Neuronal Activity of the Red Nucleus in Parkinson's Disease
Identifieur interne : 002A67 ( Main/Exploration ); précédent : 002A66; suivant : 002A68Neuronal Activity of the Red Nucleus in Parkinson's Disease
Auteurs : Maria C. Rodriguez-Oroz [Espagne] ; Manolo Rodriguez [Espagne] ; Carlos Leiva [Espagne] ; Miguel Rodriguez-Palmero [Espagne] ; Juan Nieto [Espagne] ; David Garcia-Garcia [Espagne] ; Jose Luis Zubieta [Espagne] ; Carlos Cardiel [Espagne] ; Jose A. Obeso [Espagne]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Precise placement of the electrodes for stimulation of the subthalamic nucleus (STN) in Parkinson's disease (PD) is crucial for the therapeutic benefit. As a result of the mistargeting and misplacement of the electrodes during surgery in 2 patients with PD, we have characterized the neuronal firing in the red nucleus (RN) and observed the effects of stimulation of this nucleus. Although the neuronal firing (mean ± SD) of the RN (34 ± 4.4 Hz) resembles that described for the STN (33.1 ± 16.6 Hz), a higher proportion of cells responded to the movement of the contralateral limbs (70-80%). Stimulation in the area of the RN-induced intolerable side effects without motor improvement. We conclude that the STN and RN have some similar neurophysiological features but can be distinguished intraoperatively. This initial description of the physiological characteristics of the RN in humans will draw attention to the possibility of confusing the RN and STN during intraoperative recording.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Nervous system diseases</term>
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<term>Red nucleus</term>
<term>Subthalamic nucleus</term>
<term>Surgery</term>
<term>Targeting</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Pathologie du système nerveux</term>
<term>Noyau rouge</term>
<term>Noyau sousthalamique</term>
<term>Ciblage</term>
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<front><div type="abstract" xml:lang="en">Precise placement of the electrodes for stimulation of the subthalamic nucleus (STN) in Parkinson's disease (PD) is crucial for the therapeutic benefit. As a result of the mistargeting and misplacement of the electrodes during surgery in 2 patients with PD, we have characterized the neuronal firing in the red nucleus (RN) and observed the effects of stimulation of this nucleus. Although the neuronal firing (mean ± SD) of the RN (34 ± 4.4 Hz) resembles that described for the STN (33.1 ± 16.6 Hz), a higher proportion of cells responded to the movement of the contralateral limbs (70-80%). Stimulation in the area of the RN-induced intolerable side effects without motor improvement. We conclude that the STN and RN have some similar neurophysiological features but can be distinguished intraoperatively. This initial description of the physiological characteristics of the RN in humans will draw attention to the possibility of confusing the RN and STN during intraoperative recording.</div>
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<name sortKey="Leiva, Carlos" sort="Leiva, Carlos" uniqKey="Leiva C" first="Carlos" last="Leiva">Carlos Leiva</name>
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<name sortKey="Obeso, Jose A" sort="Obeso, Jose A" uniqKey="Obeso J" first="Jose A." last="Obeso">Jose A. Obeso</name>
<name sortKey="Rodriguez Oroz, Maria C" sort="Rodriguez Oroz, Maria C" uniqKey="Rodriguez Oroz M" first="Maria C." last="Rodriguez-Oroz">Maria C. Rodriguez-Oroz</name>
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<name sortKey="Zubieta, Jose Luis" sort="Zubieta, Jose Luis" uniqKey="Zubieta J" first="Jose Luis" last="Zubieta">Jose Luis Zubieta</name>
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