MovDisordV3, France, Analysis, bibRecord, 000210

Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study

Identifieur interne : 000210 ( France/Analysis ); précédent : 000209; suivant : 000211

Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study

Auteurs : Laura Cif [France] ; Xavier Vasques [France] ; Victoria Gonzalez [France] ; Patrice Ravel [France] ; Brigitte Biolsi [France] ; Gwenaelle Collod-Beroud [France] ; Sylvie Tuffery-Giraud [France] ; Hassan Elfertit [France] ; Mireille Claustres [France] ; Philippe Coubes [France]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-02-15.

RBID : ISTEX:C9AE796F8705D2EBD0732ECEFED18513E9AB9CCD

Descripteurs français

Pascal (Inist)
- Dystonie, Homme, Long terme, Pallidum, Pathologie du système nerveux, Stimulation cérébrale profonde, Traitement.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adolescent, Adult, Aged, DBS, DYT1 dystonia, Deep Brain Stimulation (methods), Deep brain stimulation, Disability Evaluation, Dystonia, Dystonia (genetics), Dystonia (therapy), Female, Globus Pallidus (physiology), Human, Humans, Long term, Longitudinal Studies, Male, Middle Aged, Molecular Chaperones (genetics), Nervous system diseases, Pallidum, Retrospective Studies, Severity of Illness Index, Treatment, Young Adult, disease progression, internal pallidum.
MESH :
- chemical , genetics : Molecular Chaperones.
- genetics : Dystonia.
- methods : Deep Brain Stimulation.
- physiology : Globus Pallidus.
- therapy : Dystonia.
- Adolescent, Adult, Aged, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Young Adult.

Abstract

Long‐term efficacy of internal globus pallidus (GPi) deep‐brain stimulation (DBS) in DYT1 dystonia and disease progression under DBS was studied. Twenty‐six patients of this open‐label study were divided into two groups: (A) with single bilateral GPi lead, (B) with a second bilateral GPi lead implanted owning to subsequent worsening of symptomatology. Dystonia was assessed with the Burke Scale. Appearance of new symptoms and distribution according to body region were recorded. In the whole cohort, significant decreases in motor and disability subscores (P < 0.0001) were observed at 1 year and maintained up to 10 years. Group B showed worsening of the symptoms. At 1 year, there were no significant differences between Groups A (without subsequent worsening) and B; at 5 years, a significant difference was found for motor and disability scores. Within Group B, four patients exhibited additional improvement after the second DBS surgery. In the 26 patients, significant difference (P = 0.001) was found between the number of body regions affected by dystonia preoperatively and over the whole follow‐up. DBS efficacy in DYT1 dystonia can be maintained up to 10 years (two patients). New symptoms appear with long‐term follow‐up and may improve with additional leads in a subgroup of patients. © 2009 Movement Disorder Society

Url:

https://api.istex.fr/document/C9AE796F8705D2EBD0732ECEFED18513E9AB9CCD/fulltext/pdf

DOI: 10.1002/mds.22802

Affiliations:

Links to Exploration step

ISTEX:C9AE796F8705D2EBD0732ECEFED18513E9AB9CCD

Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>DBS</term>
<term>DYT1 dystonia</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Deep brain stimulation</term>
<term>Disability Evaluation</term>
<term>Dystonia</term>
<term>Dystonia (genetics)</term>
<term>Dystonia (therapy)</term>
<term>Female</term>
<term>Globus Pallidus (physiology)</term>
<term>Human</term>
<term>Humans</term>
<term>Long term</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molecular Chaperones (genetics)</term>
<term>Nervous system diseases</term>
<term>Pallidum</term>
<term>Retrospective Studies</term>
<term>Severity of Illness Index</term>
<term>Treatment</term>
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<term>disease progression</term>
<term>internal pallidum</term>
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<term>Adult</term>
<term>Aged</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
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<term>Young Adult</term>
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<term>Homme</term>
<term>Long terme</term>
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<term>Pathologie du   système nerveux</term>
<term>Stimulation cérébrale profonde</term>
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<front><div type="abstract" xml:lang="en">Long‐term efficacy of internal globus pallidus (GPi) deep‐brain stimulation (DBS) in DYT1 dystonia and disease progression under DBS was studied. Twenty‐six patients of this open‐label study were divided into two groups: (A) with single bilateral GPi lead, (B) with a second bilateral GPi lead implanted owning to subsequent worsening of symptomatology. Dystonia was assessed with the Burke Scale. Appearance of new symptoms and distribution according to body region were recorded. In the whole cohort, significant decreases in motor and disability subscores (P < 0.0001) were observed at 1 year and maintained up to 10 years. Group B showed worsening of the symptoms. At 1 year, there were no significant differences between Groups A (without subsequent worsening) and B; at 5 years, a significant difference was found for motor and disability scores. Within Group B, four patients exhibited additional improvement after the second DBS surgery. In the 26 patients, significant difference (P = 0.001) was found between the number of body regions affected by dystonia preoperatively and over the whole follow‐up. DBS efficacy in DYT1 dystonia can be maintained up to 10 years (two patients). New symptoms appear with long‐term follow‐up and may improve with additional leads in a subgroup of patients. © 2009 Movement Disorder Society</div>
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<name sortKey="Tuffery Iraud, Sylvie" sort="Tuffery Iraud, Sylvie" uniqKey="Tuffery Iraud S" first="Sylvie" last="Tuffery-Giraud">Sylvie Tuffery-Giraud</name>
<name sortKey="Vasques, Xavier" sort="Vasques, Xavier" uniqKey="Vasques X" first="Xavier" last="Vasques">Xavier Vasques</name>
<name sortKey="Vasques, Xavier" sort="Vasques, Xavier" uniqKey="Vasques X" first="Xavier" last="Vasques">Xavier Vasques</name>
<name sortKey="Vasques, Xavier" sort="Vasques, Xavier" uniqKey="Vasques X" first="Xavier" last="Vasques">Xavier Vasques</name>
</country>
</tree>
</affiliations>
</record>

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{{Explor lien
   |wiki=    Wicri/Santé
   |area=    MovDisordV3
   |flux=    France
   |étape=   Analysis
   |type=    RBID
   |clé=     ISTEX:C9AE796F8705D2EBD0732ECEFED18513E9AB9CCD
   |texte=   Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study
}}

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Movement Disorders (revue)

Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study

Long‐term follow‐up of DYT1 dystonia patients treated by deep brain stimulation: An open‐label study

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	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.