Subthalamic deep brain stimulation after anesthetic inhalation in Parkinson disease: a preliminary study.
Identifieur interne : 002088 ( PubMed/Corpus ); précédent : 002087; suivant : 002089Subthalamic deep brain stimulation after anesthetic inhalation in Parkinson disease: a preliminary study.
Auteurs : Sheng-Huang Lin ; Tsung-Ying Chen ; Shinn-Zong Lin ; Ming-Hwang Shyr ; Yu-Cheng Chou ; Wanhua Annie Hsieh ; Sheng-Tzung Tsai ; Shin-Yuan ChenSource :
- Journal of neurosurgery [ 0022-3085 ] ; 2008.
English descriptors
- KwdEn :
- Aged, Anesthesia, General (methods), Anesthetics, Inhalation (administration & dosage), Anesthetics, Local (administration & dosage), Deep Brain Stimulation, Desflurane, Female, Humans, Isoflurane (administration & dosage), Isoflurane (analogs & derivatives), Male, Microelectrodes, Middle Aged, Parkinson Disease (therapy), Pilot Projects, Retrospective Studies, Subthalamic Nucleus (physiology), Treatment Outcome.
- MESH :
- chemical , administration & dosage : Anesthetics, Inhalation, Anesthetics, Local, Isoflurane.
- chemical , analogs & derivatives : Isoflurane.
- methods : Anesthesia, General.
- physiology : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Aged, Deep Brain Stimulation, Desflurane, Female, Humans, Male, Microelectrodes, Middle Aged, Pilot Projects, Retrospective Studies, Treatment Outcome.
Abstract
The authors of this preliminary study investigated the outcome and feasibility of intraoperative microelectrode recording (MER) in patients with Parkinson disease (PD) undergoing deep brain stimulation of the subthalamic nucleus (STN) after anesthetic inhalation.
DOI: 10.3171/JNS/2008/109/8/0238
PubMed: 18671635
Links to Exploration step
pubmed:18671635Le document en format XML
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<author><name sortKey="Lin, Sheng Huang" sort="Lin, Sheng Huang" uniqKey="Lin S" first="Sheng-Huang" last="Lin">Sheng-Huang Lin</name>
<affiliation><nlm:affiliation>Department of Neurology, Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan.</nlm:affiliation>
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<author><name sortKey="Chen, Tsung Ying" sort="Chen, Tsung Ying" uniqKey="Chen T" first="Tsung-Ying" last="Chen">Tsung-Ying Chen</name>
</author>
<author><name sortKey="Lin, Shinn Zong" sort="Lin, Shinn Zong" uniqKey="Lin S" first="Shinn-Zong" last="Lin">Shinn-Zong Lin</name>
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<author><name sortKey="Shyr, Ming Hwang" sort="Shyr, Ming Hwang" uniqKey="Shyr M" first="Ming-Hwang" last="Shyr">Ming-Hwang Shyr</name>
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<author><name sortKey="Chou, Yu Cheng" sort="Chou, Yu Cheng" uniqKey="Chou Y" first="Yu-Cheng" last="Chou">Yu-Cheng Chou</name>
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<author><name sortKey="Hsieh, Wanhua Annie" sort="Hsieh, Wanhua Annie" uniqKey="Hsieh W" first="Wanhua Annie" last="Hsieh">Wanhua Annie Hsieh</name>
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<author><name sortKey="Tsai, Sheng Tzung" sort="Tsai, Sheng Tzung" uniqKey="Tsai S" first="Sheng-Tzung" last="Tsai">Sheng-Tzung Tsai</name>
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<author><name sortKey="Chen, Shin Yuan" sort="Chen, Shin Yuan" uniqKey="Chen S" first="Shin-Yuan" last="Chen">Shin-Yuan Chen</name>
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<affiliation><nlm:affiliation>Department of Neurology, Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan.</nlm:affiliation>
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<author><name sortKey="Lin, Shinn Zong" sort="Lin, Shinn Zong" uniqKey="Lin S" first="Shinn-Zong" last="Lin">Shinn-Zong Lin</name>
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<author><name sortKey="Shyr, Ming Hwang" sort="Shyr, Ming Hwang" uniqKey="Shyr M" first="Ming-Hwang" last="Shyr">Ming-Hwang Shyr</name>
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<author><name sortKey="Chou, Yu Cheng" sort="Chou, Yu Cheng" uniqKey="Chou Y" first="Yu-Cheng" last="Chou">Yu-Cheng Chou</name>
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<author><name sortKey="Hsieh, Wanhua Annie" sort="Hsieh, Wanhua Annie" uniqKey="Hsieh W" first="Wanhua Annie" last="Hsieh">Wanhua Annie Hsieh</name>
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<author><name sortKey="Tsai, Sheng Tzung" sort="Tsai, Sheng Tzung" uniqKey="Tsai S" first="Sheng-Tzung" last="Tsai">Sheng-Tzung Tsai</name>
