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

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Targeting the basal ganglia for deep brain stimulation in Parkinson's disease

Identifieur interne : 000073 ( PascalFrancis/Curation ); précédent : 000072; suivant : 000074

Targeting the basal ganglia for deep brain stimulation in Parkinson's disease

Auteurs : J. Guridi [Espagne] ; M. C. Rodriguez-Oroz [Espagne] ; A. M. Lozano [Canada] ; E. Moro [Italie] ; A. Albanese [Italie] ; B. Nuttin [Belgique] ; J. Gybels [Belgique] ; E. Ramos [Espagne] ; J. A. Obeso [Espagne]

Source :

RBID : Pascal:01-0104103

Descripteurs français

English descriptors

Abstract

Article abstract-The revitalization of surgery for Parkinson's disease (PD) has fueled discussion about the best methodology to define the target. Placement of electrodes for deep brain stimulation (DBS) requires the usual stereotactic technique but the argument is mainly centered on whether or not microrecording neuronal activity is necessary. We compared the accuracy of calculating the coordinates X (medio-lateral) and Y (rostro-caudal) considered by the classic stereotactic method, i.e., definition of the AC-PC intercomissural line by MRI and a digitized version of the Schalten-brand's atlas, with final electrode placement according with microrecording and microstimulation in 21 patients. For both the globus pallidum internum (GPi) (n = 21) and the subthalamic nucleus (STN) (n = 36) there was, respectively, a 43% and 45% mismatching of more than 3 mm between the theoretic coordinates and the final site of electrode location. This applies to both the X and Y planes. Accuracy was not improved in patients (n = 11) in whom the bilateral procedure was undertaken in a single day. We conclude that proper electrode positioning of the STN and GPi requires fine electrophysiologic assessment.
pA  
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A03   1    @0 Neurology
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A08 01  1  ENG  @1 Targeting the basal ganglia for deep brain stimulation in Parkinson's disease
A09 01  1  ENG  @1 Deep Brain Stimulation for Parkinson's Disease and Tremor
A11 01  1    @1 GURIDI (J.)
A11 02  1    @1 RODRIGUEZ-OROZ (M. C.)
A11 03  1    @1 LOZANO (A. M.)
A11 04  1    @1 MORO (E.)
A11 05  1    @1 ALBANESE (A.)
A11 06  1    @1 NUTTIN (B.)
A11 07  1    @1 GYBELS (J.)
A11 08  1    @1 RAMOS (E.)
A11 09  1    @1 OBESO (J. A.)
A12 01  1    @1 OBESO (J. A.) @9 ed.
A12 02  1    @1 BENABID (A.) @9 ed.
A12 03  1    @1 KOLLER (W.) @9 ed.
A14 01      @1 Centro de Neurocirugia Funcional, Clinica Quiron @2 San Sebastian @3 ESP @Z 1 aut. @Z 8 aut.
A14 02      @1 Service of Neurosurgery, Hospital de Navarra @2 Pamplona @3 ESP @Z 1 aut.
A14 03      @1 Movement Disorders and Basal Ganglia Unit, Department of Neurology and Neurosurgery, Clinica Universitaria and Medical School, University of Navarra @2 Pamplona @3 ESP @Z 2 aut. @Z 9 aut.
A14 04      @1 Department of Neurosurgery, Toronto Western Hospital, University of Toronto @2 Toronto, Ontario @3 CAN @Z 3 aut.
A14 05      @1 Instituto di Neurologia, Universita Cattolica @2 Rome @3 ITA @Z 4 aut. @Z 5 aut.
A14 06      @1 Department of Neurosurgery, University Hospital @2 Leuven @3 BEL @Z 6 aut. @Z 7 aut.
A15 01      @1 Department of Neurology and Neurosurgery, Neuroscience Program, Clinica Universitaria and Medical School, University of Navarra @2 Pamplona @3 ESP @Z 1 aut.
