Motor cortex stimulation for levodopa‐resistant akinesia: Case report
Identifieur interne : 002D35 ( Main/Exploration ); précédent : 002D34; suivant : 002D36Motor cortex stimulation for levodopa‐resistant akinesia: Case report
Auteurs : Naoki Tani [Japon] ; Youichi Saitoh [Japon] ; Haruhiko Kishima [Japon] ; Satoru Oshino [Japon] ; Jun Hatazawa [Japon] ; Kazuo Hashikawa [Japon] ; Toshiki Yoshimine [Japon]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-08-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Akinesia, Case study, Deep Brain Stimulation (methods), Dose-Response Relationship, Immunologic, Female, Humans, Levodopa, Motor Cortex (physiopathology), Motor Cortex (radiation effects), Motor cortex, Movement Disorders (pathology), Movement Disorders (physiopathology), Movement Disorders (therapy), Nervous system diseases, Repetitive stimulus, Severity of Illness Index, Transcranial magnetic stimulation, akinesia, motor cortex stimulation, repetitive transcranial magnetic stimulation.
- MESH :
- methods : Deep Brain Stimulation.
- pathology : Movement Disorders.
- physiopathology : Motor Cortex, Movement Disorders.
- radiation effects : Motor Cortex.
- therapy : Movement Disorders.
- Aged, Dose-Response Relationship, Immunologic, Female, Humans, Severity of Illness Index.
Abstract
We treated a patient with levodopa‐resistant akinesia with motor cortex stimulation (MCS), and she showed dramatic improvement more than 1 year. On admission, the patient presented severe akinesia and gait disturbance without tremor and rigidity, and did not respond to levodopa test. The patient was suspected pure akinesia and progressive supranuclear palsy. First, high‐frequency rTMS of primary motor cortex was examined, and showed the dramatic improvement. Next, chronic subdural electrodes were implanted over the motor cortex bilaterally. One year after surgery, the Unified Parkinson's Disease Rating Scale had improved remarkably, and she could walk four times faster than before. The H215O PET study showed a significant increase of rCBF in the left SMA and right dorsolateral prefrontal cortex after bilateral MCS. MCS may be an alternative treatment for patients with akinesia, including those with PD, and particularly for levodopa‐resistant patients, who respond well to rTMS. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21593
Affiliations:
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uniqKey="Tani N" first="Naoki" last="Tani">Naoki Tani</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Saitoh, Youichi" sort="Saitoh, Youichi" uniqKey="Saitoh Y" first="Youichi" last="Saitoh">Youichi Saitoh</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Kishima, Haruhiko" sort="Kishima, Haruhiko" uniqKey="Kishima H" first="Haruhiko" last="Kishima">Haruhiko Kishima</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Neurosurgery, Osaka University Graduate School of Medicine, 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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="2007-08-15">2007-08-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1645">1645</biblScope><biblScope unit="page" to="1649">1649</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">CCE14F913152BBD30682D43C55555B0F83CA7487</idno><idno type="DOI">10.1002/mds.21593</idno><idno type="ArticleID">MDS21593</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Akinesia</term><term>Case study</term><term>Deep Brain Stimulation (methods)</term><term>Dose-Response Relationship, Immunologic</term><term>Female</term><term>Humans</term><term>Levodopa</term><term>Motor Cortex (physiopathology)</term><term>Motor Cortex (radiation effects)</term><term>Motor cortex</term><term>Movement Disorders (pathology)</term><term>Movement Disorders (physiopathology)</term><term>Movement Disorders (therapy)</term><term>Nervous system diseases</term><term>Repetitive stimulus</term><term>Severity of Illness Index</term><term>Transcranial magnetic stimulation</term><term>akinesia</term><term>motor cortex stimulation</term><term>repetitive transcranial magnetic stimulation</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>Movement Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Motor Cortex</term><term>Movement Disorders</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Motor Cortex</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Movement Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Dose-Response Relationship, Immunologic</term><term>Female</term><term>Humans</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Akinésie</term><term>Cortex moteur</term><term>Etude cas</term><term>Lévodopa</term><term>Stimulation magnétique transcrânienne</term><term>Stimulus répétitif</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We treated a patient with levodopa‐resistant akinesia with motor cortex stimulation (MCS), and she showed dramatic improvement more than 1 year. On admission, the patient presented severe akinesia and gait disturbance without tremor and rigidity, and did not respond to levodopa test. The patient was suspected pure akinesia and progressive supranuclear palsy. First, high‐frequency rTMS of primary motor cortex was examined, and showed the dramatic improvement. Next, chronic subdural electrodes were implanted over the motor cortex bilaterally. One year after surgery, the Unified Parkinson's Disease Rating Scale had improved remarkably, and she could walk four times faster than before. The H215O PET study showed a significant increase of rCBF in the left SMA and right dorsolateral prefrontal cortex after bilateral MCS. MCS may be an alternative treatment for patients with akinesia, including those with PD, and particularly for levodopa‐resistant patients, who respond well to rTMS. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Tani, Naoki" sort="Tani, Naoki" uniqKey="Tani N" first="Naoki" last="Tani">Naoki Tani</name></noRegion><name sortKey="Hashikawa, Kazuo" sort="Hashikawa, Kazuo" uniqKey="Hashikawa K" first="Kazuo" last="Hashikawa">Kazuo Hashikawa</name><name sortKey="Hatazawa, Jun" sort="Hatazawa, Jun" uniqKey="Hatazawa J" first="Jun" last="Hatazawa">Jun Hatazawa</name><name sortKey="Kishima, Haruhiko" sort="Kishima, Haruhiko" uniqKey="Kishima H" first="Haruhiko" last="Kishima">Haruhiko Kishima</name><name sortKey="Oshino, Satoru" sort="Oshino, Satoru" uniqKey="Oshino S" first="Satoru" last="Oshino">Satoru Oshino</name><name sortKey="Saitoh, Youichi" sort="Saitoh, Youichi" uniqKey="Saitoh Y" first="Youichi" last="Saitoh">Youichi Saitoh</name><name sortKey="Yoshimine, Toshiki" sort="Yoshimine, Toshiki" uniqKey="Yoshimine T" first="Toshiki" last="Yoshimine">Toshiki Yoshimine</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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