Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease
Identifieur interne : 003139 ( Main/Exploration ); précédent : 003138; suivant : 003140Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease
Auteurs : Kevin E. Novak [États-Unis] ; Emmanuel K. Nenonene [États-Unis] ; Lawrence P. Bernstein [États-Unis] ; Sandra Vergenz [États-Unis] ; Gina Medalle [États-Unis] ; Jordan M. Prager [États-Unis] ; Theodore W. Eller [États-Unis] ; Jeffrey W. Cozzens [États-Unis] ; Michael Rezak [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-09.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Advanced stage, Aged, Caudate Nucleus (blood supply), Cerebral Infarction (diagnosis), Cerebral Infarction (etiology), Cerebral Infarction (physiopathology), Complication, Deep Brain Stimulation (adverse effects), Deep brain stimulation, Diffusion Magnetic Resonance Imaging, Dominance, Cerebral (physiology), Electrodes, Implanted (adverse effects), Female, Humans, Image Processing, Computer-Assisted, Ischemia, Male, Microelectrode, Microelectrodes, Nervous system diseases, Neurons (physiology), Parkinson Disease (physiopathology), Parkinson Disease (rehabilitation), Parkinson disease, Parkinson's disease, Risk Factors, Stereotaxic Techniques, Stimulator, Subthalamic Nucleus (physiopathology), Subthalamic nucleus, Surgery, Computer-Assisted, Thalamic Diseases (diagnosis), Thalamic Diseases (etiology), Thalamic Diseases (physiopathology), Tomography, X-Ray Computed, complications, deep brain stimulation, ischemia, microelectrode recording, subthalamic nucleus.
- MESH :
- adverse effects : Deep Brain Stimulation, Electrodes, Implanted.
- blood supply : Caudate Nucleus.
- diagnosis : Cerebral Infarction, Thalamic Diseases.
- etiology : Cerebral Infarction, Thalamic Diseases.
- physiology : Dominance, Cerebral, Neurons.
- physiopathology : Cerebral Infarction, Parkinson Disease, Subthalamic Nucleus, Thalamic Diseases.
- rehabilitation : Parkinson Disease.
- Aged, Diffusion Magnetic Resonance Imaging, Female, Humans, Image Processing, Computer-Assisted, Male, Microelectrodes, Risk Factors, Stereotaxic Techniques, Surgery, Computer-Assisted, Tomography, X-Ray Computed.
Abstract
Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.20947
Affiliations:
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Novak</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, at Evanston Northwestern Healthcare, Evanston, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, at Northwestern University, Feinberg School of Medicine, Chicago, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Nenonene, Emmanuel K" sort="Nenonene, Emmanuel K" uniqKey="Nenonene E" first="Emmanuel K." last="Nenonene">Emmanuel K. 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Prager</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, at Evanston Northwestern Healthcare, Evanston, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Eller, Theodore W" sort="Eller, Theodore W" uniqKey="Eller T" first="Theodore W." last="Eller">Theodore W. Eller</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Rockford Memorial Hospital, Rockford, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Cozzens, Jeffrey W" sort="Cozzens, Jeffrey W" uniqKey="Cozzens J" first="Jeffrey W." last="Cozzens">Jeffrey W. 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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="2006-09">2006-09</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1477">1477</biblScope><biblScope unit="page" to="1483">1483</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">AE803596B3AF2FBF2D25452AB9C8AED0E2802C5D</idno><idno type="DOI">10.1002/mds.20947</idno><idno type="ArticleID">MDS20947</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advanced stage</term><term>Aged</term><term>Caudate Nucleus (blood supply)</term><term>Cerebral Infarction (diagnosis)</term><term>Cerebral Infarction (etiology)</term><term>Cerebral Infarction (physiopathology)</term><term>Complication</term><term>Deep Brain Stimulation (adverse effects)</term><term>Deep brain stimulation</term><term>Diffusion Magnetic Resonance