Most effective stimulation site in subthalamic deep brain stimulation for Parkinson's disease
Identifieur interne : 003C52 ( Main/Exploration ); précédent : 003C51; suivant : 003C53Most effective stimulation site in subthalamic deep brain stimulation for Parkinson's disease
Auteurs : Jan Herzog [Allemagne] ; Urban Fietzek [Allemagne] ; Wolfgang Hamel [Allemagne] ; Andre Morsnowski [Allemagne] ; Frank Steigerwald [Allemagne] ; Bettina Schrader [Allemagne] ; Dieter Weinert [Allemagne] ; Gerd Pfister [Allemagne] ; Dieter Müller [Allemagne] ; Hubertus M. Mehdorn [Allemagne] ; Günther Deuschl [Allemagne] ; Jens Volkmann [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-09.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Deep brain stimulation, Electric Stimulation Therapy (instrumentation), Electrodes, Implanted, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Nervous system diseases, Parkinson Disease (pathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Retrospective Studies, Substantia Nigra (pathology), Subthalamic Nucleus (pathology), Subthalamic Nucleus (physiology), deep brain stimulation, electrode, position, subthalamic nucleus.
- MESH :
- instrumentation : Electric Stimulation Therapy.
- pathology : Parkinson Disease, Substantia Nigra, Subthalamic Nucleus.
- physiology : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Electrodes, Implanted, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Retrospective Studies.
Abstract
The optimal stimulation site in subthalamic deep brain stimulation (STN‐DBS) was evaluated by correlation of the stereotactic position of the stimulation electrode with the electrophysiologically specified dorsal STN border. In a series of 25 electrodes, best clinical results with least energy consumption were found in contacts located in the dorsolateral border zone, whereas contacts within the subthalamic white matter, e.g., zona incerta, were significantly less effective. We suggest that the dorsolateral STN border should be covered by STN‐DBS. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20056
Affiliations:
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xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, Christian‐Albrechts‐Universität Kiel</wicri:regionArea><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion></affiliation></author><author><name sortKey="Weinert, Dieter" sort="Weinert, Dieter" uniqKey="Weinert D" first="Dieter" last="Weinert">Dieter Weinert</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, Christian‐Albrechts‐Universität Kiel</wicri:regionArea><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion></affiliation></author><author><name sortKey="Pfister, Gerd" sort="Pfister, Gerd" uniqKey="Pfister G" first="Gerd" last="Pfister">Gerd Pfister</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of 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Mehdorn</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, Christian‐Albrechts‐Universität Kiel</wicri:regionArea><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion><wicri:noRegion>Christian‐Albrechts‐Universität Kiel</wicri:noRegion></affiliation></author><author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Christian‐Albrechts‐ Universität Kiel</wicri:regionArea><wicri:noRegion>Christian‐Albrechts‐ Universität Kiel</wicri:noRegion><wicri:noRegion>Christian‐Albrechts‐ Universität Kiel</wicri:noRegion></affiliation></author><author><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Christian‐Albrechts‐ Universität Kiel</wicri:regionArea><wicri:noRegion>Christian‐Albrechts‐ Universität Kiel</wicri:noRegion><wicri:noRegion>Christian‐Albrechts‐ Universität Kiel</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. 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="2004-09">2004-09</date><biblScope unit="vol">19</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1050">1050</biblScope><biblScope unit="page" to="1054">1054</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">AB3B3FC79FDF7BA42F30AE4656447D2072EA463A</idno><idno type="DOI">10.1002/mds.20056</idno><idno type="ArticleID">MDS20056</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep brain stimulation</term><term>Electric Stimulation Therapy (instrumentation)</term><term>Electrodes, Implanted</term><term>Follow-Up Studies</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Parkinson Disease (pathology)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Retrospective Studies</term><term>Substantia Nigra (pathology)</term><term>Subthalamic Nucleus (pathology)</term><term>Subthalamic Nucleus (physiology)</term><term>deep brain stimulation</term><term>electrode</term><term>position</term><term>subthalamic nucleus</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electric Stimulation Therapy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Parkinson Disease</term><term>Substantia Nigra</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electrodes, Implanted</term><term>Follow-Up Studies</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</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">The optimal stimulation site in subthalamic deep brain stimulation (STN‐DBS) was evaluated by correlation of the stereotactic position of the stimulation electrode with the electrophysiologically specified dorsal STN border. In a series of 25 electrodes, best clinical results with least energy consumption were found in contacts located in the dorsolateral border zone, whereas contacts within the subthalamic white matter, e.g., zona incerta, were significantly less effective. We suggest that the dorsolateral STN border should be covered by STN‐DBS. © 2004 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Hambourg</li></region><settlement><li>Hambourg</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name></noRegion><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><name sortKey="Fietzek, Urban" sort="Fietzek, Urban" uniqKey="Fietzek U" first="Urban" last="Fietzek">Urban Fietzek</name><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name><name sortKey="Mehdorn, Hubertus M" sort="Mehdorn, Hubertus M" uniqKey="Mehdorn H" first="Hubertus M." last="Mehdorn">Hubertus M. Mehdorn</name><name sortKey="Morsnowski, Andre" sort="Morsnowski, Andre" uniqKey="Morsnowski A" first="Andre" last="Morsnowski">Andre Morsnowski</name><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name><name sortKey="Pfister, Gerd" sort="Pfister, Gerd" uniqKey="Pfister G" first="Gerd" last="Pfister">Gerd Pfister</name><name sortKey="Schrader, Bettina" sort="Schrader, Bettina" uniqKey="Schrader B" first="Bettina" last="Schrader">Bettina Schrader</name><name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name><name sortKey="Weinert, Dieter" sort="Weinert, Dieter" uniqKey="Weinert D" first="Dieter" last="Weinert">Dieter Weinert</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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