Dystonia due to cerebral palsy responds to deep brain stimulation of the globus pallidus internus
Identifieur interne : 001687 ( Main/Exploration ); précédent : 001686; suivant : 001688Dystonia due to cerebral palsy responds to deep brain stimulation of the globus pallidus internus
Auteurs : Warren A. Marks [États-Unis] ; John Honeycutt [États-Unis] ; Fernando Acosta Jr. [États-Unis] ; Maryann Reed [États-Unis] ; Laurie Bailey [États-Unis] ; Angela Pomykal [États-Unis] ; Mary Mercer [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-08-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adolescent, Adult, Cerebral Palsy (complications), Cerebral palsy, Child, Deep Brain Stimulation (methods), Deep brain stimulation, Disability Evaluation, Dystonia, Dystonia (etiology), Dystonia (therapy), Female, Globus Pallidus (physiology), Humans, Male, Nervous system diseases, Pediatrics, Retrospective Studies, Severity of Illness Index, Treatment Outcome, Young Adult, cerebral palsy, deep brain stimulation, dystonia, globus pallidus, pediatric.
- MESH :
- complications : Cerebral Palsy.
- etiology : Dystonia.
- methods : Deep Brain Stimulation.
- physiology : Globus Pallidus.
- therapy : Dystonia.
- Adolescent, Adult, Child, Disability Evaluation, Female, Humans, Male, Retrospective Studies, Severity of Illness Index, Treatment Outcome, Young Adult.
Abstract
Background:: Cerebral palsy is the most common cause of pediatric‐onset dystonia. Deep brain stimulation is gaining acceptance for treating dystonias in children. There is minimal reported experience regarding the efficacy of deep brain stimulation in cerebral palsy. Methods:: Fourteen patients, including 8 younger than 16 years, received bilateral implants (13 patients) or a unilateral implant (1 patient) of the internal globus pallidus and were observed in a noncontrolled, nonblinded study for at least 6 months. Motor function was assessed using the Burke‐Fahn‐Marsden Dystonia Movement and Disability scales and the Barry Albright Dystonia Scale. Results:: By 6 months, significant improvement was observed in the Burke‐Fahn‐Marsden Dystonia Movement scale (P = .004), the Burke‐Fahn‐Marsden Dystonia Disability scale (P = .027), and the Barry Albright Dystonia Scale (P = .029) for the whole cohort (n = 14) and in the patients treated before skeletal maturity (group 1; n = 8): Burke‐Fahn‐Marsden Dystonia Movement scale, P = .012; Burke‐Fahn‐Marsden Dystonia Disability scale, P = .020; and Barry Albright Dystonia Scale, P = .027. Conclusions:: Deep brain stimulation may offer an effective treatment option for cerebral palsy–related dystonia, especially in those treated before skeletal maturity.
Url:
DOI: 10.1002/mds.23723
Affiliations:
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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="2011-08-01">2011-08-01</date><biblScope unit="vol">26</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1748">1748</biblScope><biblScope unit="page" to="1751">1751</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4C8CAB266143FC1915A6B144A8ABC365440442B8</idno><idno type="DOI">10.1002/mds.23723</idno><idno type="ArticleID">MDS23723</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cerebral Palsy (complications)</term><term>Cerebral palsy</term><term>Child</term><term>Deep Brain Stimulation (methods)</term><term>Deep brain stimulation</term><term>Disability Evaluation</term><term>Dystonia</term><term>Dystonia (etiology)</term><term>Dystonia (therapy)</term><term>Female</term><term>Globus Pallidus (physiology)</term><term>Humans</term><term>Male</term><term>Nervous system diseases</term><term>Pediatrics</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term><term>Young Adult</term><term>cerebral palsy</term><term>deep brain stimulation</term><term>dystonia</term><term>globus pallidus</term><term>pediatric</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebral Palsy</term></keywords><keywords scheme="MESH" qualifier="etiology" 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="physiology" xml:lang="en"><term>Globus Pallidus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Enfant</term><term>Infirmité motrice cérébrale</term><term>Pathologie du système nerveux</term><term>Pédiatrie</term><term>Stimulation cérébrale profonde</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term><term>Pédiatrie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background:: Cerebral palsy is the most common cause of pediatric‐onset dystonia. Deep brain stimulation is gaining acceptance for treating dystonias in children. There is minimal reported experience regarding the efficacy of deep brain stimulation in cerebral palsy. Methods:: Fourteen patients, including 8 younger than 16 years, received bilateral implants (13 patients) or a unilateral implant (1 patient) of the internal globus pallidus and were observed in a noncontrolled, nonblinded study for at least 6 months. Motor function was assessed using the Burke‐Fahn‐Marsden Dystonia Movement and Disability scales and the Barry Albright Dystonia Scale. Results:: By 6 months, significant improvement was observed in the Burke‐Fahn‐Marsden Dystonia Movement scale (P = .004), the Burke‐Fahn‐Marsden Dystonia Disability scale (P = .027), and the Barry Albright Dystonia Scale (P = .029) for the whole cohort (n = 14) and in the patients treated before skeletal maturity (group 1; n = 8): Burke‐Fahn‐Marsden Dystonia Movement scale, P = .012; Burke‐Fahn‐Marsden Dystonia Disability scale, P = .020; and Barry Albright Dystonia Scale, P = .027. Conclusions:: Deep brain stimulation may offer an effective treatment option for cerebral palsy–related dystonia, especially in those treated before skeletal maturity.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Marks, Warren A" sort="Marks, Warren A" uniqKey="Marks W" first="Warren A." last="Marks">Warren A. Marks</name></region><name sortKey="Acosta Jr, Fernando" sort="Acosta Jr, Fernando" uniqKey="Acosta Jr F" first="Fernando" last="Acosta Jr.">Fernando Acosta Jr.</name><name sortKey="Bailey, Laurie" sort="Bailey, Laurie" uniqKey="Bailey L" first="Laurie" last="Bailey">Laurie Bailey</name><name sortKey="Bailey, Laurie" sort="Bailey, Laurie" uniqKey="Bailey L" first="Laurie" last="Bailey">Laurie Bailey</name><name sortKey="Honeycutt, John" sort="Honeycutt, John" uniqKey="Honeycutt J" first="John" last="Honeycutt">John Honeycutt</name><name sortKey="Marks, Warren A" sort="Marks, Warren A" uniqKey="Marks W" first="Warren A." last="Marks">Warren A. Marks</name><name sortKey="Mercer, Mary" sort="Mercer, Mary" uniqKey="Mercer M" first="Mary" last="Mercer">Mary Mercer</name><name sortKey="Pomykal, Angela" sort="Pomykal, Angela" uniqKey="Pomykal A" first="Angela" last="Pomykal">Angela Pomykal</name><name sortKey="Reed, Maryann" sort="Reed, Maryann" uniqKey="Reed M" first="Maryann" last="Reed">Maryann Reed</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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