A15 02      @1 University of Miami Medical Center, Department of Neurology @2 Miami, Florida @3 USA @Z 3 aut.
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C01 01    ENG  @0 Article abstract-The revitalization of surgery for Parkinson's disease (PD) has fueled discussion about the best methodology to define the target. Placement of electrodes for deep brain stimulation (DBS) requires the usual stereotactic technique but the argument is mainly centered on whether or not microrecording neuronal activity is necessary. We compared the accuracy of calculating the coordinates X (medio-lateral) and Y (rostro-caudal) considered by the classic stereotactic method, i.e., definition of the AC-PC intercomissural line by MRI and a digitized version of the Schalten-brand's atlas, with final electrode placement according with microrecording and microstimulation in 21 patients. For both the globus pallidum internum (GPi) (n = 21) and the subthalamic nucleus (STN) (n = 36) there was, respectively, a 43% and 45% mismatching of more than 3 mm between the theoretic coordinates and the final site of electrode location. This applies to both the X and Y planes. Accuracy was not improved in patients (n = 11) in whom the bilateral procedure was undertaken in a single day. We conclude that proper electrode positioning of the STN and GPi requires fine electrophysiologic assessment.
C02 01  X    @0 002B17G
C03 01  X  FRE  @0 Parkinson maladie @5 01
C03 01  X  ENG  @0 Parkinson disease @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @5 01
C03 02  X  FRE  @0 Stimulation instrumentale @5 04
C03 02  X  ENG  @0 Instrumental stimulation @5 04
C03 02  X  SPA  @0 Estimulación instrumental @5 04
C03 03  X  FRE  @0 Encéphale @5 05
C03 03  X  ENG  @0 Brain (vertebrata) @5 05
C03 03  X  SPA  @0 Encéfalo @5 05
C03 04  X  FRE  @0 Chirurgie stéréotaxique @5 07
C03 04  X  ENG  @0 Stereotaxic surgery @5 07
C03 04  X  SPA  @0 Cirugía estereotáxica @5 07
C03 05  X  FRE  @0 Noyau gris central @5 10
C03 05  X  ENG  @0 Basal ganglion @5 10
C03 05  X  SPA  @0 Núcleo basal @5 10
C03 06  X  FRE  @0 Ciblage @5 13
C03 06  X  ENG  @0 Targeting @5 13
C03 06  X  SPA  @0 Blancado @5 13
C03 07  X  FRE  @0 Traitement @5 17
C03 07  X  ENG  @0 Treatment @5 17
C03 07  X  SPA  @0 Tratamiento @5 17
C03 08  X  FRE  @0 Homme @5 20
C03 08  X  ENG  @0 Human @5 20
C03 08  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Système nerveux pathologie @5 37
C07 01  X  ENG  @0 Nervous system diseases @5 37
C07 01  X  SPA  @0 Sistema nervioso patología @5 37
C07 02  X  FRE  @0 Système nerveux central pathologie @5 38
C07 02  X  ENG  @0 Central nervous system disease @5 38
C07 02  X  SPA  @0 Sistema nervosio central patología @5 38
C07 03  X  FRE  @0 Encéphale pathologie @5 39
C07 03  X  ENG  @0 Cerebral disorder @5 39
C07 03  X  SPA  @0 Encéfalo patología @5 39
C07 04  X  FRE  @0 Extrapyramidal syndrome @5 40
C07 04  X  ENG  @0 Extrapyramidal syndrome @5 40
C07 04  X  SPA  @0 Extrapiramidal síndrome @5 40
C07 05  X  FRE  @0 Maladie dégénérative @5 41
C07 05  X  ENG  @0 Degenerative disease @5 41
C07 05  X  SPA  @0 Enfermedad degenerativa @5 41
C07 06  X  FRE  @0 Traitement instrumental @5 45
C07 06  X  ENG  @0 Instrumentation therapy @5 45
C07 06  X  SPA  @0 Tratamiento instrumental @5 45
N21       @1 071
pR  
A30 01  1  ENG  @1 DBS Deep Brain Stimulation. Meeting @3 Miami, Florida USA @4 1997-02

