency:unilateral</idno>
<idno type="wicri:Area/Main/Merge">004316</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a">High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor</title>
<author>
<name sortKey="Koller, W" sort="Koller, W" uniqKey="Koller W" first="W." last="Koller">W. Koller</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pahwa, R" sort="Pahwa, R" uniqKey="Pahwa R" first="R." last="Pahwa">R. Pahwa</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Busenbark, K" sort="Busenbark, K" uniqKey="Busenbark K" first="K." last="Busenbark">K. Busenbark</name>
<affiliation wicri:level="1">
<inist:fA14 i1="01">
<s1>Department of Neurology, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hubble, J" sort="Hubble, J" uniqKey="Hubble J" first="J." last="Hubble">J. Hubble</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Department of Neurology, Ohio State University Hospitals</s1>
<s2>Columbus, OH</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Columbus, OH</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Wilkinson, S" sort="Wilkinson, S" uniqKey="Wilkinson S" first="S." last="Wilkinson">S. Wilkinson</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Department of Neurosurgery, University of Kansas Medical Center</s1>
<s2>Kansas City, KS</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Kansas City, KS</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lang, A" sort="Lang, A" uniqKey="Lang A" first="A." last="Lang">A. Lang</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tuite, P" sort="Tuite, P" uniqKey="Tuite P" first="P." last="Tuite">P. Tuite</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sime, E" sort="Sime, E" uniqKey="Sime E" first="E." last="Sime">E. Sime</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Division of Neurology, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lazano, A" sort="Lazano, A" uniqKey="Lazano A" first="A." last="Lazano">A. Lazano</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Division of Neurosurgery, Toronto Hospital</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Toronto, Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hauser, R" sort="Hauser, R" uniqKey="Hauser R" first="R." last="Hauser">R. Hauser</name>
<affiliation wicri:level="4">
<inist:fA14 i1="06">
<s1>Parkinson's Disease and Movement Disorders Center, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Malapira, T" sort="Malapira, T" uniqKey="Malapira T" first="T." last="Malapira">T. Malapira</name>
<affiliation wicri:level="4">
<inist:fA14 i1="06">
<s1>Parkinson's Disease and Movement Disorders Center, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Smith, D" sort="Smith, D" uniqKey="Smith D" first="D." last="Smith">D. Smith</name>
<affiliation wicri:level="4">
<inist:fA14 i1="07">
<s1>Division of Neurosurgery, University of South Florida</s1>
<s2>Tampa, FL</s2>
<s3>USA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Tampa</settlement>
<region type="state">Floride</region>
</placeName>
<orgName type="university">Université de Floride du Sud</orgName>
</affiliation>
</author>
<author>
<name sortKey="Tarsy, D" sort="Tarsy, D" uniqKey="Tarsy D" first="D." last="Tarsy">D. Tarsy</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Miyawaki, E" sort="Miyawaki, E" uniqKey="Miyawaki E" first="E." last="Miyawaki">E. Miyawaki</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Norregaard, T" sort="Norregaard, T" uniqKey="Norregaard T" first="T." last="Norregaard">T. Norregaard</name>
<affiliation wicri:level="1">
<inist:fA14 i1="09">
<s1>Department of Neurology, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kormos, T" sort="Kormos, T" uniqKey="Kormos T" first="T." last="Kormos">T. Kormos</name>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Beth Israel-Deaconess Hospital, Harvard Medical School</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Olanow, C W" sort="Olanow, C W" uniqKey="Olanow C" first="C. W." last="Olanow">C. W. Olanow</name>
<affiliation wicri:level="1">
<inist:fA14 i1="10">
