Epidural premotor cortical stimulation in primary focal dystonia: clinical and 18F-fluoro deoxyglucose positron emission tomography open study.
Identifieur interne : 000D99 ( Main/Exploration ); précédent : 000D98; suivant : 000E00Epidural premotor cortical stimulation in primary focal dystonia: clinical and 18F-fluoro deoxyglucose positron emission tomography open study.
Auteurs : Stefania Lalli [Italie] ; Sylvie Piacentini ; Angelo Franzini ; Andrea Panzacchi ; Chiara Cerami ; Giuseppe Messina ; Francesca Ferré ; Daniela Perani ; Alberto AlbaneseSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Aged, Cerebral Cortex (physiology), Deep Brain Stimulation (methods), Disability Evaluation, Dystonic Disorders (radionuclide imaging), Dystonic Disorders (therapy), Female, Fluorodeoxyglucose F18 (diagnostic use), Follow-Up Studies, Functional Laterality, Humans, Male, Middle Aged, Positron-Emission Tomography, Severity of Illness Index, Torticollis (radionuclide imaging), Torticollis (therapy), Treatment Outcome, Young Adult.
- MESH :
- chemical , diagnostic use : Fluorodeoxyglucose F18.
- methods : Deep Brain Stimulation.
- physiology : Cerebral Cortex.
- radionuclide imaging : Dystonic Disorders, Torticollis.
- therapy : Dystonic Disorders, Torticollis.
- Adult, Aged, Disability Evaluation, Female, Follow-Up Studies, Functional Laterality, Humans, Male, Middle Aged, Positron-Emission Tomography, Severity of Illness Index, Treatment Outcome, Young Adult.
Abstract
The aim of this study was to evaluate the efficacy and safety of epidural premotor stimulation in patients with primary focal dystonia. Seven patients were selected: 6 had cervical dystonia and 1 had right upper limb dystonia. In 2 patients, sustained muscle contractions led to a prevalently fixed head posture. Patients with cervical dystonia received a bilateral implant, whereas the patient with hand dystonia received a unilateral implant. Neurological and neuropsychological evaluations were performed before surgery (baseline), and 1, 3, 6, and 12 months afterward. The Burke-Fahn-Marsden scale (BFMS) and the Toronto Western spasmodic torticollis rating scale (TWSTRS) were administered at the same time points. Patients underwent resting (18)F-fluorodeoxyglucose (FDG) positron emission tomography (PET) scans, before and 12 months after surgery. No adverse events occurred. An overall improvement was observed on the BFMS and TWSTRS after surgery. Patients with prevalently fixed cervical dystonia had a reduced benefit. Presurgical neuroimaging revealed a significant bilateral metabolic increase in the sensorimotor areas, which was reduced after surgery.
DOI: 10.1002/mds.24949
PubMed: 22344674
Affiliations:
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uniqKey="Franzini A" first="Angelo" last="Franzini">Angelo Franzini</name></author><author><name sortKey="Panzacchi, Andrea" sort="Panzacchi, Andrea" uniqKey="Panzacchi A" first="Andrea" last="Panzacchi">Andrea Panzacchi</name></author><author><name sortKey="Cerami, Chiara" sort="Cerami, Chiara" uniqKey="Cerami C" first="Chiara" last="Cerami">Chiara Cerami</name></author><author><name sortKey="Messina, Giuseppe" sort="Messina, Giuseppe" uniqKey="Messina G" first="Giuseppe" last="Messina">Giuseppe Messina</name></author><author><name sortKey="Ferre, Francesca" sort="Ferre, Francesca" uniqKey="Ferre F" first="Francesca" last="Ferré">Francesca Ferré</name></author><author><name sortKey="Perani, Daniela" sort="Perani, Daniela" uniqKey="Perani D" first="Daniela" last="Perani">Daniela Perani</name></author><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name></author></titleStmt><publicationStmt><idno 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Lalli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology I, IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology I, IRCCS Istituto Neurologico Carlo Besta, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Piacentini, Sylvie" sort="Piacentini, Sylvie" uniqKey="Piacentini S" first="Sylvie" last="Piacentini">Sylvie Piacentini</name></author><author><name sortKey="Franzini, Angelo" sort="Franzini, Angelo" uniqKey="Franzini A" first="Angelo" last="Franzini">Angelo Franzini</name></author><author><name sortKey="Panzacchi, Andrea" sort="Panzacchi, Andrea" uniqKey="Panzacchi