MovDisordV3, Main, Exploration, bibRecord, 003B17

Subthalamic nucleus deep brain stimulation for parkinson's disease after successful pallidotomy: Clinical and electrophysiological observations

Identifieur interne : 003B17 ( Main/Exploration ); précédent : 003B16; suivant : 003B18

Subthalamic nucleus deep brain stimulation for parkinson's disease after successful pallidotomy: Clinical and electrophysiological observations

Auteurs : Galit Kleiner-Fisman [Canada] ; David N. Fisman [Canada] ; Orit Zamir [Canada] ; Jonathan O. Dostrovsky [Canada] ; Elspeth Sime [Canada] ; Jean A. Saint-Cyr [Canada] ; Andres M. Lozano [Canada] ; Anthony E. Lang [Canada]

Source :

Movement Disorders [ 0885-3185 ] ; 2004-10.

RBID : ISTEX:CDFB42C0834DA5C4EAFD26F410338FEE595CA62D

English descriptors

KwdEn :
- Activities of Daily Living, Adult, Aged, Combined Modality Therapy, Deep Brain Stimulation (instrumentation), Female, Follow-Up Studies, Globus Pallidus (surgery), Humans, Male, Middle Aged, Neurosurgical Procedures (instrumentation), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson's disease, Severity of Illness Index, Subthalamic Nucleus (physiology), bilateral subthalamic nucleus deep brain stimulation, pallidotomy.
MESH :
- instrumentation : Deep Brain Stimulation, Neurosurgical Procedures.
- physiology : Subthalamic Nucleus.
- surgery : Globus Pallidus, Parkinson Disease.
- therapy : Parkinson Disease.
- Activities of Daily Living, Adult, Aged, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Severity of Illness Index.

Abstract

Unilateral pallidotomy is an effective treatment for contralateral parkinsonism and dyskinesia, yet symptoms progress in many patients. Little is known about whether such patients obtain a useful response to subsequent bilateral subthalamic nucleus deep brain stimulation (STN DBS). Changes in Unified Parkinson's Disease Rating Scale (UPDRS) Motor and Activities of Daily Living (ADL) scores, medication requirements, and dyskinesias were measured. Clinical outcomes were compared to patients with de novo STN DBS. Neuronal recordings were performed. STN DBS resulted in a significant reduction in UPDRS Motor scores (42.1%; 95% confidence interval [CI], 26.9–57.4; P = 0.03), comparable with de novo STN DBS surgery (41%; 95% CI, 26–46%; P < 0.001). There was also less change in dyskinesia duration and disability scores (P = 0.017, 0.005). There were no side‐to‐side differences clinically or in the STN neuronal firing rates and patterns. Bilateral STN DBS is safe and efficacious in improving motor symptoms in patients with prior pallidotomy. © 2004 Movement Disorder Society

Url:

https://api.istex.fr/document/CDFB42C0834DA5C4EAFD26F410338FEE595CA62D/fulltext/pdf

DOI: 10.1002/mds.20151

Affiliations:

Le document en format XML

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<author><name sortKey="Kleiner Isman, Galit" sort="Kleiner Isman, Galit" uniqKey="Kleiner Isman G" first="Galit" last="Kleiner-Fisman">Galit Kleiner-Fisman</name>
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<author><name sortKey="Fisman, David N" sort="Fisman, David N" uniqKey="Fisman D" first="David N." last="Fisman">David N. Fisman</name>
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<author><name sortKey="Zamir, Orit" sort="Zamir, Orit" uniqKey="Zamir O" first="Orit" last="Zamir">Orit Zamir</name>
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<author><name sortKey="Dostrovsky, Jonathan O" sort="Dostrovsky, Jonathan O" uniqKey="Dostrovsky J" first="Jonathan O." last="Dostrovsky">Jonathan O. Dostrovsky</name>
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<author><name sortKey="Saint Yr, Jean A" sort="Saint Yr, Jean A" uniqKey="Saint Yr J" first="Jean A." last="Saint-Cyr">Jean A. Saint-Cyr</name>
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<author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name>
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<front><div type="abstract" xml:lang="en">Unilateral pallidotomy is an effective treatment for contralateral parkinsonism and dyskinesia, yet symptoms progress in many patients. Little is known about whether such patients obtain a useful response to subsequent bilateral subthalamic nucleus deep brain stimulation (STN DBS). Changes in Unified Parkinson's Disease Rating Scale (UPDRS) Motor and Activities of Daily Living (ADL) scores, medication requirements, and dyskinesias were measured. Clinical outcomes were compared to patients with de novo STN DBS. Neuronal recordings were performed. STN DBS resulted in a significant reduction in UPDRS Motor scores (42.1%; 95% confidence interval [CI], 26.9–57.4; P = 0.03), comparable with de novo STN DBS surgery (41%; 95% CI, 26–46%; P < 0.001). There was also less change in dyskinesia duration and disability scores (P = 0.017, 0.005). There were no side‐to‐side differences clinically or in the STN neuronal firing rates and patterns. Bilateral STN DBS is safe and efficacious in improving motor symptoms in patients with prior pallidotomy. © 2004 Movement Disorder Society</div>
</front>
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<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name>
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Movement Disorders (revue)

Subthalamic nucleus deep brain stimulation for parkinson's disease after successful pallidotomy: Clinical and electrophysiological observations

Subthalamic nucleus deep brain stimulation for parkinson's disease after successful pallidotomy: Clinical and electrophysiological observations

Source :

English descriptors

Abstract

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	Movement Disorders (revue)
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