<s1>Department of Neurology, Mt Sinai Medical Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>New York, NY</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Annals of neurology</title>
<title level="j" type="abbreviated">Ann. neurol.</title>
<idno type="ISSN">0364-5134</idno>
<imprint>
<date when="1997">1997</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Annals of neurology</title>
<title level="j" type="abbreviated">Ann. neurol.</title>
<idno type="ISSN">0364-5134</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Complication</term>
<term>Electrical stimulus</term>
<term>Essential</term>
<term>Evolution</term>
<term>Follow up study</term>
<term>Instrumentation therapy</term>
<term>Multicenter study</term>
<term>Parkinson disease</term>
<term>Stereotaxic surgery</term>
<term>Thalamus</term>
<term>Tremor</term>
<term>Unilateral</term>
<term>Ventral nucleus</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Parkinson maladie</term>
<term>Tremblement</term>
<term>Essentiel</term>
<term>Etude multicentrique</term>
<term>Etude longitudinale</term>
<term>Stimulus électrique</term>
<term>Thalamus</term>
<term>Unilatéral</term>
<term>Chirurgie stéréotaxique</term>
<term>Noyau ventral</term>
<term>Evolution</term>
<term>Complication</term>
<term>Traitement instrumental</term>
<term>Adulte</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Adulte</term>
</keywords>
</textClass>
</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>
</region>
<settlement>
<li>Tampa</li>
</settlement>
<orgName>
<li>Université de Floride du Sud</li>
</orgName>
</list>
<tree>
<country name="États-Unis">
<noRegion>
<name sortKey="Koller, W" sort="Koller, W" uniqKey="Koller W" first="W." last="Koller">W. Koller</name>
</noRegion>
<name sortKey="Busenbark, K" sort="Busenbark, K" uniqKey="Busenbark K" first="K." last="Busenbark">K. Busenbark</name>
<name sortKey="Hauser, R" sort="Hauser, R" uniqKey="Hauser R" first="R." last="Hauser">R. Hauser</name>
<name sortKey="Hubble, J" sort="Hubble, J" uniqKey="Hubble J" first="J." last="Hubble">J. Hubble</name>
<name sortKey="Kormos, T" sort="Kormos, T" uniqKey="Kormos T" first="T." last="Kormos">T. Kormos</name>
<name sortKey="Malapira, T" sort="Malapira, T" uniqKey="Malapira T" first="T." last="Malapira">T. Malapira</name>
<name sortKey="Miyawaki, E" sort="Miyawaki, E" uniqKey="Miyawaki E" first="E." last="Miyawaki">E. Miyawaki</name>
<name sortKey="Norregaard, T" sort="Norregaard, T" uniqKey="Norregaard T" first="T." last="Norregaard">T. Norregaard</name>
<name sortKey="Olanow, C W" sort="Olanow, C W" uniqKey="Olanow C" first="C. W." last="Olanow">C. W. Olanow</name>
<name sortKey="Pahwa, R" sort="Pahwa, R" uniqKey="Pahwa R" first="R." last="Pahwa">R. Pahwa</name>
<name sortKey="Smith, D" sort="Smith, D" uniqKey="Smith D" first="D." last="Smith">D. Smith</name>
<name sortKey="Tarsy, D" sort="Tarsy, D" uniqKey="Tarsy D" first="D." last="Tarsy">D. Tarsy</name>
<name sortKey="Wilkinson, S" sort="Wilkinson, S" uniqKey="Wilkinson S" first="S." last="Wilkinson">S. Wilkinson</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Lang, A" sort="Lang, A" uniqKey="Lang A" first="A." last="Lang">A. Lang</name>
</noRegion>
<name sortKey="Lazano, A" sort="Lazano, A" uniqKey="Lazano A" first="A." last="Lazano">A. Lazano</name>
<name sortKey="Sime, E" sort="Sime, E" uniqKey="Sime E" first="E." last="Sime">E. Sime</name>
<name sortKey="Tuite, P" sort="Tuite, P" uniqKey="Tuite P" first="P." last="Tuite">P. Tuite</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Canada/explor/ParkinsonCanadaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004316 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 004316 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Canada
   |area=    ParkinsonCanadaV1
   |flux=    Main
   |étape=   Merge
   |type=    RBID
   |clé=     Pascal:97-0515054
   |texte=   High-frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor
}}

Wicri

This area was generated with Dilib version V0.6.29.
Data generation: Thu May 4 22:20:19 2017. Site generation: Fri Dec 23 23:17:26 2022