Deep brain stimulation in Tourette's syndrome
Identifieur interne : 002B37 ( Istex/Corpus ); précédent : 002B36; suivant : 002B38Deep brain stimulation in Tourette's syndrome
Auteurs : Rizma Jalees Bajwa ; Alain J. De Lotbinière ; Robert A. King ; Bahman Jabbari ; Susan Quatrano ; Kimberly Kunze ; Lawrence Scahill ; James F. LeckmanSource :
- Movement Disorders [ 0885-3185 ] ; 2007-07-15.
English descriptors
Abstract
A 48‐year‐old man with severe, lifelong Tourette's syndrome (TS) characterized by forceful self‐injurious motor tics and obsessive‐compulsive disorder was treated with bilateral deep brain stimulation (DBS). The decision to treat was based on his progressive neurological impairment (left sided weakness secondary to spinal cord injury) because of his relentless, violent head jerks. Electrodes were implanted at the level of the medial part of the thalamus (centromedian nucleus, the substantia periventricularis, and the nucleus ventro‐oralis internus). DBS resulted in a substantial reduction of tics. These data show that bilateral DBS of the thalamus can have a good effect on severe tics in adult patients suffering from intractable TS. © 2007 Movement Disorder Society
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DOI: 10.1002/mds.21398
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ISTEX:F9973E7BF190B3D8C57EC73F1FDB2D2F68A6AB58Le document en format XML
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De Lotbinière</name><affiliation><mods:affiliation>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Northern Weschester Hospital Cancer Center, Mount Kisco, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="King, Robert A" sort="King, Robert A" uniqKey="King R" first="Robert A." last="King">Robert A. 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King</name><affiliation><mods:affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation></author><author><name sortKey="Jabbari, Bahman" sort="Jabbari, Bahman" uniqKey="Jabbari B" first="Bahman" last="Jabbari">Bahman Jabbari</name><affiliation><mods:affiliation>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation></author><author><name sortKey="Quatrano, Susan" sort="Quatrano, Susan" uniqKey="Quatrano S" first="Susan" last="Quatrano">Susan Quatrano</name><affiliation><mods:affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation></author><author><name sortKey="Kunze, Kimberly" sort="Kunze, Kimberly" uniqKey="Kunze K" first="Kimberly" last="Kunze">Kimberly Kunze</name><affiliation><mods:affiliation>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation></author><author><name sortKey="Scahill, Lawrence" sort="Scahill, Lawrence" uniqKey="Scahill L" first="Lawrence" last="Scahill">Lawrence Scahill</name><affiliation><mods:affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Yale University School of Nursing, New Haven, Connecticut, USA</mods:affiliation></affiliation></author><author><name sortKey="Leckman, James F" sort="Leckman, James F" uniqKey="Leckman J" first="James F." last="Leckman">James F. Leckman</name><affiliation><mods:affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation></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="2007-07-15">2007-07-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1346">1346</biblScope><biblScope unit="page" to="1350">1350</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">F9973E7BF190B3D8C57EC73F1FDB2D2F68A6AB58</idno><idno type="DOI">10.1002/mds.21398</idno><idno type="ArticleID">MDS21398</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Tourette's syndrome</term><term>deep brain stimulation</term><term>midline thalamic nuclei</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 48‐year‐old man with severe, lifelong Tourette's syndrome (TS) characterized by forceful self‐injurious motor tics and obsessive‐compulsive disorder was treated with bilateral deep brain stimulation (DBS). The decision to treat was based on his progressive neurological impairment (left sided weakness secondary to spinal cord injury) because of his relentless, violent head jerks. Electrodes were implanted at the level of the medial part of the thalamus (centromedian nucleus, the substantia periventricularis, and the nucleus ventro‐oralis internus). DBS resulted in a substantial reduction of tics. These data show that bilateral DBS of the thalamus can have a good effect on severe tics in adult patients suffering from intractable TS. © 2007 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Rizma Jalees Bajwa MD</name><affiliations><json:string>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>Alain J. de Lotbinière MD</name><affiliations><json:string>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</json:string><json:string>Northern Weschester Hospital Cancer Center, Mount Kisco, New York, USA</json:string></affiliations></json:item><json:item><name>Robert A. King MD</name><affiliations><json:string>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>Bahman Jabbari MD</name><affiliations><json:string>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>Susan Quatrano</name><affiliations><json:string>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>Kimberly Kunze RN</name><affiliations><json:string>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>Lawrence Scahill MSN, MPH, PhD</name><affiliations><json:string>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</json:string><json:string>Yale University School of Nursing, New Haven, Connecticut, USA</json:string></affiliations></json:item><json:item><name>James F. Leckman MD</name><affiliations><json:string>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Tourette's syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>deep brain stimulation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>midline thalamic nuclei</value></json:item></subject><language><json:string>eng</json:string></language><abstract>A 48‐year‐old man with severe, lifelong Tourette's syndrome (TS) characterized by forceful self‐injurious motor tics and obsessive‐compulsive disorder was treated with bilateral deep brain stimulation (DBS). The decision to treat was based on his progressive neurological impairment (left sided weakness secondary to spinal cord injury) because of his relentless, violent head jerks. Electrodes were implanted at the level of the medial part of the thalamus (centromedian nucleus, the substantia periventricularis, and the nucleus ventro‐oralis internus). DBS resulted in a substantial reduction of tics. 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F.