MovDisordV3, Main, Exploration, bibRecord, 001B28

Pallidal and thalamic deep brain stimulation in myoclonus‐dystonia

Identifieur interne : 001B28 ( Main/Exploration ); précédent : 001B27; suivant : 001B29

Pallidal and thalamic deep brain stimulation in myoclonus‐dystonia

Auteurs : Doreen Gruber [Allemagne] ; Andrea A. Kühn [Allemagne] ; Thomas Schoenecker [Allemagne] ; Anatol Kivi [Allemagne] ; Thomas Trottenberg [Allemagne] ; Karl-Titus Hoffmann [Allemagne] ; Alireza Gharabaghi [Allemagne] ; Ute A. Kopp [Allemagne] ; Gerd-Helge Schneider [Allemagne] ; Christine Klein [Allemagne] ; Friedrich Asmus [Allemagne] ; Andreas Kupsch [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-08-15.

RBID : ISTEX:0A222121CBE0A5FADED5595B84588CE03C76560F

Descripteurs français

Pascal (Inist)
- Dystonie, Myoclonie, Pathologie du système nerveux, Stimulation cérébrale profonde.

English descriptors

KwdEn :
- Adult, Aged, Cognition Disorders (etiology), Deep Brain Stimulation (methods), Deep brain stimulation, Dystonia, Dystonic Disorders (physiopathology), Dystonic Disorders (psychology), Dystonic Disorders (therapy), Female, Globus Pallidus (physiology), Humans, Magnetic Resonance Imaging (methods), Male, Middle Aged, Mood Disorders (etiology), Myoclonus, Nervous system diseases, Quality of Life (psychology), Retrospective Studies, Thalamus (physiology), deep brain stimulation, globus pallidus internus, myoclonus‐dystonia, ventral intermediate nucleus.
MESH :
- etiology : Cognition Disorders, Mood Disorders.
- methods : Deep Brain Stimulation, Magnetic Resonance Imaging.
- physiology : Globus Pallidus, Thalamus.
- physiopathology : Dystonic Disorders.
- psychology : Dystonic Disorders, Quality of Life.
- therapy : Dystonic Disorders.
- Adult, Aged, Female, Humans, Male, Middle Aged, Retrospective Studies.

Abstract

Deep brain stimulation (DBS) of the internal globus pallidus (GPi) and ventral intermediate thalamic nucleus (VIM) are established treatment options in primary dystonia and tremor syndromes and have been reported anecdotally to be efficacious in myoclonus‐dystonia (MD). We investigated short‐ and long‐term effects on motor function, cognition, affective state, and quality of life (QoL) of GPi‐ and VIM‐DBS in MD. Ten MD‐patients (nine ε‐sarcoglycan‐mutation‐positive) were evaluated pre‐ and post‐surgically following continuous bilateral GPi‐ and VIM‐DBS at four time points: presurgical, 6, 12, and as a last follow‐up at a mean of 62.3 months postsurgically, and in OFF‐, GPi‐, VIM‐, and GPi‐VIM‐DBS conditions by validated motor [unified myoclonus rating scale (UMRS), TSUI Score, Burke‐Fahn‐Marsden dystonia rating scale (BFMDRS)], cognitive, affective, and QoL‐scores. MD‐symptoms significantly improved at 6 months post‐surgery (UMRS: 61.5%, TSUI Score: 36.5%, BFMDRS: 47.3%). Beneficial effects were sustained at long‐term evaluation post‐surgery (UMRS: 65.5%, TSUI Score: 35.1%, BFMDRS: 48.2%). QoL was significantly ameliorated; affective status and cognition remained unchanged postsurgically irrespective of the stimulation conditions. No serious long‐lasting stimulation‐related adverse events (AEs) were observed. Both GPi‐ and VIM‐DBS offer equally effective and safe treatment options for MD. With respect to fewer adverse, stimulation‐induced events of GPi‐DBS in comparison with VIM‐DBS, GPi‐DBS seems to be preferable. Combined GPi‐VIM‐DBS can be useful in cases of incapaciting myoclonus, refractory to GPi‐DBS alone. © 2010 Movement Disorder Society

Url:

https://api.istex.fr/document/0A222121CBE0A5FADED5595B84588CE03C76560F/fulltext/pdf

DOI: 10.1002/mds.23312

Affiliations:

Le document en format XML

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<term>Aged</term>
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<term>Deep Brain Stimulation (methods)</term>
<term>Deep brain stimulation</term>
<term>Dystonia</term>
<term>Dystonic Disorders (physiopathology)</term>
<term>Dystonic Disorders (psychology)</term>
<term>Dystonic Disorders (therapy)</term>
<term>Female</term>
<term>Globus Pallidus (physiology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mood Disorders (etiology)</term>
<term>Myoclonus</term>
<term>Nervous system diseases</term>
<term>Quality of Life (psychology)</term>
<term>Retrospective Studies</term>
<term>Thalamus (physiology)</term>
<term>deep brain stimulation</term>
<term>globus pallidus internus</term>
<term>myoclonus‐dystonia</term>
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<term>Magnetic Resonance Imaging</term>
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<term>Thalamus</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dystonic Disorders</term>
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<term>Female</term>
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<term>Middle Aged</term>
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<term>Myoclonie</term>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) of the internal globus pallidus (GPi) and ventral intermediate thalamic nucleus (VIM) are established treatment options in primary dystonia and tremor syndromes and have been reported anecdotally to be efficacious in myoclonus‐dystonia (MD). We investigated short‐ and long‐term effects on motor function, cognition, affective state, and quality of life (QoL) of GPi‐ and VIM‐DBS in MD. Ten MD‐patients (nine ε‐sarcoglycan‐mutation‐positive) were evaluated pre‐ and post‐surgically following continuous bilateral GPi‐ and VIM‐DBS at four time points: presurgical, 6, 12, and as a last follow‐up at a mean of 62.3 months postsurgically, and in OFF‐, GPi‐, VIM‐, and GPi‐VIM‐DBS conditions by validated motor [unified myoclonus rating scale (UMRS), TSUI Score, Burke‐Fahn‐Marsden dystonia rating scale (BFMDRS)], cognitive, affective, and QoL‐scores. MD‐symptoms significantly improved at 6 months post‐surgery (UMRS: 61.5%, TSUI Score: 36.5%, BFMDRS: 47.3%). Beneficial effects were sustained at long‐term evaluation post‐surgery (UMRS: 65.5%, TSUI Score: 35.1%, BFMDRS: 48.2%). QoL was significantly ameliorated; affective status and cognition remained unchanged postsurgically irrespective of the stimulation conditions. No serious long‐lasting stimulation‐related adverse events (AEs) were observed. Both GPi‐ and VIM‐DBS offer equally effective and safe treatment options for MD. With respect to fewer adverse, stimulation‐induced events of GPi‐DBS in comparison with VIM‐DBS, GPi‐DBS seems to be preferable. Combined GPi‐VIM‐DBS can be useful in cases of incapaciting myoclonus, refractory to GPi‐DBS alone. © 2010 Movement Disorder Society</div>
</front>
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Movement Disorders (revue)

Pallidal and thalamic deep brain stimulation in myoclonus‐dystonia

Pallidal and thalamic deep brain stimulation in myoclonus‐dystonia

Source :

Descripteurs français

English descriptors

Abstract

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	Movement Disorders (revue)
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