Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism
Identifieur interne : 000C17 ( PascalFrancis/Corpus ); précédent : 000C16; suivant : 000C18Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism
Auteurs : M. Fukuda ; M. J. Mentis ; Y. Ma ; V. Dhawan ; A. Antonini ; A. E. Lang ; A. M. Lozano ; J. Hammerstad ; K. Lyons ; W. C. Koller ; J. R. Moeller ; D. EidelbergSource :
- Brain [ 0006-8950 ] ; 2001.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Employing [18F]fluorodeoxyglucose (FDG) and PET, we have found previously that stereotaxic ablation of the internal globus pallidus (GPi) for Parkinson's disease causes resting metabolic changes in brain regions remote from the lesion site. In this study we determined whether similar metabolic changes occur in Parkinson's disease patients treated with deep brain stimulation (DBS) of the GPi. We studied seven Parkinson's disease patients with FDG-PET to measure resting regional cerebral glucose utilization on and off GPi stimulation. We used statistical parametric mapping to identify significant changes in regional brain metabolism that occurred with this intervention. We also quantified stimulation-related changes in the expression of a specific abnormal Parkinson's disease-related pattern of metabolic covariation (PDRP) that had been identified in earlier FDG-PET studies. Metabolic changes with DBS were correlated with clinical improvement as measured by changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor ratings off medication. GPi DBS improved UPDRS motor ratings (36%, P < 0.001) and significantly increased regional glucose metabolism in the premotor cortex ipsilateral to stimulation and in the cerebellum bilaterally. GPi DBS also resulted in a significant (P < 0.01) decline in PDRP activity ipsilateral to stimulation, which correlated significantly with clinical improvement in UPDRS motor ratings (P < 0.03). Clinical improvement with GPi DBS is associated with reduced expression of an abnormal Parkinson's disease-related metabolic network involving elements of the cortico-striato-pallido-thalamocortical and the cerebello-cortical motor loops.
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Format Inist (serveur)
NO : | PASCAL 01-0400778 INIST |
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ET : | Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism |
AU : | FUKUDA (M.); MENTIS (M. J.); MA (Y.); DHAWAN (V.); ANTONINI (A.); LANG (A. E.); LOZANO (A. M.); HAMMERSTAD (J.); LYONS (K.); KOLLER (W. C.); MOELLER (J. R.); EIDELBERG (D.) |
AF : | Center for Neurosciences, North Shore-Long Island Jewish Research Institute/Manhasset/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 12 aut.); Department of Neurology, New York University School of Medicine/New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 12 aut.); Toronto Western Hospital/Toronto, Ontario/Canada (6 aut., 7 aut.); Department of Neurology, Oregon Health Science University/Portland, Oregon/Etats-Unis (8 aut.); University of Miami Medical Center/Miami, Florida/Etats-Unis (9 aut., 10 aut.); Department of Psychiatry, Columbia College of Physicians and Surgeons/New York/Etats-Unis (11 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Brain; ISSN 0006-8950; Royaume-Uni; Da. 2001; Vol. 124; No. p.8; Pp. 1601-1609; Bibl. 1 p.1/4 |
LA : | Anglais |
EA : | Employing [18F]fluorodeoxyglucose (FDG) and PET, we have found previously that stereotaxic ablation of the internal globus pallidus (GPi) for Parkinson's disease causes resting metabolic changes in brain regions remote from the lesion site. In this study we determined whether similar metabolic changes occur in Parkinson's disease patients treated with deep brain stimulation (DBS) of the GPi. We studied seven Parkinson's disease patients with FDG-PET to measure resting regional cerebral glucose utilization on and off GPi stimulation. We used statistical parametric mapping to identify significant changes in regional brain metabolism that occurred with this intervention. We also quantified stimulation-related changes in the expression of a specific abnormal Parkinson's disease-related pattern of metabolic covariation (PDRP) that had been identified in earlier FDG-PET studies. Metabolic changes with DBS were correlated with clinical improvement as measured by changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor ratings off medication. GPi DBS improved UPDRS motor ratings (36%, P < 0.001) and significantly increased regional glucose metabolism in the premotor cortex ipsilateral to stimulation and in the cerebellum bilaterally. GPi DBS also resulted in a significant (P < 0.01) decline in PDRP activity ipsilateral to stimulation, which correlated significantly with clinical improvement in UPDRS motor ratings (P < 0.03). Clinical improvement with GPi DBS is associated with reduced expression of an abnormal Parkinson's disease-related metabolic network involving elements of the cortico-striato-pallido-thalamocortical and the cerebello-cortical motor loops. |
CC : | 002B17G |
FD : | Parkinson maladie; Tomoscintigraphie; Positon; Stimulation instrumentale; Pallidum; Métabolisme; Glucose; Exploration; Homme |
FG : | Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Exploration radioisotopique; Traitement instrumental; Encéphale |
ED : | Parkinson disease; Emission tomography; Positron; Instrumental stimulation; Pallidum; Metabolism; Glucose; Exploration; Human |
EG : | Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Radionuclide study; Instrumentation therapy; Brain (vertebrata) |
SD : | Parkinson enfermedad; Tomocentelleografía; Positrón; Estimulación instrumental; Pallidum; Metabolismo; Glucosa; Exploración; Hombre |
LO : | INIST-998.354000098620390120 |
ID : | 01-0400778 |
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Pascal:01-0400778Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism</title>
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<author><name sortKey="Antonini, A" sort="Antonini, A" uniqKey="Antonini A" first="A." last="Antonini">A. Antonini</name>
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<author><name sortKey="Hammerstad, J" sort="Hammerstad, J" uniqKey="Hammerstad J" first="J." last="Hammerstad">J. Hammerstad</name>
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<author><name sortKey="Lyons, K" sort="Lyons, K" uniqKey="Lyons K" first="K." last="Lyons">K. Lyons</name>
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<author><name sortKey="Eidelberg, D" sort="Eidelberg, D" uniqKey="Eidelberg D" first="D." last="Eidelberg">D. Eidelberg</name>
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<term>Metabolism</term>
<term>Pallidum</term>
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<term>Positron</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term>
<term>Tomoscintigraphie</term>
<term>Positon</term>
<term>Stimulation instrumentale</term>
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<front><div type="abstract" xml:lang="en">Employing [<sup>18</sup>
F]fluorodeoxyglucose (FDG) and PET, we have found previously that stereotaxic ablation of the internal globus pallidus (GPi) for Parkinson's disease causes resting metabolic changes in brain regions remote from the lesion site. In this study we determined whether similar metabolic changes occur in Parkinson's disease patients treated with deep brain stimulation (DBS) of the GPi. We studied seven Parkinson's disease patients with FDG-PET to measure resting regional cerebral glucose utilization on and off GPi stimulation. We used statistical parametric mapping to identify significant changes in regional brain metabolism that occurred with this intervention. We also quantified stimulation-related changes in the expression of a specific abnormal Parkinson's disease-related pattern of metabolic covariation (PDRP) that had been identified in earlier FDG-PET studies. Metabolic changes with DBS were correlated with clinical improvement as measured by changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor ratings off medication. GPi DBS improved UPDRS motor ratings (36%, P < 0.001) and significantly increased regional glucose metabolism in the premotor cortex ipsilateral to stimulation and in the cerebellum bilaterally. GPi DBS also resulted in a significant (P < 0.01) decline in PDRP activity ipsilateral to stimulation, which correlated significantly with clinical improvement in UPDRS motor ratings (P < 0.03). Clinical improvement with GPi DBS is associated with reduced expression of an abnormal Parkinson's disease-related metabolic network involving elements of the cortico-striato-pallido-thalamocortical and the cerebello-cortical motor loops.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism</s1>
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<fA14 i1="02"><s1>Department of Neurology, New York University School of Medicine</s1>
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<fA14 i1="04"><s1>Department of Neurology, Oregon Health Science University</s1>
<s2>Portland, Oregon</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
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<fA14 i1="05"><s1>University of Miami Medical Center</s1>
<s2>Miami, Florida</s2>
<s3>USA</s3>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Department of Psychiatry, Columbia College of Physicians and Surgeons</s1>
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<server><NO>PASCAL 01-0400778 INIST</NO>
<ET>Networks mediating the clinical effects of pallidal brain stimulation for Parkinson's disease: A pet study of resting-state glucose metabolism</ET>
<AU>FUKUDA (M.); MENTIS (M. J.); MA (Y.); DHAWAN (V.); ANTONINI (A.); LANG (A. E.); LOZANO (A. M.); HAMMERSTAD (J.); LYONS (K.); KOLLER (W. C.); MOELLER (J. R.); EIDELBERG (D.)</AU>
<AF>Center for Neurosciences, North Shore-Long Island Jewish Research Institute/Manhasset/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 12 aut.); Department of Neurology, New York University School of Medicine/New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 12 aut.); Toronto Western Hospital/Toronto, Ontario/Canada (6 aut., 7 aut.); Department of Neurology, Oregon Health Science University/Portland, Oregon/Etats-Unis (8 aut.); University of Miami Medical Center/Miami, Florida/Etats-Unis (9 aut., 10 aut.); Department of Psychiatry, Columbia College of Physicians and Surgeons/New York/Etats-Unis (11 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Brain; ISSN 0006-8950; Royaume-Uni; Da. 2001; Vol. 124; No. p.8; Pp. 1601-1609; Bibl. 1 p.1/4</SO>
<LA>Anglais</LA>
<EA>Employing [<sup>18</sup>
F]fluorodeoxyglucose (FDG) and PET, we have found previously that stereotaxic ablation of the internal globus pallidus (GPi) for Parkinson's disease causes resting metabolic changes in brain regions remote from the lesion site. In this study we determined whether similar metabolic changes occur in Parkinson's disease patients treated with deep brain stimulation (DBS) of the GPi. We studied seven Parkinson's disease patients with FDG-PET to measure resting regional cerebral glucose utilization on and off GPi stimulation. We used statistical parametric mapping to identify significant changes in regional brain metabolism that occurred with this intervention. We also quantified stimulation-related changes in the expression of a specific abnormal Parkinson's disease-related pattern of metabolic covariation (PDRP) that had been identified in earlier FDG-PET studies. Metabolic changes with DBS were correlated with clinical improvement as measured by changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor ratings off medication. GPi DBS improved UPDRS motor ratings (36%, P < 0.001) and significantly increased regional glucose metabolism in the premotor cortex ipsilateral to stimulation and in the cerebellum bilaterally. GPi DBS also resulted in a significant (P < 0.01) decline in PDRP activity ipsilateral to stimulation, which correlated significantly with clinical improvement in UPDRS motor ratings (P < 0.03). Clinical improvement with GPi DBS is associated with reduced expression of an abnormal Parkinson's disease-related metabolic network involving elements of the cortico-striato-pallido-thalamocortical and the cerebello-cortical motor loops.</EA>
<CC>002B17G</CC>
<FD>Parkinson maladie; Tomoscintigraphie; Positon; Stimulation instrumentale; Pallidum; Métabolisme; Glucose; Exploration; Homme</FD>
<FG>Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Exploration radioisotopique; Traitement instrumental; Encéphale</FG>
<ED>Parkinson disease; Emission tomography; Positron; Instrumental stimulation; Pallidum; Metabolism; Glucose; Exploration; Human</ED>
<EG>Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Radionuclide study; Instrumentation therapy; Brain (vertebrata)</EG>
<SD>Parkinson enfermedad; Tomocentelleografía; Positrón; Estimulación instrumental; Pallidum; Metabolismo; Glucosa; Exploración; Hombre</SD>
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