The effect of dopaminergic therapy on intraoperative microelectrode recordings for subthalamic deep brain stimulation under GA: can we operate on patients 'on medications'?
Identifieur interne : 000F92 ( Main/Exploration ); précédent : 000F91; suivant : 000F93The effect of dopaminergic therapy on intraoperative microelectrode recordings for subthalamic deep brain stimulation under GA: can we operate on patients 'on medications'?
Auteurs : Mohammed J. Asha [Royaume-Uni] ; Jamilla Kausar [Royaume-Uni] ; Hari Krovvidi [Royaume-Uni] ; Colin Shirley [Royaume-Uni] ; Anwen White [Royaume-Uni] ; Ramesh Chelvarajah [Royaume-Uni] ; James A. Hodson [Royaume-Uni] ; Hardev Pall [Royaume-Uni] ; Rosalind D. Mitchell [Royaume-Uni]Source :
- Acta neurochirurgica [ 0942-0940 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- pharmacologie : Antiparkinsoniens, Lévodopa.
- Adulte d'âge moyen, Anesthésie générale, Femelle, Humains, Mâle, Noyau subthalamique, Stimulation cérébrale profonde, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- chemical , pharmacology : Antiparkinson Agents, Levodopa.
- drug effects : Subthalamic Nucleus.
- Aged, Anesthesia, General, Contraindications, Deep Brain Stimulation, Female, Humans, Male, Middle Aged.
Abstract
Microelectrode recording (MER) plays an important role in target refinement in deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD). Traditionally, patients were operated on in the 'off-medication' state to allow intraoperative assessment of the patient response to direct STN stimulation. The development of intraoperative microelectrode recording (MER) has facilitated the introduction of general anaesthesia (GA). However, the routine withdrawal of dopaminergic medications has remained as standard practice. This retrospective review examines the effect of continuing these medications on intraoperative MER for subthalamic DBS insertion under GA and discusses the clinical implication of this approach.
DOI: 10.1007/s00701-015-2631-1
PubMed: 26602236
Affiliations:
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Asha</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham, UK. mohammedjamil80@yahoo.com.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Kausar, Jamilla" sort="Kausar, Jamilla" uniqKey="Kausar J" first="Jamilla" last="Kausar">Jamilla Kausar</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Krovvidi, Hari" sort="Krovvidi, Hari" uniqKey="Krovvidi H" first="Hari" last="Krovvidi">Hari Krovvidi</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neuroanaesthesia, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neuroanaesthesia, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Shirley, Colin" sort="Shirley, Colin" uniqKey="Shirley C" first="Colin" last="Shirley">Colin Shirley</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurophysiology, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurophysiology, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="White, Anwen" sort="White, Anwen" uniqKey="White A" first="Anwen" last="White">Anwen White</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Chelvarajah, Ramesh" sort="Chelvarajah, Ramesh" uniqKey="Chelvarajah R" first="Ramesh" last="Chelvarajah">Ramesh Chelvarajah</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Hodson, James A" sort="Hodson, James A" uniqKey="Hodson J" first="James A" last="Hodson">James A. Hodson</name><affiliation wicri:level="3"><nlm:affiliation>Department of Statistics, Wolfson Computer Laboratory, Queen Elizabeth Hospital, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Statistics, Wolfson Computer Laboratory, Queen Elizabeth Hospital, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Pall, Hardev" sort="Pall, Hardev" uniqKey="Pall H" first="Hardev" last="Pall">Hardev Pall</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, School of Clinical and Experimental Medicine, College of Medicine, University of Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Neurology, School of Clinical and Experimental Medicine, College of Medicine, University of Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName><orgName type="university">Université de Birmingham</orgName></affiliation></author><author><name sortKey="Mitchell, Rosalind D" sort="Mitchell, Rosalind D" uniqKey="Mitchell R" first="Rosalind D" last="Mitchell">Rosalind D. Mitchell</name><affiliation wicri:level="3"><nlm:affiliation>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Divisions of Neurosurgery, University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author></analytic><series><title level="j">Acta neurochirurgica</title><idno type="eISSN">0942-0940</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anesthesia, General</term><term>Antiparkinson Agents (pharmacology)</term><term>Contraindications</term><term>Deep Brain Stimulation</term><term>Female</term><term>Humans</term><term>Levodopa (pharmacology)</term><term>Male</term><term>Middle Aged</term><term>Subthalamic Nucleus (drug effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie générale</term><term>Antiparkinsoniens (pharmacologie)</term><term>Femelle</term><term>Humains</term><term>Lévodopa (pharmacologie)</term><term>Mâle</term><term>Noyau subthalamique ()</term><term>Stimulation cérébrale profonde</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr"><term>Antiparkinsoniens</term><term>Lévodopa</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Anesthesia, General</term><term>Contraindications</term><term>Deep Brain Stimulation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie générale</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Noyau subthalamique</term><term>Stimulation cérébrale profonde</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Microelectrode recording (MER) plays an important role in target refinement in deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD). Traditionally, patients were operated on in the 'off-medication' state to allow intraoperative assessment of the patient response to direct STN stimulation. The development of intraoperative microelectrode recording (MER) has facilitated the introduction of general anaesthesia (GA). However, the routine withdrawal of dopaminergic medications has remained as standard practice. This retrospective review examines the effect of continuing these medications on intraoperative MER for subthalamic DBS insertion under GA and discusses the clinical implication of this approach.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Midlands de l'Ouest</li></region><settlement><li>Birmingham</li></settlement><orgName><li>Université de Birmingham</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Asha, Mohammed J" sort="Asha, Mohammed J" uniqKey="Asha M" first="Mohammed J" last="Asha">Mohammed J. Asha</name></region><name sortKey="Chelvarajah, Ramesh" sort="Chelvarajah, Ramesh" uniqKey="Chelvarajah R" first="Ramesh" last="Chelvarajah">Ramesh Chelvarajah</name><name sortKey="Hodson, James A" sort="Hodson, James A" uniqKey="Hodson J" first="James A" last="Hodson">James A. Hodson</name><name sortKey="Kausar, Jamilla" sort="Kausar, Jamilla" uniqKey="Kausar J" first="Jamilla" last="Kausar">Jamilla Kausar</name><name sortKey="Krovvidi, Hari" sort="Krovvidi, Hari" uniqKey="Krovvidi H" first="Hari" last="Krovvidi">Hari Krovvidi</name><name sortKey="Mitchell, Rosalind D" sort="Mitchell, Rosalind D" uniqKey="Mitchell R" first="Rosalind D" last="Mitchell">Rosalind D. Mitchell</name><name sortKey="Pall, Hardev" sort="Pall, Hardev" uniqKey="Pall H" first="Hardev" last="Pall">Hardev Pall</name><name sortKey="Shirley, Colin" sort="Shirley, Colin" uniqKey="Shirley C" first="Colin" last="Shirley">Colin Shirley</name><name sortKey="White, Anwen" sort="White, Anwen" uniqKey="White A" first="Anwen" last="White">Anwen White</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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