MovDisordV3, Main, Exploration, bibRecord, 002E32

Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation

Identifieur interne : 002E32 ( Main/Exploration ); précédent : 002E31; suivant : 002E33

Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation

Auteurs : Ettore Accolla [Italie] ; Elena Caputo [Italie] ; Filippo Cogiamanian [Italie] ; Filippo Tamma [Italie] ; Simona Mrakic-Sposta [Italie] ; Sara Marceglia [Italie] ; Marcello Egidi [Italie] ; Paolo Rampini [Italie] ; Marco Locatelli [Italie] ; Alberto Priori [Italie]

Source :

Movement Disorders [ 0885-3185 ] ; 2007-06-15.

RBID : ISTEX:92FA111511E75DE30C564A4A7B8A6C4590EC57D1

Descripteurs français

Pascal (Inist)
- Homme, Noyau sousthalamique, Parkinson maladie, Sexe, Stimulation cérébrale profonde, Système nerveux pathologie, Traitement.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adult, Age of Onset, Brain (surgery), Deep Brain Stimulation (methods), Deep brain stimulation, Female, Human, Humans, Hypokinesia (diagnosis), Hypokinesia (epidemiology), Male, Middle Aged, Nervous system diseases, Neurosurgical Procedures, Parkinson Disease (epidemiology), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Preoperative Care, Prevalence, Severity of Illness Index, Sex, Sex Factors, Subthalamic Nucleus (physiology), Subthalamic nucleus, Treatment, deep brain stimulation, gender, subthalamic nucleus.
MESH :
- diagnosis : Hypokinesia.
- epidemiology : Hypokinesia, Parkinson Disease.
- methods : Deep Brain Stimulation.
- physiology : Subthalamic Nucleus.
- surgery : Brain, Parkinson Disease.
- therapy : Parkinson Disease.
- Adult, Age of Onset, Female, Humans, Male, Middle Aged, Neurosurgical Procedures, Preoperative Care, Prevalence, Severity of Illness Index, Sex Factors.

Abstract

We investigated gender‐differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty‐eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa‐induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender‐related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN‐DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN‐DBS treatment. © 2007 Movement Disorder Society

Url:

https://api.istex.fr/document/92FA111511E75DE30C564A4A7B8A6C4590EC57D1/fulltext/pdf

DOI: 10.1002/mds.21520

Affiliations:

Italie

Le document en format XML

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<term>Deep Brain Stimulation (methods)</term>
<term>Deep brain stimulation</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Hypokinesia (diagnosis)</term>
<term>Hypokinesia (epidemiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Neurosurgical Procedures</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson Disease (therapy)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Preoperative Care</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
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<term>Sex Factors</term>
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<term>Treatment</term>
<term>deep brain stimulation</term>
<term>gender</term>
<term>subthalamic nucleus</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We investigated gender‐differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty‐eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa‐induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender‐related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN‐DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN‐DBS treatment. © 2007 Movement Disorder Society</div>
</front>
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<name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name>
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<name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name>
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Movement Disorders (revue)

Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation

Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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