MovDisordV3, Main, Exploration, bibRecord, 001195

Bilateral Deep Brain Stimulation for Cervical Dystonia in Patients with Previous Peripheral Surgery

Identifieur interne : 001195 ( Main/Exploration ); précédent : 001194; suivant : 001196

Bilateral Deep Brain Stimulation for Cervical Dystonia in Patients with Previous Peripheral Surgery

Auteurs : Hans-Holger Capelle [Allemagne] ; Christian Blahak [Allemagne] ; Christoph Schrader [Allemagne] ; Hansjorg Baezner [Allemagne] ; Marwan I. Hariz [Suède, Royaume-Uni] ; Tommy Bergenheim [Suède] ; Joachim K. Krauss [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:12-0113818

Descripteurs français

Pascal (Inist)
- Dystonie, Pathologie du système nerveux, Homme, Chirurgie, Enervation, Stimulation cérébrale profonde.
Wicri :
- topic : Homme, Chirurgie.

English descriptors

KwdEn :
- Deep brain stimulation, Denervation, Dystonia, Human, Nervous system diseases, Surgery.

Abstract

Background: There are no data available concerning whether patients with cervical dystonia who have recurrent or new symptoms after peripheral denervation surgery benefit similarly from pallidal deep brain stimulation compared with patients who receive primarily pallidal stimulation. Methods: Data on 7 cervical dystonia patients with recurrent or progressive dystonia after peripheral denervation who underwent pallidal stimulation were prospectively collected. Deep brain stimulation was performed in Mannheim/Hannover, Germany, or in Umea, Sweden. To the subgroup from Mannheim/Hannover, a second group of patients without previous peripheral surgery was matched. Assessments included the Toronto Western Spasmodic Torticollis Rating Scale and the Burke-Fahn-Marsden dystonia rating scale, as well as the Tsui scale in the Swedish patients. Results: The 4 patients from Mannheim/Hannover experienced sustained improvement from pallidal stimulation by a mean of 57.5% according to the Toronto Western Spasmodic Torticollis Rating Scale (P < .05) and by a mean of 69.5% according to the Burke-Fahn-Marsden dystonia rating scale (P < .05) at long-term follow-up of 40.5 months. The patients from Umea had a mean Tsui score of 7 prior to surgery and a mean score of 3 at the mean follow-up of 8 months (62.5%). In the matched group the Toronto Western Spasmodic Torticollis Rating Scale improved by 58.8% and the Burke-Fahn-Marsden dystonia rating scale by 67% (P < .05) at long-term follow-up (mean, 41.5 months). Conclusions: Patients who had prior peripheral surgery for cervical dystonia experience improvement from subsequent pallidal stimulation that is comparable to that of de novo patients.

Affiliations:

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Le document en format XML

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<author><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
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<author><name sortKey="Blahak, Christian" sort="Blahak, Christian" uniqKey="Blahak C" first="Christian" last="Blahak">Christian Blahak</name>
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<author><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
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<sZ>5 aut.</sZ>
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<author><name sortKey="Bergenheim, Tommy" sort="Bergenheim, Tommy" uniqKey="Bergenheim T" first="Tommy" last="Bergenheim">Tommy Bergenheim</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Pharmacology and Clinical Neuroscience, Umea University</s1>
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</author>
<author><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Medical School Hannover</s1>
<s2>MHH, Hannover</s2>
<s3>DEU</s3>
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<settlement type="city">Hanovre</settlement>
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<series><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep brain stimulation</term>
<term>Denervation</term>
<term>Dystonia</term>
<term>Human</term>
<term>Nervous system diseases</term>
<term>Surgery</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term>
<term>Pathologie du   système nerveux</term>
<term>Homme</term>
<term>Chirurgie</term>
<term>Enervation</term>
<term>Stimulation cérébrale profonde</term>
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<front><div type="abstract" xml:lang="en">Background: There are no data available concerning whether patients with cervical dystonia who have recurrent or new symptoms after peripheral denervation surgery benefit similarly from pallidal deep brain stimulation compared with patients who receive primarily pallidal stimulation. Methods: Data on 7 cervical dystonia patients with recurrent or progressive dystonia after peripheral denervation who underwent pallidal stimulation were prospectively collected. Deep brain stimulation was performed in Mannheim/Hannover, Germany, or in Umea, Sweden. To the subgroup from Mannheim/Hannover, a second group of patients without previous peripheral surgery was matched. Assessments included the Toronto Western Spasmodic Torticollis Rating Scale and the Burke-Fahn-Marsden dystonia rating scale, as well as the Tsui scale in the Swedish patients. Results: The 4 patients from Mannheim/Hannover experienced sustained improvement from pallidal stimulation by a mean of 57.5% according to the Toronto Western Spasmodic Torticollis Rating Scale (P < .05) and by a mean of 69.5% according to the Burke-Fahn-Marsden dystonia rating scale (P < .05) at long-term follow-up of 40.5 months. The patients from Umea had a mean Tsui score of 7 prior to surgery and a mean score of 3 at the mean follow-up of 8 months (62.5%). In the matched group the Toronto Western Spasmodic Torticollis Rating Scale improved by 58.8% and the Burke-Fahn-Marsden dystonia rating scale by 67% (P < .05) at long-term follow-up (mean, 41.5 months). Conclusions: Patients who had prior peripheral surgery for cervical dystonia experience improvement from subsequent pallidal stimulation that is comparable to that of de novo patients.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region><li>Angleterre</li>
<li>Bade-Wurtemberg</li>
<li>Basse-Saxe</li>
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<li>Grand Londres</li>
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<settlement><li>Hanovre</li>
<li>Londres</li>
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</settlement>
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<tree><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Capelle, Hans Holger" sort="Capelle, Hans Holger" uniqKey="Capelle H" first="Hans-Holger" last="Capelle">Hans-Holger Capelle</name>
</region>
<name sortKey="Baezner, Hansjorg" sort="Baezner, Hansjorg" uniqKey="Baezner H" first="Hansjorg" last="Baezner">Hansjorg Baezner</name>
<name sortKey="Blahak, Christian" sort="Blahak, Christian" uniqKey="Blahak C" first="Christian" last="Blahak">Christian Blahak</name>
<name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
<name sortKey="Schrader, Christoph" sort="Schrader, Christoph" uniqKey="Schrader C" first="Christoph" last="Schrader">Christoph Schrader</name>
</country>
<country name="Suède"><noRegion><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
</noRegion>
<name sortKey="Bergenheim, Tommy" sort="Bergenheim, Tommy" uniqKey="Bergenheim T" first="Tommy" last="Bergenheim">Tommy Bergenheim</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hariz, Marwan I" sort="Hariz, Marwan I" uniqKey="Hariz M" first="Marwan I." last="Hariz">Marwan I. Hariz</name>
</region>
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</tree>
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</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Bilateral Deep Brain Stimulation for Cervical Dystonia in Patients with Previous Peripheral Surgery

Bilateral Deep Brain Stimulation for Cervical Dystonia in Patients with Previous Peripheral Surgery

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri