Pre‐operative evaluations for DBS in dystonia
Identifieur interne : 001456 ( Main/Curation ); précédent : 001455; suivant : 001457Pre‐operative evaluations for DBS in dystonia
Auteurs : Stéphane Thobois [France] ; Takaomi Taira [Japon] ; Cynthia Comella [États-Unis] ; Elena Moro [Canada] ; Susan Bressman [États-Unis] ; And Alberto Albanese [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-06.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- MESH :
- diagnosis : Dystonia.
- methods : Deep Brain Stimulation, Preoperative Care.
- therapy : Dystonia.
- Disability Evaluation, Humans, Severity of Illness Index.
Abstract
Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke‐Fahn‐Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short‐Form Health Survey (SF‐36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open‐label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes. © 2011 Movement Disorder Society
Url:
DOI: 10.1002/mds.23481
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Pre‐operative evaluations for DBS in dystonia</title>
<author><name sortKey="Thobois, Stephane" sort="Thobois, Stephane" uniqKey="Thobois S" first="Stéphane" last="Thobois">Stéphane Thobois</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Université Lyon I, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer and CNRS, UMR 5229, Lyon</wicri:regionArea>
<placeName><settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Taira, Takaomi" sort="Taira, Takaomi" uniqKey="Taira T" first="Takaomi" last="Taira">Takaomi Taira</name>
<affiliation wicri:level="3"><country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Neurosurgery, Tokyo Women's Medical University, Tokyo</wicri:regionArea>
<placeName><settlement type="city">Tokyo</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Comella, Cynthia" sort="Comella, Cynthia" uniqKey="Comella C" first="Cynthia" last="Comella">Cynthia Comella</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Sciences, Rush University Medical Center, Chicago, Illinois</wicri:regionArea>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Moro, Elena" sort="Moro, Elena" uniqKey="Moro E" first="Elena" last="Moro">Elena Moro</name>
<affiliation wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Movement Disorders Center, TWH, UHN, Division of Neurology, University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bressman, Susan" sort="Bressman, Susan" uniqKey="Bressman S" first="Susan" last="Bressman">Susan Bressman</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Beth Israel Medical Center, New York, New York</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Albanese, And Alberto" sort="Albanese, And Alberto" uniqKey="Albanese A" first="And Alberto" last="Albanese">And Alberto Albanese</name>
<affiliation wicri:level="3"><country xml:lang="fr">Italie</country>
<wicri:regionArea>Fondazione IRCCS Istituto Neurologico Carlo Besta and Università Cattolica del Sacro Cuore, Milan</wicri:regionArea>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
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<monogr></monogr>
<series><title level="j">Movement Disorders</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="2011-06">2011-06</date>
<biblScope unit="vol">26</biblScope>
<biblScope unit="issue">S1</biblScope>
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<idno type="ISSN">0885-3185</idno>
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<idno type="istex">CDF29A220451B2E392764969D342D83B9A30F5C4</idno>
<idno type="DOI">10.1002/mds.23481</idno>
<idno type="ArticleID">MDS23481</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>DBS</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Disability Evaluation</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (therapy)</term>
<term>Humans</term>
<term>Preoperative Care (methods)</term>
<term>Severity of Illness Index</term>
<term>dystonia</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term>
<term>Preoperative Care</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Disability Evaluation</term>
<term>Humans</term>
<term>Severity of Illness Index</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke‐Fahn‐Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short‐Form Health Survey (SF‐36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open‐label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes. © 2011 Movement Disorder Society</div>
</front>
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