Imaging</term><term>Dominance, Cerebral (physiology)</term><term>Electrodes, Implanted (adverse effects)</term><term>Female</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Ischemia</term><term>Male</term><term>Microelectrode</term><term>Microelectrodes</term><term>Nervous system diseases</term><term>Neurons (physiology)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (rehabilitation)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Risk Factors</term><term>Stereotaxic Techniques</term><term>Stimulator</term><term>Subthalamic Nucleus (physiopathology)</term><term>Subthalamic nucleus</term><term>Surgery, Computer-Assisted</term><term>Thalamic Diseases (diagnosis)</term><term>Thalamic Diseases (etiology)</term><term>Thalamic Diseases (physiopathology)</term><term>Tomography, X-Ray Computed</term><term>complications</term><term>deep brain stimulation</term><term>ischemia</term><term>microelectrode recording</term><term>subthalamic nucleus</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term><term>Electrodes, Implanted</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Caudate Nucleus</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cerebral Infarction</term><term>Thalamic Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cerebral Infarction</term><term>Thalamic Diseases</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Dominance, Cerebral</term><term>Neurons</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebral Infarction</term><term>Parkinson Disease</term><term>Subthalamic Nucleus</term><term>Thalamic Diseases</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Diffusion Magnetic Resonance Imaging</term><term>Female</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Male</term><term>Microelectrodes</term><term>Risk Factors</term><term>Stereotaxic Techniques</term><term>Surgery, Computer-Assisted</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Complication</term><term>Ischémie</term><term>Microélectrode</term><term>Noyau sousthalamique</term><term>Parkinson maladie</term><term>Stade avancé</term><term>Stimulateur</term><term>Stimulation cérébrale profonde</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Novak, Kevin E" sort="Novak, Kevin E" uniqKey="Novak K" first="Kevin E." last="Novak">Kevin E. Novak</name></region><name sortKey="Bernstein, Lawrence P" sort="Bernstein, Lawrence P" uniqKey="Bernstein L" first="Lawrence P." last="Bernstein">Lawrence P. Bernstein</name><name sortKey="Bernstein, Lawrence P" sort="Bernstein, Lawrence P" uniqKey="Bernstein L" first="Lawrence P." last="Bernstein">Lawrence P. Bernstein</name><name sortKey="Cozzens, Jeffrey W" sort="Cozzens, Jeffrey W" uniqKey="Cozzens J" first="Jeffrey W." last="Cozzens">Jeffrey W. Cozzens</name><name sortKey="Cozzens, Jeffrey W" sort="Cozzens, Jeffrey W" uniqKey="Cozzens J" first="Jeffrey W." last="Cozzens">Jeffrey W. Cozzens</name><name sortKey="Eller, Theodore W" sort="Eller, Theodore W" uniqKey="Eller T" first="Theodore W." last="Eller">Theodore W. Eller</name><name sortKey="Medalle, Gina" sort="Medalle, Gina" uniqKey="Medalle G" first="Gina" last="Medalle">Gina Medalle</name><name sortKey="Nenonene, Emmanuel K" sort="Nenonene, Emmanuel K" uniqKey="Nenonene E" first="Emmanuel K." last="Nenonene">Emmanuel K. Nenonene</name><name sortKey="Nenonene, Emmanuel K" sort="Nenonene, Emmanuel K" uniqKey="Nenonene E" first="Emmanuel K." last="Nenonene">Emmanuel K. Nenonene</name><name sortKey="Novak, Kevin E" sort="Novak, Kevin E" uniqKey="Novak K" first="Kevin E." last="Novak">Kevin E. Novak</name><name sortKey="Prager, Jordan M" sort="Prager, Jordan M" uniqKey="Prager J" first="Jordan M." last="Prager">Jordan M. Prager</name><name sortKey="Rezak, Michael" sort="Rezak, Michael" uniqKey="Rezak M" first="Michael" last="Rezak">Michael Rezak</name><name sortKey="Rezak, Michael" sort="Rezak, Michael" uniqKey="Rezak M" first="Michael" last="Rezak">Michael Rezak</name><name sortKey="Vergenz, Sandra" sort="Vergenz, Sandra" uniqKey="Vergenz S" first="Sandra" last="Vergenz">Sandra Vergenz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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