On‐demand deep brain stimulation for essential tremor: A report on four cases
Identifieur interne : 001F68 ( Istex/Corpus ); précédent : 001F67; suivant : 001F69On‐demand deep brain stimulation for essential tremor: A report on four cases
Auteurs : Martin Kronenbuerger ; Christoph Fromm ; Frank Block ; Volker A. Coenen ; Ina Rohde ; Veit Rohde ; Johannes NothSource :
- Movement Disorders [ 0885-3185 ] ; 2006-03.
English descriptors
Abstract
Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society
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DOI: 10.1002/mds.20714
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ISTEX:970A7EDD49A966605DB6C17B9E93D6E8CF6B2545Le document en format XML
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Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. 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Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="30"><doi origin="wiley" registered="yes">10.1002/mds.v21:3</doi><numberingGroup><numbering type="journalVolume" number="21">21</numbering><numbering type="journalIssue">3</numbering></numberingGroup><coverDate startDate="2006-03">March 2006</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="190" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.20714</doi><idGroup><id type="unit" value="MDS20714"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Brief Report</title><title type="tocHeading1">Brief Reports</title></titleGroup><copyright ownership="thirdParty">Copyright © 2005 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2004-11-15"></event><event type="manuscriptRevised" date="2005-03-10"></event><event type="manuscriptAccepted" date="2005-06-26"></event><event type="firstOnline" date="2005-10-06"></event><event type="publishedOnlineFinalForm" date="2006-03-09"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2005-10-06"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:3.2.9 mode:FullText" date="2014-02-21"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.9 mode:FullText" date="2014-02-21"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">401</numbering><numbering type="pageLast">405</numbering></numberingGroup><correspondenceTo>Universitaetsklinikum Aachen, Neurologische Klinik, Pauwelsstr. 30, 52074 Aachen, Germany</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS20714.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="3"></count><count type="referenceTotal" number="14"></count><count type="wordTotal" number="3326"></count></countGroup><titleGroup><title type="main" xml:lang="en">On‐demand deep brain stimulation for essential tremor: A report on four cases</title><title type="short" xml:lang="en">On‐Demand DBS for Essential Tremor</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Martin</givenNames><familyName>Kronenbuerger</familyName><degrees>MD</degrees></personName><contactDetails><email>martin_kronenbuerger@web.de</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Christoph</givenNames><familyName>Fromm</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Frank</givenNames><familyName>Block</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Volker A.</givenNames><familyName>Coenen</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Ina</givenNames><familyName>Rohde</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Veit</givenNames><familyName>Rohde</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Johannes</givenNames><familyName>Noth</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="DE" type="organization"><unparsedAffiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="DE" type="organization"><unparsedAffiliation>Department of Neurosurgery, University Hospital, RWTH Aachen, Germany</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">deep brain stimulation</keyword><keyword xml:id="kwd2">thalamus</keyword><keyword xml:id="kwd3">on‐demand use</keyword><keyword xml:id="kwd4">essential tremor</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>On‐demand deep brain stimulation for essential tremor: A report on four cases</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>On‐Demand DBS for Essential Tremor</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>On‐demand deep brain stimulation for essential tremor: A report on four cases</title></titleInfo><name type="personal"><namePart type="given">Martin</namePart><namePart type="family">Kronenbuerger</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany</affiliation><description>Correspondence: Universitaetsklinikum Aachen, Neurologische Klinik, Pauwelsstr. 30, 52074 Aachen, Germany</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christoph</namePart><namePart type="family">Fromm</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Frank</namePart><namePart type="family">Block</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Volker A.</namePart><namePart type="family">Coenen</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurosurgery, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ina</namePart><namePart type="family">Rohde</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurosurgery, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Veit</namePart><namePart type="family">Rohde</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurosurgery, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Johannes</namePart><namePart type="family">Noth</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2006-03</dateIssued><dateCaptured encoding="w3cdtf">2004-11-15</dateCaptured><dateValid encoding="w3cdtf">2005-06-26</dateValid><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="references">14</extent><extent unit="words">3326</extent></physicalDescription><abstract lang="en">Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>deep brain stimulation</topic><topic>thalamus</topic><topic>on‐demand use</topic><topic>essential tremor</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Brief Report</topic></subject><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>2006</date><detail type="volume"><caption>vol.</caption><number>21</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>401</start><end>405</end><total>5</total></extent></part></relatedItem><identifier type="istex">970A7EDD49A966605DB6C17B9E93D6E8CF6B2545</identifier><identifier type="DOI">10.1002/mds.20714</identifier><identifier type="ArticleID">MDS20714</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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