MovDisordV3, Main, Exploration, bibRecord, 000F62

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

Identifieur interne : 000F62 ( Main/Exploration ); précédent : 000F61; suivant : 000F63

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

Auteurs : René Reese [Allemagne] ; Markus O. Pinsker [Allemagne] ; Jan Herzog [Allemagne] ; Fritz Wodarg [Allemagne] ; Frank Steigerwald [Allemagne] ; Monika Potter-Nerger [Allemagne] ; Daniela Falk [Allemagne] ; Gunther Deuschl [Allemagne] ; H. Maximilian Mehdorn [Allemagne] ; Jens Volkmann [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:12-0183711

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Noyau sousthalamique, Stéréotaxie, Ciblage, Imagerie RMN, Atlas.
Wicri :
- topic : Atlas.

English descriptors

KwdEn :
- Atlas, Nervous system diseases, Nuclear magnetic resonance imaging, Parkinson disease, Stereotaxia, Subthalamic nucleus, Targeting.

Abstract

Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<term>Nuclear magnetic resonance imaging</term>
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<term>Stereotaxia</term>
<term>Subthalamic nucleus</term>
<term>Targeting</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
<term>Noyau sousthalamique</term>
<term>Stéréotaxie</term>
<term>Ciblage</term>
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<front><div type="abstract" xml:lang="en">Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
</country>
<region><li>Bavière</li>
<li>District de Basse-Franconie</li>
<li>Schleswig-Holstein</li>
</region>
<settlement><li>Kiel</li>
<li>Wurtzbourg</li>
</settlement>
</list>
<tree><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Reese, Rene" sort="Reese, Rene" uniqKey="Reese R" first="René" last="Reese">René Reese</name>
</region>
<name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Gunther" last="Deuschl">Gunther Deuschl</name>
<name sortKey="Falk, Daniela" sort="Falk, Daniela" uniqKey="Falk D" first="Daniela" last="Falk">Daniela Falk</name>
<name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<name sortKey="Maximilian Mehdorn, H" sort="Maximilian Mehdorn, H" uniqKey="Maximilian Mehdorn H" first="H." last="Maximilian Mehdorn">H. Maximilian Mehdorn</name>
<name sortKey="Pinsker, Markus O" sort="Pinsker, Markus O" uniqKey="Pinsker M" first="Markus O." last="Pinsker">Markus O. Pinsker</name>
<name sortKey="Potter Nerger, Monika" sort="Potter Nerger, Monika" uniqKey="Potter Nerger M" first="Monika" last="Potter-Nerger">Monika Potter-Nerger</name>
<name sortKey="Reese, Rene" sort="Reese, Rene" uniqKey="Reese R" first="René" last="Reese">René Reese</name>
<name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name>
<name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name>
<name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name>
<name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name>
<name sortKey="Wodarg, Fritz" sort="Wodarg, Fritz" uniqKey="Wodarg F" first="Fritz" last="Wodarg">Fritz Wodarg</name>
</country>
</tree>
</affiliations>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

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