Surgery in Tourette syndrome
Identifieur interne : 003B16 ( Main/Exploration ); précédent : 003B15; suivant : 003B17Surgery in Tourette syndrome
Auteurs : Yasin Temel [Pays-Bas] ; Veerle Visser-Vandewalle [Pays-Bas]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Brain (physiopathology), Brain (surgery), Brain Mapping, Electric Stimulation Therapy, Electrodes, Implanted, Follow-Up Studies, Humans, Nervous system diseases, Outcome Assessment (Health Care), Postoperative Complications (etiology), Surgery, Thalamus (physiopathology), Thalamus (surgery), Tourette Syndrome (physiopathology), Tourette Syndrome (surgery), Tourette syndrome, Treatment, deep brain stimulation, surgery, tics.
- MESH :
- etiology : Postoperative Complications.
- physiopathology : Brain, Thalamus, Tourette Syndrome.
- surgery : Brain, Thalamus, Tourette Syndrome.
- Brain Mapping, Electric Stimulation Therapy, Electrodes, Implanted, Follow-Up Studies, Humans, Outcome Assessment (Health Care).
Abstract
Tourette syndrome (TS) is a neuropsychiatric disorder with onset in early childhood. It is characterized by tics and often accompanied by disturbances in behavior, such as obsessive–compulsive disorder (OCD). In most cases, the disorder is self‐limited or can be treated by medication or behavioral therapy. In a small percentage, however, symptoms are intractable to any conservative treatment. Since 1955, various attempts have been made to treat these patients through neurosurgical procedures. The target sites have been diverse and include the frontal lobe (prefrontal lobotomy and bimedial frontal leucotomy), the limbic system (limbic leucotomy and anterior cingulotomy), the thalamus, and the cerebellum. Combined approaches have also been tried such as anterior cingulotomies plus infrathalamic lesions. The results have often been unsatisfactory or major side effects have occurred, such as hemiplegia or dystonia. Our review of the literature from 1960 until 2003 revealed 21 reports and 3 descriptions in textbooks covering about 65 patients in total who had undergone ablative procedures for intractable TS, the first being reported in 1962. In 1999, deep brain stimulation (DBS) was introduced as a new approach for intractable TS. To date, 3 patients have been reported who underwent bilateral thalamic stimulation, with promising results on tics and obsessive‐compulsive symptoms. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10649
Affiliations:
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Le document en format XML
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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="2004-01">2004-01</date><biblScope unit="vol">19</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="3">3</biblScope><biblScope unit="page" to="14">14</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">EC8818AAAB3006CA85EF74C1EE0E87EE56428843</idno><idno type="DOI">10.1002/mds.10649</idno><idno type="ArticleID">MDS10649</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (physiopathology)</term><term>Brain (surgery)</term><term>Brain Mapping</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Follow-Up Studies</term><term>Humans</term><term>Nervous system diseases</term><term>Outcome Assessment (Health Care)</term><term>Postoperative Complications (etiology)</term><term>Surgery</term><term>Thalamus (physiopathology)</term><term>Thalamus (surgery)</term><term>Tourette Syndrome (physiopathology)</term><term>Tourette Syndrome (surgery)</term><term>Tourette syndrome</term><term>Treatment</term><term>deep brain stimulation</term><term>surgery</term><term>tics</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term><term>Thalamus</term><term>Tourette Syndrome</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain</term><term>Thalamus</term><term>Tourette Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Brain Mapping</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Follow-Up Studies</term><term>Humans</term><term>Outcome Assessment (Health Care)</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>Système nerveux pathologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tourette syndrome (TS) is a neuropsychiatric disorder with onset in early childhood. It is characterized by tics and often accompanied by disturbances in behavior, such as obsessive–compulsive disorder (OCD). In most cases, the disorder is self‐limited or can be treated by medication or behavioral therapy. In a small percentage, however, symptoms are intractable to any conservative treatment. Since 1955, various attempts have been made to treat these patients through neurosurgical procedures. The target sites have been diverse and include the frontal lobe (prefrontal lobotomy and bimedial frontal leucotomy), the limbic system (limbic leucotomy and anterior cingulotomy), the thalamus, and the cerebellum. Combined approaches have also been tried such as anterior cingulotomies plus infrathalamic lesions. The results have often been unsatisfactory or major side effects have occurred, such as hemiplegia or dystonia. Our review of the literature from 1960 until 2003 revealed 21 reports and 3 descriptions in textbooks covering about 65 patients in total who had undergone ablative procedures for intractable TS, the first being reported in 1962. In 1999, deep brain stimulation (DBS) was introduced as a new approach for intractable TS. To date, 3 patients have been reported who underwent bilateral thalamic stimulation, with promising results on tics and obsessive‐compulsive symptoms. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Temel, Yasin" sort="Temel, Yasin" uniqKey="Temel Y" first="Yasin" last="Temel">Yasin Temel</name></noRegion><name sortKey="Visser Andewalle, Veerle" sort="Visser Andewalle, Veerle" uniqKey="Visser Andewalle V" first="Veerle" last="Visser-Vandewalle">Veerle Visser-Vandewalle</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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