Serveur d'exploration autour de Joseph Jankovic

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Five-year follow-up of unilateral posteroventral pallidotomy in Parkinson's disease.

Identifieur interne : 000139 ( PubMed/Corpus ); précédent : 000138; suivant : 000140

Five-year follow-up of unilateral posteroventral pallidotomy in Parkinson's disease.

Auteurs : Adriana. Strutt ; Eugene. Lai ; Joseph Jankovic ; Farah Atassi ; Elizabeth. Soety ; Harvey. Levin ; Robert. Grossman ; Michele. York

Source :

RBID : pubmed:18514283

English descriptors

Abstract

Neurocognitive outcome research of individuals with Parkinson's disease after unilateral pallidotomy is inconsistent. Although some studies reported few cognitive changes, other investigations have more consistently shown both transient and long-term cognitive decline postoperatively.

DOI: 10.1016/j.surneu.2008.03.039
PubMed: 18514283

Links to Exploration step

pubmed:18514283

Le document en format XML

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<term>Cognition Disorders (etiology)</term>
<term>Cognition Disorders (physiopathology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Functional Laterality (physiology)</term>
<term>Globus Pallidus (anatomy & histology)</term>
<term>Globus Pallidus (surgery)</term>
<term>Humans</term>
<term>Male</term>
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<term>Mental Processes (physiology)</term>
<term>Middle Aged</term>
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<term>Outcome Assessment (Health Care) (methods)</term>
<term>Pallidotomy (adverse effects)</term>
<term>Pallidotomy (methods)</term>
<term>Pallidotomy (statistics & numerical data)</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (surgery)</term>
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<term>Risk Assessment</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<term>Pallidotomy</term>
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<term>Globus Pallidus</term>
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<term>Parkinson Disease</term>
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<term>Cognition Disorders</term>
<term>Memory Disorders</term>
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<term>Cognition Disorders</term>
<term>Memory Disorders</term>
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<term>Pallidotomy</term>
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<term>Functional Laterality</term>
<term>Mental Processes</term>
<term>Psychomotor Performance</term>
<term>Reaction Time</term>
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<term>Cognition Disorders</term>
<term>Memory Disorders</term>
<term>Parkinson Disease</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Pallidotomy</term>
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<term>Globus Pallidus</term>
<term>Parkinson Disease</term>
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<term>Aged</term>
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<term>Follow-Up Studies</term>
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<term>Neuropsychological Tests</term>
<term>Retrospective Studies</term>
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<div type="abstract" xml:lang="en">Neurocognitive outcome research of individuals with Parkinson's disease after unilateral pallidotomy is inconsistent. Although some studies reported few cognitive changes, other investigations have more consistently shown both transient and long-term cognitive decline postoperatively.</div>
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<Month>04</Month>
<Day>23</Day>
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<Year>2009</Year>
<Month>07</Month>
<Day>15</Day>
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<DateRevised>
<Year>2014</Year>
<Month>09</Month>
<Day>03</Day>
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<Year>2009</Year>
<Month>May</Month>
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<Title>Surgical neurology</Title>
<ISOAbbreviation>Surg Neurol</ISOAbbreviation>
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<ArticleTitle>Five-year follow-up of unilateral posteroventral pallidotomy in Parkinson's disease.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Neurocognitive outcome research of individuals with Parkinson's disease after unilateral pallidotomy is inconsistent. Although some studies reported few cognitive changes, other investigations have more consistently shown both transient and long-term cognitive decline postoperatively.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We report the long-term motor and neurocognitive outcome 5 years post surgery for 18 patients with Parkinson's disease (12 men and 6 woman; all right-handed) who underwent right or left unilateral posteroventral pallidotomy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Pallidotomy patients revealed long-term motor benefits from the surgery in their "off" state and control of dopa-induced dyskinesias in their "on" state, which is consistent with previous research. We found mild declines in oral and visuomotor information processing speed, verbal recognition memory, and mental status 5 years after surgery, which differs from previous literature regarding the long-term neurocognitive outcome after pallidotomy. Differences between the right and left pallidotomy patients for both motor and cognitive skills were not found.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although deep brain stimulation is presently the treatment of choice, pallidotomy continues to be performed around the world. Consequently, although unilateral pallidotomy should be considered a treatment option for patients with Parkinson's disease who suffer from severe unilateral disabling motor symptoms or dyskinesias, the long-term neurocognitive outcome should also be considered in treatment decisions.</AbstractText>
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<LastName>Strutt</LastName>
<ForeName>Adriana M</ForeName>
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<Affiliation>Departments of Neurology, Baylor College of Medicine, Houston, TX 77030, USA.</Affiliation>
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<LastName>Lai</LastName>
<ForeName>Eugene C</ForeName>
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<LastName>Soety</LastName>
<ForeName>Elizabeth M</ForeName>
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<LastName>Levin</LastName>
<ForeName>Harvey S</ForeName>
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<LastName>Grossman</LastName>
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<LastName>York</LastName>
<ForeName>Michele K</ForeName>
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<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
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<MeshHeading>
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<PubMedPubDate PubStatus="accepted">
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