A" first="Andrea" last="Panzacchi">Andrea Panzacchi</name></author><author><name sortKey="Cerami, Chiara" sort="Cerami, Chiara" uniqKey="Cerami C" first="Chiara" last="Cerami">Chiara Cerami</name></author><author><name sortKey="Messina, Giuseppe" sort="Messina, Giuseppe" uniqKey="Messina G" first="Giuseppe" last="Messina">Giuseppe Messina</name></author><author><name sortKey="Ferre, Francesca" sort="Ferre, Francesca" uniqKey="Ferre F" first="Francesca" last="Ferré">Francesca Ferré</name></author><author><name sortKey="Perani, Daniela" sort="Perani, Daniela" uniqKey="Perani D" first="Daniela" last="Perani">Daniela Perani</name></author><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cerebral Cortex (physiology)</term><term>Deep Brain Stimulation (methods)</term><term>Disability Evaluation</term><term>Dystonic Disorders (radionuclide imaging)</term><term>Dystonic Disorders (therapy)</term><term>Female</term><term>Fluorodeoxyglucose F18 (diagnostic use)</term><term>Follow-Up Studies</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Positron-Emission Tomography</term><term>Severity of Illness Index</term><term>Torticollis (radionuclide imaging)</term><term>Torticollis (therapy)</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en"><term>Fluorodeoxyglucose F18</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebral Cortex</term></keywords><keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Dystonic Disorders</term><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonic Disorders</term><term>Torticollis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Disability Evaluation</term><term>Female</term><term>Follow-Up Studies</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Positron-Emission Tomography</term><term>Severity of Illness Index</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to evaluate the efficacy and safety of epidural premotor stimulation in patients with primary focal dystonia. Seven patients were selected: 6 had cervical dystonia and 1 had right upper limb dystonia. In 2 patients, sustained muscle contractions led to a prevalently fixed head posture. Patients with cervical dystonia received a bilateral implant, whereas the patient with hand dystonia received a unilateral implant. Neurological and neuropsychological evaluations were performed before surgery (baseline), and 1, 3, 6, and 12 months afterward. The Burke-Fahn-Marsden scale (BFMS) and the Toronto Western spasmodic torticollis rating scale (TWSTRS) were administered at the same time points. Patients underwent resting (18)F-fluorodeoxyglucose (FDG) positron emission tomography (PET) scans, before and 12 months after surgery. No adverse events occurred. An overall improvement was observed on the BFMS and TWSTRS after surgery. Patients with prevalently fixed cervical dystonia had a reduced benefit. Presurgical neuroimaging revealed a significant bilateral metabolic increase in the sensorimotor areas, which was reduced after surgery.</div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><noCountry><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><name sortKey="Cerami, Chiara" sort="Cerami, Chiara" uniqKey="Cerami C" first="Chiara" last="Cerami">Chiara Cerami</name><name sortKey="Ferre, Francesca" sort="Ferre, Francesca" uniqKey="Ferre F" first="Francesca" last="Ferré">Francesca Ferré</name><name sortKey="Franzini, Angelo" sort="Franzini, Angelo" uniqKey="Franzini A" first="Angelo" last="Franzini">Angelo Franzini</name><name sortKey="Messina, Giuseppe" sort="Messina, Giuseppe" uniqKey="Messina G" first="Giuseppe" last="Messina">Giuseppe Messina</name><name sortKey="Panzacchi, Andrea" sort="Panzacchi, Andrea" uniqKey="Panzacchi A" first="Andrea" last="Panzacchi">Andrea Panzacchi</name><name sortKey="Perani, Daniela" sort="Perani, Daniela" uniqKey="Perani D" first="Daniela" last="Perani">Daniela Perani</name><name sortKey="Piacentini, Sylvie" sort="Piacentini, Sylvie" uniqKey="Piacentini S" first="Sylvie" last="Piacentini">Sylvie Piacentini</name></noCountry><country name="Italie"><region name="Lombardie"><name sortKey="Lalli, Stefania" sort="Lalli, Stefania" uniqKey="Lalli S" first="Stefania" last="Lalli">Stefania Lalli</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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