</givenNames><familyName>Leckman</familyName><degrees>MD</degrees></personName><contactDetails><email>james.leckman@yale.edu</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Northern Weschester Hospital Cancer Center, Mount Kisco, New York, USA</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="US" type="organization"><unparsedAffiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="US" type="organization"><unparsedAffiliation>Yale University School of Nursing, New Haven, Connecticut, USA</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Tourette's syndrome</keyword><keyword xml:id="kwd2">deep brain stimulation</keyword><keyword xml:id="kwd3">midline thalamic nuclei</keyword></keywordGroup><supportingInformation><p> This article includes supplementary video clips, available online at <url href="http://www.interscience.wiley.com/jpages/0885-3185/suppmat"> http://www.interscience.wiley.com/jpages/0885‐3185/suppmat </url> . </p><supportingInfoItem><mediaResource alt="supporting information" href="urn-x:wiley:08853185:media:mds21398:mds21398-MDS21398"></mediaResource><caption>Segment 1. Preoperative: Severe neck flexion‐extension tics. Five severe, injurious tics are reported over a period of 3 min. Patient's mental state is adversely affected by multiple psychotropic and pain medications.Segment 2. 11‐days postsurgery (stimulators OFF): Microthalamotomy effect ‐ almost total cessation of all motor and vocal tics in the immediate aftermath of the surgery. Patient's mental state is still adversely affected by multiple psychotropic medications.Segment 3. 2 years and 2 days postsurgery (stimulators OFF): Marked reduction in the frequency and forcefulness of motor tics; Absent vocal tics.</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>A 48‐year‐old man with severe, lifelong Tourette's syndrome (TS) characterized by forceful self‐injurious motor tics and obsessive‐compulsive disorder was treated with bilateral deep brain stimulation (DBS). The decision to treat was based on his progressive neurological impairment (left sided weakness secondary to spinal cord injury) because of his relentless, violent head jerks. Electrodes were implanted at the level of the medial part of the thalamus (centromedian nucleus, the substantia periventricularis, and the nucleus ventro‐oralis internus). DBS resulted in a substantial reduction of tics. These data show that bilateral DBS of the thalamus can have a good effect on severe tics in adult patients suffering from intractable TS. © 2007 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Deep brain stimulation in Tourette's syndrome</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Deep Brain Stimulation in Tourette's Syndrome</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Deep brain stimulation in Tourette's syndrome</title></titleInfo><name type="personal"><namePart type="given">Rizma Jalees</namePart><namePart type="family">Bajwa</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alain J.</namePart><namePart type="family">de Lotbinière</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><affiliation>Northern Weschester Hospital Cancer Center, Mount Kisco, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert A.</namePart><namePart type="family">King</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bahman</namePart><namePart type="family">Jabbari</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Susan</namePart><namePart type="family">Quatrano</namePart><affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kimberly</namePart><namePart type="family">Kunze</namePart><namePart type="termsOfAddress">RN</namePart><affiliation>Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lawrence</namePart><namePart type="family">Scahill</namePart><namePart type="termsOfAddress">MSN, MPH, PhD</namePart><affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><affiliation>Yale University School of Nursing, New Haven, Connecticut, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James F.</namePart><namePart type="family">Leckman</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA</affiliation><description>Correspondence: Child Study Center, Yale University School of Medicine, I‐265 SHM, 230 South Frontage Road, New Haven, Connecticut 06520‐7920</description><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">2007-07-15</dateIssued><dateCaptured encoding="w3cdtf">2006-11-25</dateCaptured><dateValid encoding="w3cdtf">2006-12-12</dateValid><copyrightDate encoding="w3cdtf">2007</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">2</extent><extent unit="references">22</extent><extent unit="words">3243</extent></physicalDescription><abstract lang="en">A 48‐year‐old man with severe, lifelong Tourette's syndrome (TS) characterized by forceful self‐injurious motor tics and obsessive‐compulsive disorder was treated with bilateral deep brain stimulation (DBS). The decision to treat was based on his progressive neurological impairment (left sided weakness secondary to spinal cord injury) because of his relentless, violent head jerks. Electrodes were implanted at the level of the medial part of the thalamus (centromedian nucleus, the substantia periventricularis, and the nucleus ventro‐oralis internus). DBS resulted in a substantial reduction of tics. These data show that bilateral DBS of the thalamus can have a good effect on severe tics in adult patients suffering from intractable TS. © 2007 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>Tourette's syndrome</topic><topic>deep brain stimulation</topic><topic>midline thalamic nuclei</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><note type="content"> This article includes supplementary video clips, available online at http://www.interscience.wiley.com/jpages/0885‐3185/suppmat .Supporting Info Item: Segment 1. Preoperative: Severe neck flexion‐extension tics. Five severe, injurious tics are reported over a period of 3 min. Patient's mental state is adversely affected by multiple psychotropic and pain medications.Segment 2. 11‐days postsurgery (stimulators OFF): Microthalamotomy effect ‐ almost total cessation of all motor and vocal tics in the immediate aftermath of the surgery. Patient's mental state is still adversely affected by multiple psychotropic medications.Segment 3. 2 years and 2 days postsurgery (stimulators OFF): Marked reduction in the frequency and forcefulness of motor tics; Absent vocal tics. - </note><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>2007</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1346</start><end>1350</end><total>5</total></extent></part></relatedItem><identifier type="istex">F9973E7BF190B3D8C57EC73F1FDB2D2F68A6AB58</identifier><identifier type="DOI">10.1002/mds.21398</identifier><identifier type="ArticleID">MDS21398</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 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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