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<author><name sortKey="Chen, Shin Yuan" sort="Chen, Shin Yuan" uniqKey="Chen S" first="Shin-Yuan" last="Chen">Shin-Yuan Chen</name>
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<series><title level="j">Journal of neurosurgery</title>
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<term>Anesthesia, General (methods)</term>
<term>Anesthetics, Inhalation (administration & dosage)</term>
<term>Anesthetics, Local (administration & dosage)</term>
<term>Deep Brain Stimulation</term>
<term>Desflurane</term>
<term>Female</term>
<term>Humans</term>
<term>Isoflurane (administration & dosage)</term>
<term>Isoflurane (analogs & derivatives)</term>
<term>Male</term>
<term>Microelectrodes</term>
<term>Middle Aged</term>
<term>Parkinson Disease (therapy)</term>
<term>Pilot Projects</term>
<term>Retrospective Studies</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Anesthetics, Inhalation</term>
<term>Anesthetics, Local</term>
<term>Isoflurane</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en"><term>Isoflurane</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anesthesia, General</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Deep Brain Stimulation</term>
<term>Desflurane</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Microelectrodes</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">The authors of this preliminary study investigated the outcome and feasibility of intraoperative microelectrode recording (MER) in patients with Parkinson disease (PD) undergoing deep brain stimulation of the subthalamic nucleus (STN) after anesthetic inhalation.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18671635</PMID>
<DateCompleted><Year>2008</Year>
<Month>09</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>12</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3085</ISSN>
<JournalIssue CitedMedium="Print"><Volume>109</Volume>
<Issue>2</Issue>
<PubDate><Year>2008</Year>
<Month>Aug</Month>
</PubDate>
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<Title>Journal of neurosurgery</Title>
<ISOAbbreviation>J. Neurosurg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Subthalamic deep brain stimulation after anesthetic inhalation in Parkinson disease: a preliminary study.</ArticleTitle>
<Pagination><MedlinePgn>238-44</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.3171/JNS/2008/109/8/0238</ELocationID>
<Abstract><AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">The authors of this preliminary study investigated the outcome and feasibility of intraoperative microelectrode recording (MER) in patients with Parkinson disease (PD) undergoing deep brain stimulation of the subthalamic nucleus (STN) after anesthetic inhalation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors conducted a retrospective analysis of 10 patients with PD who received a desflurane anesthetic during bilateral STN electrode implantation. The MERs were obtained as an intraoperative guide for final electrode implantation and the data were analyzed offline. The functional target coordinates of the electrodes were compared preoperatively with estimated target coordinates.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Outcomes were evaluated using the Unified Parkinson's Disease Rating Scale 6 months after surgery. The mean improvement in total and motor Unified Parkinson's Disease Rating Scale scores was 54.27 +/- 17.96% and 48.85 +/- 16.97%, respectively. The mean STN neuronal firing rate was 29.7 +/- 14.6 Hz. Typical neuronal firing patterns of the STN and substantia pars nigra reticulata were observed in each patient during surgery. Comparing the functional target coordinates, the z axis coordinates were noted to be significantly different between the pre- and postoperative coordinates.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The authors found that MER can be adequately performed while the patient receives a desflurane anesthetic, and the results can serve as a guide for STN electrode implantation. This may be a good alternative surgical method in patients with PD who are unable to tolerate deep brain stimulation surgery with local anesthesia.</AbstractText>
</Abstract>
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<ForeName>Sheng-Huang</ForeName>
<Initials>SH</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan.</Affiliation>
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