Microsubthalamotomy effect at day 3: Screening for determinants
Identifieur interne : 000247 ( France/Analysis ); précédent : 000246; suivant : 000248Microsubthalamotomy effect at day 3: Screening for determinants
Auteurs : David Maltête [France] ; Nathalie Chastan [France] ; Stéphane Derrey [France] ; Bertrand Debono [France] ; Emmanuel Gérardin [France] ; Romain Lefaucheur [France] ; Bruno Mihout [France] ; Didier Hannequin [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-01-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Antiparkinson Agents (therapeutic use), Brain Edema (etiology), Brain Edema (prevention & control), Brain Edema (surgery), Combined Modality Therapy, Contrast Media, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Deep brain stimulation, Dyskinesias (etiology), Female, Humans, Hypokinesia (etiology), Magnetic Resonance Imaging, Male, Medical screening, Middle Aged, Muscle Rigidity (etiology), Nervous system diseases, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Postoperative Period, Radiography, Interventional, Severity of Illness Index, Stereotaxic Techniques, Subthalamic nucleus, Thalamus (surgery), Time Factors, Tomography, X-Ray Computed, Tremor (etiology), deep brain stimulation, microsubthalamotomy, subthalamic nucleus.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- adverse effects : Deep Brain Stimulation.
- complications : Parkinson Disease.
- drug therapy : Parkinson Disease.
- etiology : Brain Edema, Dyskinesias, Hypokinesia, Muscle Rigidity, Tremor.
- methods : Deep Brain Stimulation.
- prevention & control : Brain Edema.
- surgery : Brain Edema, Parkinson Disease, Thalamus.
- therapy : Parkinson Disease.
- Adolescent, Adult, Aged, Combined Modality Therapy, Contrast Media, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Postoperative Period, Radiography, Interventional, Severity of Illness Index, Stereotaxic Techniques, Time Factors, Tomography, X-Ray Computed.
Abstract
A microsubthalamotomy (mSTN) effect has been frequently reported after implantation that improves Parkinson's motor disability. It is usually believed that mSTN effect reflects the post‐traumatic tissue reaction within the STN. However, it has never, to our knowledge, been reported whether pre and intraoperative factors could predict this mSTN effect. Preoperative clinical characteristics, that is, age, disease duration, Mattis Dementia Rating Scale score, levodopa responsiveness, severity of motor fluctuations and dyskinesia, and intraoperative parameters, that is, the number of tracks, distance of typical STN neuronal activity recorded along all microelectrodes, and along the definitive electrodes, were assessed in 40 consecutive PD patients submitted for STN stimulation. Multiple stepwise regression analysis showed that only the number of tracks used for microelectrodes recordings was predictor of the contralateral mSTN effect (F (4,73) = 1.83, P = 0.02). This result suggests that the contralateral mSTN depends on the tissue changes along the entirety of surgical trajectories affecting both STN and its adjacent structures. © 2008 Movement Disorder Society
Url:
- https://api.istex.fr/document/2F4C3DCC74FB1DD94CEADF4F602E05642098C2DE/fulltext/pdf
- http://www.hal.inserm.fr/inserm-00472800
DOI: 10.1002/mds.22380
Affiliations:
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ISTEX:2F4C3DCC74FB1DD94CEADF4F602E05642098C2DELe document en format XML
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Medicine, Rouen</wicri:regionArea><placeName><settlement type="city">Rouen</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-01-30">2009-01-30</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="286">286</biblScope><biblScope unit="page" to="289">289</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">2F4C3DCC74FB1DD94CEADF4F602E05642098C2DE</idno><idno type="DOI">10.1002/mds.22380</idno><idno type="ArticleID">MDS22380</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Brain Edema (etiology)</term><term>Brain Edema (prevention & control)</term><term>Brain Edema (surgery)</term><term>Combined Modality Therapy</term><term>Contrast Media</term><term>Deep Brain Stimulation (adverse effects)</term><term>Deep Brain Stimulation (methods)</term><term>Deep brain stimulation</term><term>Dyskinesias (etiology)</term><term>Female</term><term>Humans</term><term>Hypokinesia (etiology)</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Medical screening</term><term>Middle Aged</term><term>Muscle Rigidity (etiology)</term><term>Nervous system diseases</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (surgery)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Postoperative Period</term><term>Radiography, Interventional</term><term>Severity of Illness Index</term><term>Stereotaxic Techniques</term><term>Subthalamic nucleus</term><term>Thalamus (surgery)</term><term>Time Factors</term><term>Tomography, X-Ray Computed</term><term>Tremor (etiology)</term><term>deep brain stimulation</term><term>microsubthalamotomy</term><term>subthalamic nucleus</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Brain Edema</term><term>Dyskinesias</term><term>Hypokinesia</term><term>Muscle Rigidity</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Brain Edema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain Edema</term><term>Parkinson Disease</term><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Combined Modality Therapy</term><term>Contrast Media</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Postoperative Period</term><term>Radiography, Interventional</term><term>Severity of Illness Index</term><term>Stereotaxic Techniques</term><term>Time Factors</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dépistage</term><term>Maladie de Parkinson</term><term>Noyau sousthalamique</term><term>Pathologie du système nerveux</term><term>Stimulation cérébrale profonde</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A microsubthalamotomy (mSTN) effect has been frequently reported after implantation that improves Parkinson's motor disability. It is usually believed that mSTN effect reflects the post‐traumatic tissue reaction within the STN. However, it has never, to our knowledge, been reported whether pre and intraoperative factors could predict this mSTN effect. Preoperative clinical characteristics, that is, age, disease duration, Mattis Dementia Rating Scale score, levodopa responsiveness, severity of motor fluctuations and dyskinesia, and intraoperative parameters, that is, the number of tracks, distance of typical STN neuronal activity recorded along all microelectrodes, and along the definitive electrodes, were assessed in 40 consecutive PD patients submitted for STN stimulation. Multiple stepwise regression analysis showed that only the number of tracks used for microelectrodes recordings was predictor of the contralateral mSTN effect (F (4,73) = 1.83, P = 0.02). This result suggests that the contralateral mSTN depends on the tissue changes along the entirety of surgical trajectories affecting both STN and its adjacent structures. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Rouen</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name></noRegion><name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name><name sortKey="Debono, Bertrand" sort="Debono, Bertrand" uniqKey="Debono B" first="Bertrand" last="Debono">Bertrand Debono</name><name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name><name sortKey="Gerardin, Emmanuel" sort="Gerardin, Emmanuel" uniqKey="Gerardin E" first="Emmanuel" last="Gérardin">Emmanuel Gérardin</name><name sortKey="Hannequin, Didier" sort="Hannequin, Didier" uniqKey="Hannequin D" first="Didier" last="Hannequin">Didier Hannequin</name><name sortKey="Hannequin, Didier" sort="Hannequin, Didier" uniqKey="Hannequin D" first="Didier" last="Hannequin">Didier Hannequin</name><name sortKey="Lefaucheur, Romain" sort="Lefaucheur, Romain" uniqKey="Lefaucheur R" first="Romain" last="Lefaucheur">Romain Lefaucheur</name><name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name><name sortKey="Mihout, Bruno" sort="Mihout, Bruno" uniqKey="Mihout B" first="Bruno" last="Mihout">Bruno Mihout</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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