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Pascal:01-0104103

Le document en format XML

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<div type="abstract" xml:lang="en">Article abstract-The revitalization of surgery for Parkinson's disease (PD) has fueled discussion about the best methodology to define the target. Placement of electrodes for deep brain stimulation (DBS) requires the usual stereotactic technique but the argument is mainly centered on whether or not microrecording neuronal activity is necessary. We compared the accuracy of calculating the coordinates X (medio-lateral) and Y (rostro-caudal) considered by the classic stereotactic method, i.e., definition of the AC-PC intercomissural line by MRI and a digitized version of the Schalten-brand's atlas, with final electrode placement according with microrecording and microstimulation in 21 patients. For both the globus pallidum internum (GPi) (n = 21) and the subthalamic nucleus (STN) (n = 36) there was, respectively, a 43% and 45% mismatching of more than 3 mm between the theoretic coordinates and the final site of electrode location. This applies to both the X and Y planes. Accuracy was not improved in patients (n = 11) in whom the bilateral procedure was undertaken in a single day. We conclude that proper electrode positioning of the STN and GPi requires fine electrophysiologic assessment.</div>
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<s1>KOLLER (W.)</s1>
<s9>ed.</s9>
</fA12>
<fA14 i1="01">
<s1>Centro de Neurocirugia Funcional, Clinica Quiron</s1>
<s2>San Sebastian</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Service of Neurosurgery, Hospital de Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Movement Disorders and Basal Ganglia Unit, Department of Neurology and Neurosurgery, Clinica Universitaria and Medical School, University of Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>2 aut.</sZ>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Department of Neurosurgery, Toronto Western Hospital, University of Toronto</s1>
<s2>Toronto, Ontario</s2>
<s3>CAN</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Instituto di Neurologia, Universita Cattolica</s1>
<s2>Rome</s2>
<s3>ITA</s3>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Department of Neurosurgery, University Hospital</s1>
<s2>Leuven</s2>
<s3>BEL</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</fA14>
<fA15 i1="01">
<s1>Department of Neurology and Neurosurgery, Neuroscience Program, Clinica Universitaria and Medical School, University of Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
</fA15>
<fA15 i1="02">
<s1>University of Miami Medical Center, Department of Neurology</s1>
<s2>Miami, Florida</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
</fA15>
<fA20>
<s2>S21-S28</s2>
</fA20>
<fA21>
<s1>2000</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>6345</s2>
<s5>354000093591920050</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2001 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>20 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>01-0104103</s0>
</fA47>
<fA60>
<s1>P</s1>
<s2>C</s2>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Neurology</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Article abstract-The revitalization of surgery for Parkinson's disease (PD) has fueled discussion about the best methodology to define the target. Placement of electrodes for deep brain stimulation (DBS) requires the usual stereotactic technique but the argument is mainly centered on whether or not microrecording neuronal activity is necessary. We compared the accuracy of calculating the coordinates X (medio-lateral) and Y (rostro-caudal) considered by the classic stereotactic method, i.e., definition of the AC-PC intercomissural line by MRI and a digitized version of the Schalten-brand's atlas, with final electrode placement according with microrecording and microstimulation in 21 patients. For both the globus pallidum internum (GPi) (n = 21) and the subthalamic nucleus (STN) (n = 36) there was, respectively, a 43% and 45% mismatching of more than 3 mm between the theoretic coordinates and the final site of electrode location. This applies to both the X and Y planes. Accuracy was not improved in patients (n = 11) in whom the bilateral procedure was undertaken in a single day. We conclude that proper electrode positioning of the STN and GPi requires fine electrophysiologic assessment.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17G</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Parkinson maladie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Parkinson enfermedad</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Stimulation instrumentale</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Instrumental stimulation</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Estimulación instrumental</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Encéphale</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Brain (vertebrata)</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Encéfalo</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Chirurgie stéréotaxique</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Stereotaxic surgery</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Cirugía estereotáxica</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Noyau gris central</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Basal ganglion</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Núcleo basal</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Ciblage</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Targeting</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Blancado</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>17</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>17</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Traitement instrumental</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Instrumentation therapy</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Tratamiento instrumental</s0>
<s5>45</s5>
</fC07>
<fN21>
<s1>071</s1>
</fN21>
</pA>
<pR>
<fA30 i1="01" i2="1" l="ENG">
<s1>DBS Deep Brain Stimulation. Meeting</s1>
<s3>Miami, Florida USA</s3>
<s4>1997-02</s4>
</fA30>
</pR>
</standard>
</inist>
</record>

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