Inclusion and exclusion criteria for DBS in dystonia
Identifieur interne : 001620 ( Main/Exploration ); précédent : 001619; suivant : 001621Inclusion and exclusion criteria for DBS in dystonia
Auteurs : Helen Bronte-Stewart [États-Unis] ; Takaomi Taira [Japon] ; Francesc Valldeoriola [Espagne] ; Marcello Merello [Argentine] ; William J. Marks Jr. [États-Unis] ; Alberto Albanese [Italie] ; Susan Bressman [États-Unis] ; And Elena Moro [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-06.
English descriptors
- KwdEn :
- Age Factors, Brain (pathology), Brain (physiology), DBS, Databases, Factual (statistics & numerical data), Deep Brain Stimulation (methods), Deep Brain Stimulation (standards), Dementia, Dystonia (diagnosis), Dystonia (epidemiology), Dystonia (therapy), Guidelines as Topic, Humans, Mental Disorders, dystonia, pallidal stimulation, surgery, thalamic stimulation.
- MESH :
- diagnosis : Dystonia.
- epidemiology : Dystonia.
- methods : Deep Brain Stimulation.
- pathology : Brain.
- physiology : Brain.
- standards : Deep Brain Stimulation.
- statistics & numerical data : Databases, Factual.
- therapy : Dystonia.
- Age Factors, Dementia, Guidelines as Topic, Humans, Mental Disorders.
Abstract
When considering a patient with dystonia for deep brain stimulation (DBS) surgery several factors need to be considered. Level B evidence has shown that all motor features and associated pain in primary generalized and segmental dystonia are potentially responsive to globus pallidus internus (GPi) DBS. However, improvements in clinical series of ≥90% may reflect methods that need improvement, and larger prospective studies are needed to address these factors. Nevertheless, to date the selection criteria for DBS—specifically in terms of patient features (severity and nature of symptoms, age, time of evolution, or any other demographic or disease aspects)—have not been assessed in a systematic fashion. In general, dystonia patients are not considered for DBS unless medical therapies have been previously and extensively tested. The vast majority of reported patients have had DBS surgery when the disease was provoking important disability, with loss of independence and impaired quality of life. There does not appear to be an upper age limit or a minimum age limit, although there are no published data regarding the outcome of GPi DBS for dystonia in children younger than 7 years of age. There is currently no enough evidence to prove that subjects with primary‐generalized dystonia who undergo DBS at an early age and sooner rather than later after disease onset may gain more benefit from DBS than those undergoing DBS after the development of fixed skeletal deformities. There is no enough evidence to refuse or support consideration of DBS in patients with previous ablative procedures. © 2011 Movement Disorder Society
Url:
DOI: 10.1002/mds.23482
Affiliations:
- Argentine, Canada, Espagne, Italie, Japon, États-Unis
- Californie, Catalogne, Ontario, État de New York
- Barcelone, Tokyo, Toronto
- Université de Toronto
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Le document en format XML
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Marks Jr.</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of California, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Neurologico Carlo Besta and Università Cattolica, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></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>Mirken 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="Moro, And Elena" sort="Moro, And Elena" uniqKey="Moro A" first="And Elena" last="Moro">And Elena Moro</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Center, Division of Neurology, TWH, University of Toronto, UHN, 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></analytic><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><biblScope unit="supplement">S1</biblScope><biblScope unit="page" from="S5">S5</biblScope><biblScope unit="page" to="S16">S16</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">BD0C3E1D8440ABD409FF2D6318DE27DC3F2FFF9B</idno><idno type="DOI">10.1002/mds.23482</idno><idno type="ArticleID">MDS23482</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term><term>Brain (pathology)</term><term>Brain (physiology)</term><term>DBS</term><term>Databases, Factual (statistics & numerical data)</term><term>Deep Brain Stimulation (methods)</term><term>Deep Brain Stimulation (standards)</term><term>Dementia</term><term>Dystonia (diagnosis)</term><term>Dystonia (epidemiology)</term><term>Dystonia (therapy)</term><term>Guidelines as Topic</term><term>Humans</term><term>Mental Disorders</term><term>dystonia</term><term>pallidal stimulation</term><term>surgery</term><term>thalamic stimulation</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Brain</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Databases, Factual</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Dementia</term><term>Guidelines as Topic</term><term>Humans</term><term>Mental Disorders</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">When considering a patient with dystonia for deep brain stimulation (DBS) surgery several factors need to be considered. Level B evidence has shown that all motor features and associated pain in primary generalized and segmental dystonia are potentially responsive to globus pallidus internus (GPi) DBS. However, improvements in clinical series of ≥90% may reflect methods that need improvement, and larger prospective studies are needed to address these factors. Nevertheless, to date the selection criteria for DBS—specifically in terms of patient features (severity and nature of symptoms, age, time of evolution, or any other demographic or disease aspects)—have not been assessed in a systematic fashion. In general, dystonia patients are not considered for DBS unless medical therapies have been previously and extensively tested. The vast majority of reported patients have had DBS surgery when the disease was provoking important disability, with loss of independence and impaired quality of life. There does not appear to be an upper age limit or a minimum age limit, although there are no published data regarding the outcome of GPi DBS for dystonia in children younger than 7 years of age. There is currently no enough evidence to prove that subjects with primary‐generalized dystonia who undergo DBS at an early age and sooner rather than later after disease onset may gain more benefit from DBS than those undergoing DBS after the development of fixed skeletal deformities. There is no enough evidence to refuse or support consideration of DBS in patients with previous ablative procedures. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Argentine</li><li>Canada</li><li>Espagne</li><li>Italie</li><li>Japon</li><li>États-Unis</li></country><region><li>Californie</li><li>Catalogne</li><li>Ontario</li><li>État de New York</li></region><settlement><li>Barcelone</li><li>Tokyo</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Bronte Tewart, Helen" sort="Bronte Tewart, Helen" uniqKey="Bronte Tewart H" first="Helen" last="Bronte-Stewart">Helen Bronte-Stewart</name></region><name sortKey="Bressman, Susan" sort="Bressman, Susan" uniqKey="Bressman S" first="Susan" last="Bressman">Susan Bressman</name><name sortKey="Marks Jr, William J" sort="Marks Jr, William J" uniqKey="Marks Jr W" first="William J." last="Marks Jr.">William J. Marks Jr.</name></country><country name="Japon"><noRegion><name sortKey="Taira, Takaomi" sort="Taira, Takaomi" uniqKey="Taira T" first="Takaomi" last="Taira">Takaomi Taira</name></noRegion></country><country name="Espagne"><region name="Catalogne"><name sortKey="Valldeoriola, Francesc" sort="Valldeoriola, Francesc" uniqKey="Valldeoriola F" first="Francesc" last="Valldeoriola">Francesc Valldeoriola</name></region></country><country name="Argentine"><noRegion><name sortKey="Merello, Marcello" sort="Merello, Marcello" uniqKey="Merello M" first="Marcello" last="Merello">Marcello Merello</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name></noRegion></country><country name="Canada"><region name="Ontario"><name sortKey="Moro, And Elena" sort="Moro, And Elena" uniqKey="Moro A" first="And Elena" last="Moro">And Elena Moro</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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