Intraoperative micro‐ and macrostimulation of the subthalamic nucleus in Parkinson's disease
Identifieur interne : 001A31 ( Istex/Corpus ); précédent : 001A30; suivant : 001A32Intraoperative micro‐ and macrostimulation of the subthalamic nucleus in Parkinson's disease
Auteurs : Pierre Pollak ; Paul Krack ; Valérie Fraix ; Alexandre Mendes ; Elena Moro ; Stephan Chabardes ; Alim-Louis BenabidSource :
- Movement Disorders [ 0885-3185 ] ; 2002-03.
English descriptors
Abstract
Studying the clinical effects induced by electrical stimulation of the subthalamic nucleus (STN) area in a parkinsonian patient under local anesthesia is a mandatory step to determine the precise location of the final chronic electrode. Using multiple microelectrodes, preferably in a concentric parallel array allows a precise mapping of the STN region. The most reliable features to determine the suitable target are stimulation‐induced dyskinesias and rigidity decrease at a low intensity without adverse effects or only at far higher intensities. New skills are needed to assess all stimulation‐induced effects and interpret them in anatomo‐functional terms. © 2002 Movement Disorder Society
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DOI: 10.1002/mds.10158
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</titleGroup>
<creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1 #af2" corresponding="yes"><personName><givenNames>Pierre</givenNames>
<familyName>Pollak</familyName>
<degrees>MD</degrees>
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<creator xml:id="au2" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Paul</givenNames>
<familyName>Krack</familyName>
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<creator xml:id="au3" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Valérie</givenNames>
<familyName>Fraix</familyName>
<degrees>MD</degrees>
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<creator xml:id="au4" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Alexandre</givenNames>
<familyName>Mendes</familyName>
<degrees>MD</degrees>
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<creator xml:id="au5" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Elena</givenNames>
<familyName>Moro</familyName>
<degrees>MD</degrees>
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<creator xml:id="au6" creatorRole="author" affiliationRef="#af2 #af3"><personName><givenNames>Stephan</givenNames>
<familyName>Chabardes</familyName>
<degrees>MD</degrees>
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<creator xml:id="au7" creatorRole="author" affiliationRef="#af2 #af3"><personName><givenNames>Alim‐Louis</givenNames>
<familyName>Benabid</familyName>
<degrees>MD, PhD</degrees>
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<affiliationGroup><affiliation xml:id="af1" countryCode="FR" type="organization"><unparsedAffiliation>Department of Clinical and Biological Neurosciences, Service de Neurologie, Centre Hospitalier Universitaire de Grenoble, Grenoble, France</unparsedAffiliation>
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<affiliation xml:id="af2" countryCode="FR" type="organization"><unparsedAffiliation>INSERM Unit 318, Joseph Fourier University, Grenoble, France</unparsedAffiliation>
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<affiliation xml:id="af3" countryCode="FR" type="organization"><unparsedAffiliation>Department of Clinical and Biological Neurosciences, Service de Neurochirurgie, Centre Hospitalier Universitaire de Grenoble, Grenoble, France</unparsedAffiliation>
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<keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">subthalamic nucleus</keyword>
<keyword xml:id="kwd2">deep brain stimulation</keyword>
<keyword xml:id="kwd3">Parkinson's disease</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p>Studying the clinical effects induced by electrical stimulation of the subthalamic nucleus (STN) area in a parkinsonian patient under local anesthesia is a mandatory step to determine the precise location of the final chronic electrode. Using multiple microelectrodes, preferably in a concentric parallel array allows a precise mapping of the STN region. The most reliable features to determine the suitable target are stimulation‐induced dyskinesias and rigidity decrease at a low intensity without adverse effects or only at far higher intensities. New skills are needed to assess all stimulation‐induced effects and interpret them in anatomo‐functional terms. © 2002 Movement Disorder Society</p>
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<affiliation>Department of Clinical and Biological Neurosciences, Service de Neurologie, Centre Hospitalier Universitaire de Grenoble, Grenoble, France</affiliation>
<affiliation>INSERM Unit 318, Joseph Fourier University, Grenoble, France</affiliation>
<description>Correspondence: Department of Neurology, University of Grenoble, BP 217, 38043 Grenoble Cedex 9, France</description>
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<affiliation>INSERM Unit 318, Joseph Fourier University, Grenoble, France</affiliation>
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<name type="personal"><namePart type="given">Alexandre</namePart>
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<name type="personal"><namePart type="given">Elena</namePart>
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<affiliation>INSERM Unit 318, Joseph Fourier University, Grenoble, France</affiliation>
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<name type="personal"><namePart type="given">Stephan</namePart>
<namePart type="family">Chabardes</namePart>
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<affiliation>Department of Clinical and Biological Neurosciences, Service de Neurochirurgie, Centre Hospitalier Universitaire de Grenoble, Grenoble, France</affiliation>
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<name type="personal"><namePart type="given">Alim‐Louis</namePart>
<namePart type="family">Benabid</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>INSERM Unit 318, Joseph Fourier University, Grenoble, France</affiliation>
<affiliation>Department of Clinical and Biological Neurosciences, Service de Neurochirurgie, Centre Hospitalier Universitaire de Grenoble, Grenoble, France</affiliation>
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<abstract lang="en">Studying the clinical effects induced by electrical stimulation of the subthalamic nucleus (STN) area in a parkinsonian patient under local anesthesia is a mandatory step to determine the precise location of the final chronic electrode. Using multiple microelectrodes, preferably in a concentric parallel array allows a precise mapping of the STN region. The most reliable features to determine the suitable target are stimulation‐induced dyskinesias and rigidity decrease at a low intensity without adverse effects or only at far higher intensities. New skills are needed to assess all stimulation‐induced effects and interpret them in anatomo‐functional terms. © 2002 Movement Disorder Society</abstract>
<subject lang="en"><genre>Keywords</genre>
<topic>subthalamic nucleus</topic>
<topic>deep brain stimulation</topic>
<topic>Parkinson's disease</topic>
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<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<titleInfo type="abbreviated"><title>Mov. Disord.</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2002</date>
<detail type="volume"><caption>vol.</caption>
<number>17</number>
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<detail type="issue"><caption>no.</caption>
<number>S3</number>
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<detail type="supplement"><caption>Suppl. no.</caption>
<number>3</number>
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<extent unit="pages"><start>S155</start>
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