Serveur d'exploration MERS

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Influence of propofol and fentanyl on deep brain stimulation of the subthalamic nucleus.

Identifieur interne : 001844 ( PubMed/Curation ); précédent : 001843; suivant : 001845

Influence of propofol and fentanyl on deep brain stimulation of the subthalamic nucleus.

Auteurs : Wonki Kim [Corée du Sud] ; In Ho Song [Corée du Sud] ; Yong Hoon Lim [Corée du Sud] ; Mi-Ryoung Kim [Corée du Sud] ; Young Eun Kim [Corée du Sud] ; Jae Ha Hwang [Corée du Sud] ; In Keyoung Kim [Corée du Sud] ; Sang Woo Song [Corée du Sud] ; Jin Wook Kim [Corée du Sud] ; Woong-Woo Lee [Corée du Sud] ; Han-Joon Kim [Corée du Sud] ; Cheolyoung Kim [Corée du Sud] ; Hee Chan Kim [Corée du Sud] ; In Young Kim [Corée du Sud] ; Hee Pyoung Park [Corée du Sud] ; Dong Gyu Kim [Corée du Sud] ; Beom Seok Jeon [Corée du Sud] ; Sun Ha Paek [Corée du Sud]

Source :

RBID : pubmed:25246748

Descripteurs français

English descriptors

Abstract

We investigated the effect of propofol and fentanyl on microelectrode recording (MER) and its clinical applicability during subthalamic nucleus (STN) deep brain stimulation (DBS) surgery. We analyzed 8 patients with Parkinson's disease, underwent bilateral STN DBS with MER. Their left sides were done under awake and then their right sides were done with a continuous infusion of propofol and fentanyl under local anesthesia. The electrode position was evaluated by preoperative MRI and postoperative CT. The clinical outcomes were assessed at six months after surgery. We isolated single unit activities from the left and the right side MERs. There was no significant difference in the mean firing rate between the left side MERs (38.7 ± 16.8 spikes/sec, n=78) and the right side MERs (35.5 ± 17.2 spikes/sec, n=66). The bursting pattern of spikes was more frequently observed in the right STN than in the left STN. All the electrode positions were within the STNs on both sides and the off-time Unified Parkinson's Disease Rating Scale part III scores at six months after surgery decreased by 67% of the preoperative level. In this study, a continuous infusion of propofol and fentanyl did not significantly interfere with the MER signals from the STN. The results of this study suggest that propofol and fentanyl can be used for STN DBS in patients with advanced Parkinson's disease improving the overall experience of the patients.

