Deep brain stimulation for Parkinson's disease: surgical technique and perioperative management.
Identifieur interne : 000057 ( Hal/Checkpoint ); précédent : 000056; suivant : 000058Deep brain stimulation for Parkinson's disease: surgical technique and perioperative management.
Auteurs : Andre Machado [États-Unis] ; Ali Rezai [États-Unis] ; Brian Kopell [États-Unis] ; Robert Gross [États-Unis] ; Ashwini Sharan [États-Unis] ; Alim-Louis Benabid [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-06.
Abstract
Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.
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DOI: 10.1002/mds.20959
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Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</div></front></TEI><hal api="V3"><titleStmt><title xml:lang="en">Deep brain stimulation for Parkinson's disease: surgical technique and perioperative management.</title><author role="aut"><persName><forename type="first">Andre</forename><surname>Machado</surname></persName><email></email><idno type="halauthor">409453</idno><affiliation ref="#struct-95824"></affiliation></author><author role="aut"><persName><forename type="first">Ali</forename><forename type="middle">R.</forename><surname>Rezai</surname></persName><email></email><idno type="halauthor">409451</idno><affiliation ref="#struct-95824"></affiliation></author><author role="aut"><persName><forename type="first">Brian</forename><forename type="middle">H.</forename><surname>Kopell</surname></persName><email></email><idno type="halauthor">409454</idno><affiliation ref="#struct-95825"></affiliation></author><author role="aut"><persName><forename type="first">Robert</forename><forename type="middle">E.</forename><surname>Gross</surname></persName><email></email><idno type="halauthor">409449</idno><affiliation ref="#struct-95826"></affiliation></author><author role="aut"><persName><forename type="first">Ashwini</forename><forename type="middle">D.</forename><surname>Sharan</surname></persName><email></email><idno type="halauthor">409455</idno><affiliation ref="#struct-95827"></affiliation></author><author role="aut"><persName><forename type="first">Alim-Louis</forename><surname>Benabid</surname></persName><email></email><idno type="halauthor">296407</idno><affiliation ref="#struct-95828"></affiliation></author><editor role="depositor"><persName><forename>Jean-Paul</forename><surname>Issartel</surname></persName><email>jean-paul.issartel@ujf-grenoble.fr</email></editor></titleStmt><editionStmt><edition n="v1" type="current"><date type="whenSubmitted">2009-06-02 15:36:03</date><date type="whenModified">2009-06-12 09:39:01</date><date type="whenReleased">2009-06-12 09:39:01</date><date type="whenProduced">2006-06</date></edition><respStmt><resp>contributor</resp><name key="140381"><persName><forename>Jean-Paul</forename><surname>Issartel</surname></persName><email>jean-paul.issartel@ujf-grenoble.fr</email></name></respStmt></editionStmt><publicationStmt><distributor>CCSD</distributor><idno type="halId">inserm-00390678</idno><idno type="halUri">http://www.hal.inserm.fr/inserm-00390678</idno><idno type="halBibtex">machado:inserm-00390678</idno><idno type="halRefHtml">Movement Disorders, Wiley, 2006, 21 Suppl 14, pp.S247-58. <10.1002/mds.20959></idno><idno type="halRef">Movement Disorders, Wiley, 2006, 21 Suppl 14, pp.S247-58. <10.1002/mds.20959></idno></publicationStmt><seriesStmt><idno type="stamp" n="INSERM">INSERM - Institut national de la santé et de la recherche médicale</idno><idno type="stamp" n="UNIV-GRENOBLE1" p="UGA">Université Joseph Fourier - Grenoble I</idno><idno type="stamp" n="UGA">HAL Grenoble Alpes</idno></seriesStmt><notesStmt><note type="audience" n="2">International</note><note type="popular" n="0">No</note><note type="peer" n="1">Yes</note></notesStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Deep brain stimulation for Parkinson's disease: surgical technique and perioperative management.</title><author role="aut"><persName><forename type="first">Andre</forename><surname>Machado</surname></persName><idno type="halAuthorId">409453</idno><affiliation ref="#struct-95824"></affiliation></author><author role="aut"><persName><forename type="first">Ali</forename><forename type="middle">R.</forename><surname>Rezai</surname></persName><idno type="halAuthorId">409451</idno><affiliation ref="#struct-95824"></affiliation></author><author role="aut"><persName><forename type="first">Brian</forename><forename type="middle">H.</forename><surname>Kopell</surname></persName><idno type="halAuthorId">409454</idno><affiliation ref="#struct-95825"></affiliation></author><author role="aut"><persName><forename type="first">Robert</forename><forename type="middle">E.</forename><surname>Gross</surname></persName><idno type="halAuthorId">409449</idno><affiliation ref="#struct-95826"></affiliation></author><author role="aut"><persName><forename type="first">Ashwini</forename><forename type="middle">D.</forename><surname>Sharan</surname></persName><idno type="halAuthorId">409455</idno><affiliation ref="#struct-95827"></affiliation></author><author role="aut"><persName><forename type="first">Alim-Louis</forename><surname>Benabid</surname></persName><idno type="halAuthorId">296407</idno><affiliation ref="#struct-95828"></affiliation></author></analytic><monogr><idno type="halJournalId" status="VALID">17211</idno><idno type="issn">0885-3185</idno><idno type="eissn">1531-8257</idno><title level="j">Movement Disorders</title><imprint><publisher>Wiley</publisher><biblScope unit="volume">21 Suppl 14</biblScope><biblScope unit="pp">S247-58</biblScope><date type="datePub">2006-06</date></imprint></monogr><idno type="doi">10.1002/mds.20959</idno><idno type="pubmed">16810722</idno></biblStruct></sourceDesc><profileDesc><langUsage><language ident="en">English</language></langUsage><textClass><classCode scheme="mesh">Antiparkinson Agents</classCode><classCode scheme="mesh">Brain</classCode><classCode scheme="mesh">Neurosurgical Procedures</classCode><classCode scheme="mesh">Parkinson Disease</classCode><classCode scheme="mesh">Patient Selection</classCode><classCode scheme="mesh">Postoperative Care</classCode><classCode scheme="mesh">Preoperative Care</classCode><classCode scheme="mesh">Stereotaxic Techniques</classCode><classCode scheme="mesh">Brain Mapping</classCode><classCode scheme="mesh">Deep Brain Stimulation</classCode><classCode scheme="mesh">Diagnosis, Differential</classCode><classCode scheme="mesh">Electrodes, Implanted</classCode><classCode scheme="mesh">Functional Laterality</classCode><classCode scheme="mesh">Humans</classCode><classCode scheme="mesh">Levodopa</classCode><classCode scheme="mesh">Magnetic Resonance Imaging</classCode><classCode scheme="halTypology" n="ART">Journal articles</classCode></textClass><abstract xml:lang="en">Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</abstract></profileDesc></hal></record>Pour manipuler ce document sous Unix (Dilib)
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