A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.
Identifieur interne : 001507 ( PubMed/Corpus ); précédent : 001506; suivant : 001508A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.
Auteurs : Ravikant S. Palur ; Caglar Berk ; Michael Schulzer ; Christopher R. HoneySource :
- Journal of neurosurgery [ 0022-3085 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Electrodes, Physical Stimulation.
- physiopathology : Globus Pallidus, Parkinson Disease.
- surgery : Globus Pallidus, Parkinson Disease.
- Humans, Outcome Assessment (Health Care), Postoperative Complications, Tape Recording.
Abstract
There is an active debate regarding whether pallidotomy should be performed using macroelectrode stimulation or the more sophisticated and expensive method of microelectrode recording. No prospective, randomized trial results have answered this question, although personnel at many centers claim one method is superior. In their metaanalysis the authors reviewed published reports of both methods to determine if there is a significant difference in clinical outcomes or complication rates associated with these methods.
DOI: 10.3171/jns.2002.96.6.1058
PubMed: 12066907
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pubmed:12066907Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.</title><author><name sortKey="Palur, Ravikant S" sort="Palur, Ravikant S" uniqKey="Palur R" first="Ravikant S" last="Palur">Ravikant S. Palur</name><affiliation><nlm:affiliation>Division of Neurosurgery at the Surgical Centre for Movement Disorders, University of British Columbia, Vancouver, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Berk, Caglar" sort="Berk, Caglar" uniqKey="Berk C" first="Caglar" last="Berk">Caglar Berk</name></author><author><name sortKey="Schulzer, Michael" sort="Schulzer, Michael" uniqKey="Schulzer M" first="Michael" last="Schulzer">Michael Schulzer</name></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:12066907</idno><idno type="pmid">12066907</idno><idno type="doi">10.3171/jns.2002.96.6.1058</idno><idno type="wicri:Area/PubMed/Corpus">001507</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001507</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.</title><author><name sortKey="Palur, Ravikant S" sort="Palur, Ravikant S" uniqKey="Palur R" first="Ravikant S" last="Palur">Ravikant S. Palur</name><affiliation><nlm:affiliation>Division of Neurosurgery at the Surgical Centre for Movement Disorders, University of British Columbia, Vancouver, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Berk, Caglar" sort="Berk, Caglar" uniqKey="Berk C" first="Caglar" last="Berk">Caglar Berk</name></author><author><name sortKey="Schulzer, Michael" sort="Schulzer, Michael" uniqKey="Schulzer M" first="Michael" last="Schulzer">Michael Schulzer</name></author><author><name sortKey="Honey, Christopher R" sort="Honey, Christopher R" uniqKey="Honey C" first="Christopher R" last="Honey">Christopher R. Honey</name></author></analytic><series><title level="j">Journal of neurosurgery</title><idno type="ISSN">0022-3085</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Electrodes (adverse effects)</term><term>Globus Pallidus (physiopathology)</term><term>Globus Pallidus (surgery)</term><term>Humans</term><term>Outcome Assessment (Health Care)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (surgery)</term><term>Physical Stimulation (adverse effects)</term><term>Postoperative Complications</term><term>Tape Recording</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electrodes</term><term>Physical Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Outcome Assessment (Health Care)</term><term>Postoperative Complications</term><term>Tape Recording</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There is an active debate regarding whether pallidotomy should be performed using macroelectrode stimulation or the more sophisticated and expensive method of microelectrode recording. No prospective, randomized trial results have answered this question, although personnel at many centers claim one method is superior. In their metaanalysis the authors reviewed published reports of both methods to determine if there is a significant difference in clinical outcomes or complication rates associated with these methods.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12066907</PMID><DateCreated><Year>2002</Year><Month>06</Month><Day>17</Day></DateCreated><DateCompleted><Year>2002</Year><Month>07</Month><Day>02</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3085</ISSN><JournalIssue CitedMedium="Print"><Volume>96</Volume><Issue>6</Issue><PubDate><Year>2002</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of neurosurgery</Title><ISOAbbreviation>J. Neurosurg.</ISOAbbreviation></Journal><ArticleTitle>A metaanalysis comparing the results of pallidotomy performed using microelectrode recording or macroelectrode stimulation.</ArticleTitle><Pagination><MedlinePgn>1058-62</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">There is an active debate regarding whether pallidotomy should be performed using macroelectrode stimulation or the more sophisticated and expensive method of microelectrode recording. No prospective, randomized trial results have answered this question, although personnel at many centers claim one method is superior. In their metaanalysis the authors reviewed published reports of both methods to determine if there is a significant difference in clinical outcomes or complication rates associated with these methods.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A metaanalysis was performed with data from reports on the use of unilateral pallidotomy in patients with Parkinson disease (PD) that were published between 1992 and 2000. A Medline search was conducted for the key word "pallidotomy" and additional studies were added following a review of the references. Only those studies dealing with unilateral procedures performed in patients with PD were included. Papers were excluded if they described a cohort smaller than 10 patients or a follow-up period shorter than 3 months or included cases that previously had been reported. The primary end points for outcome were the percentages of improvement in dyskinesias and in motor scores determined by the Unified PD Rating Scale (UPDRS). Complications were categorized as mortality, intracranial hemorrhage, visual deficit, speech deficit, cognitive decline, weakness, and other. There were no significant differences between the two methods with respect to improvements in dyskinesias (p = 0.66) or UPDRS motor scores (p = 0.62). Microelectrode recording was associated with a significantly higher (p = 0.012) intracranial hemorrhage rate (1.3 +/- 0.4%), compared with macroelectrode stimulation (0.25 +/- 0.2%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In reports of patients with PD who underwent unilateral pallidotomy, operations that included microelectrode recording were associated with a small, but significantly higher rate of symptomatic intracranial hemorrhage; however, there was no difference in postoperative reduction of dyskinesia or bradykinesia compared with operations that included macroelectrode stimulation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Palur</LastName><ForeName>Ravikant S</ForeName><Initials>RS</Initials><AffiliationInfo><Affiliation>Division of Neurosurgery at the Surgical Centre for Movement Disorders, University of British Columbia, Vancouver, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berk</LastName><ForeName>Caglar</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Schulzer</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Honey</LastName><ForeName>Christopher R</ForeName><Initials>CR</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Neurosurg</MedlineTA><NlmUniqueID>0253357</NlmUniqueID><ISSNLinking>0022-3085</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Neurosurg. 2002 Nov;97(5):1253-6; author reply 1256</RefSource><PMID Version="1">12450058</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D004566" MajorTopicYN="N">Electrodes</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005917" MajorTopicYN="N">Globus Pallidus</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="Y">Outcome Assessment (Health Care)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010812" MajorTopicYN="N">Physical Stimulation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013637" MajorTopicYN="Y">Tape Recording</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>6</Month><Day>18</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2002</Year><Month>7</Month><Day>3</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>6</Month><Day>18</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12066907</ArticleId><ArticleId IdType="doi">10.3171/jns.2002.96.6.1058</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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