DOI: 10.3346/jkms.2014.29.9.1278
PubMed: 25246748

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pubmed:25246748

Le document en format XML

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<name sortKey="Kim, Young Eun" sort="Kim, Young Eun" uniqKey="Kim Y" first="Young Eun" last="Kim">Young Eun Kim</name>
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<nlm:affiliation>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
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<name sortKey="Hwang, Jae Ha" sort="Hwang, Jae Ha" uniqKey="Hwang J" first="Jae Ha" last="Hwang">Jae Ha Hwang</name>
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<nlm:affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
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<name sortKey="Song, Sang Woo" sort="Song, Sang Woo" uniqKey="Song S" first="Sang Woo" last="Song">Sang Woo Song</name>
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<nlm:affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurosurgery, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Kim, Jin Wook" sort="Kim, Jin Wook" uniqKey="Kim J" first="Jin Wook" last="Kim">Jin Wook Kim</name>
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<nlm:affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurosurgery, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Lee, Woong Woo" sort="Lee, Woong Woo" uniqKey="Lee W" first="Woong-Woo" last="Lee">Woong-Woo Lee</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kim, Han Joon" sort="Kim, Han Joon" uniqKey="Kim H" first="Han-Joon" last="Kim">Han-Joon Kim</name>
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<nlm:affiliation>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kim, Cheolyoung" sort="Kim, Cheolyoung" uniqKey="Kim C" first="Cheolyoung" last="Kim">Cheolyoung Kim</name>
<affiliation wicri:level="1">
<nlm:affiliation>Medical Imaging Laboratory and CyberMed, Inc., Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Medical Imaging Laboratory and CyberMed, Inc., Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kim, Hee Chan" sort="Kim, Hee Chan" uniqKey="Kim H" first="Hee Chan" last="Kim">Hee Chan Kim</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Medical Engineering, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Medical Engineering, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Kim, In Young" sort="Kim, In Young" uniqKey="Kim I" first="In Young" last="Kim">In Young Kim</name>
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<nlm:affiliation>Department of Biomedical Engineering, Hanyang University, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Biomedical Engineering, Hanyang University, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Park, Hee Pyoung" sort="Park, Hee Pyoung" uniqKey="Park H" first="Hee Pyoung" last="Park">Hee Pyoung Park</name>
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<nlm:affiliation>Department of Anaesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Anaesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kim, Dong Gyu" sort="Kim, Dong Gyu" uniqKey="Kim D" first="Dong Gyu" last="Kim">Dong Gyu Kim</name>
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<nlm:affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurosurgery, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jeon, Beom Seok" sort="Jeon, Beom Seok" uniqKey="Jeon B" first="Beom Seok" last="Jeon">Beom Seok Jeon</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. ; Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. ; Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Paek, Sun Ha" sort="Paek, Sun Ha" uniqKey="Paek S" first="Sun Ha" last="Paek">Sun Ha Paek</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea. ; Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Korea. ; Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea. ; Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
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<title level="j">Journal of Korean medical science</title>
<idno type="eISSN">1598-6357</idno>
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<term>Aged</term>
<term>Anesthetics, Intravenous (pharmacology)</term>
<term>Deep Brain Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Fentanyl (pharmacology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Microelectrodes</term>
<term>Middle Aged</term>
<term>Parkinson Disease (prevention & control)</term>
<term>Propofol (pharmacology)</term>
<term>Severity of Illness Index</term>
<term>Subthalamic Nucleus (drug effects)</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte d'âge moyen</term>
<term>Anesthésiques intraveineux (pharmacologie)</term>
<term>Femelle</term>
<term>Fentanyl (pharmacologie)</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Indice de gravité médicale</term>
<term>Maladie de Parkinson ()</term>
<term>Microélectrodes</term>
<term>Mâle</term>
<term>Noyau subthalamique ()</term>
<term>Noyau subthalamique (physiologie)</term>
<term>Propofol (pharmacologie)</term>
<term>Stimulation cérébrale profonde</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Électrodes implantées</term>
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<term>Anesthetics, Intravenous</term>
<term>Fentanyl</term>
<term>Propofol</term>
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<term>Subthalamic Nucleus</term>
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<term>Anesthésiques intraveineux</term>
<term>Fentanyl</term>
<term>Propofol</term>
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<term>Noyau subthalamique</term>
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<term>Subthalamic Nucleus</term>
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<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Deep Brain Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Microelectrodes</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Indice de gravité médicale</term>
<term>Maladie de Parkinson</term>
<term>Microélectrodes</term>
<term>Mâle</term>
<term>Noyau subthalamique</term>
<term>Stimulation cérébrale profonde</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">We investigated the effect of propofol and fentanyl on microelectrode recording (MER) and its clinical applicability during subthalamic nucleus (STN) deep brain stimulation (DBS) surgery. We analyzed 8 patients with Parkinson's disease, underwent bilateral STN DBS with MER. Their left sides were done under awake and then their right sides were done with a continuous infusion of propofol and fentanyl under local anesthesia. The electrode position was evaluated by preoperative MRI and postoperative CT. The clinical outcomes were assessed at six months after surgery. We isolated single unit activities from the left and the right side MERs. There was no significant difference in the mean firing rate between the left side MERs (38.7 ± 16.8 spikes/sec, n=78) and the right side MERs (35.5 ± 17.2 spikes/sec, n=66). The bursting pattern of spikes was more frequently observed in the right STN than in the left STN. All the electrode positions were within the STNs on both sides and the off-time Unified Parkinson's Disease Rating Scale part III scores at six months after surgery decreased by 67% of the preoperative level. In this study, a continuous infusion of propofol and fentanyl did not significantly interfere with the MER signals from the STN. The results of this study suggest that propofol and fentanyl can be used for STN DBS in patients with advanced Parkinson's disease improving the overall experience of the patients.</div>
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<Title>Journal of Korean medical science</Title>
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<ArticleTitle>Influence of propofol and fentanyl on deep brain stimulation of the subthalamic nucleus.</ArticleTitle>
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<AbstractText>We investigated the effect of propofol and fentanyl on microelectrode recording (MER) and its clinical applicability during subthalamic nucleus (STN) deep brain stimulation (DBS) surgery. We analyzed 8 patients with Parkinson's disease, underwent bilateral STN DBS with MER. Their left sides were done under awake and then their right sides were done with a continuous infusion of propofol and fentanyl under local anesthesia. The electrode position was evaluated by preoperative MRI and postoperative CT. The clinical outcomes were assessed at six months after surgery. We isolated single unit activities from the left and the right side MERs. There was no significant difference in the mean firing rate between the left side MERs (38.7 ± 16.8 spikes/sec, n=78) and the right side MERs (35.5 ± 17.2 spikes/sec, n=66). The bursting pattern of spikes was more frequently observed in the right STN than in the left STN. All the electrode positions were within the STNs on both sides and the off-time Unified Parkinson's Disease Rating Scale part III scores at six months after surgery decreased by 67% of the preoperative level. In this study, a continuous infusion of propofol and fentanyl did not significantly interfere with the MER signals from the STN. The results of this study suggest that propofol and fentanyl can be used for STN DBS in patients with advanced Parkinson's disease improving the overall experience of the patients.</AbstractText>
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<Affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<ForeName>In Ho</ForeName>
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<Affiliation>Medical Device Development Center, Osong Medical Innovation Foundation, Cheongwon, Korea.</Affiliation>
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<ForeName>Yong Hoon</ForeName>
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<Affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<ForeName>Mi-Ryoung</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<ForeName>Young Eun</ForeName>
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<Affiliation>Department of Neurology, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<ForeName>Jae Ha</ForeName>
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<Affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.</Affiliation>
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<Affiliation>Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea. ; Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Korea. ; Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea. ; Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.</Affiliation>
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