Is the target for thalamic deep brain stimulation the same as for thalamotomy?
Identifieur interne : 004058 ( Main/Exploration ); précédent : 004057; suivant : 004059Is the target for thalamic deep brain stimulation the same as for thalamotomy?
Auteurs : Zelma H. T. Kiss [Canada] ; Marshall Wilkinson [Canada] ; Jerry Krcek [Canada] ; Oksana Suchowersky [Canada] ; Bin. Hu [Canada] ; William F. Murphy [Canada] ; Doug Hobson [Canada] ; Ron R. Tasker [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-10.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Brain Mapping, Case-Control Studies, Comparative study, Electric Stimulation (methods), Electrical stimulus, Electrodes, Electrodes, Implanted, Essential, Essential Tremor (therapy), Evaluation Studies as Topic, Exploration, Female, Follow-Up Studies, Human, Humans, Localization, Male, Microelectrode, Middle Aged, Neurologic Examination, Psychomotor Performance, Psychosurgery (methods), Stereotaxic Techniques, Thalamotomy, Thalamus, Thalamus (anatomy & histology), Thalamus (radiation effects), Thalamus (surgery), Treatment Outcome, Tremor, deep brain stimulation, microelectrode recording, thalamus, tremor.
- MESH :
- anatomy & histology : Thalamus.
- methods : Electric Stimulation, Psychosurgery.
- radiation effects : Thalamus.
- surgery : Thalamus.
- therapy : Essential Tremor.
- Adult, Aged, Aged, 80 and over, Brain Mapping, Case-Control Studies, Electrodes, Implanted, Evaluation Studies as Topic, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neurologic Examination, Psychomotor Performance, Stereotaxic Techniques, Treatment Outcome.
Abstract
Deep brain stimulation (DBS) has virtually replaced thalamotomy for the treatment of essential tremor. It is thought that the site for DBS is the same as the optimal lesion site; however, this match has not been investigated previously. We sought to determine whether the location of thalamic DBS matched the site at which thalamotomy would be performed. Eleven patients who had detailed microelectrode recording and stimulation for placement of DBS electrodes and subsequent successful tremor control were analysed. An experienced surgeon, blinded to outcome and final electrode position, selected the ideal thalamotomy site based on the reconstructed maps obtained intraoperatively. When the site of long‐term clinically used DBS and theoretical thalamotomy location was calculated in three‐dimensional space and compared for each of the x, y, and z axes in stereotactic space, there was no significant difference in the mediolateral location of DBS and theoretical lesion site. There was also no difference between the theoretical lesion site and the placement of the tip of the electrode; however, the active electrodes used for chronic stimulation were significantly more anterior (P = 0.005) and dorsal (P = 0.034) to the ideal thalamotomy target. This mismatch may reflect the compromise required between adverse and beneficial effects with chronic stimulation, but it also suggests different mechanisms of effect of DBS and thalamotomy. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10524
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000B19
- to stream Istex, to step Curation: 000B19
- to stream Istex, to step Checkpoint: 002988
- to stream PubMed, to step Corpus: 003664
- to stream PubMed, to step Curation: 003664
- to stream PubMed, to step Checkpoint: 003750
- to stream Ncbi, to step Merge: 000C00
- to stream Ncbi, to step Curation: 000C00
- to stream Ncbi, to step Checkpoint: 000C00
- to stream Main, to step Merge: 005C81
- to stream PascalFrancis, to step Corpus: 002364
- to stream PascalFrancis, to step Curation: 000957
- to stream PascalFrancis, to step Checkpoint: 002424
- to stream Main, to step Merge: 005F70
- to stream Main, to step Curation: 004058
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is the target for thalamic deep brain stimulation the same as for thalamotomy?</title><author><name sortKey="Kiss, Zelma H T" sort="Kiss, Zelma H T" uniqKey="Kiss Z" first="Zelma H. T." last="Kiss">Zelma H. T. Kiss</name></author><author><name sortKey="Wilkinson, Marshall" sort="Wilkinson, Marshall" uniqKey="Wilkinson M" first="Marshall" last="Wilkinson">Marshall Wilkinson</name></author><author><name sortKey="Krcek, Jerry" sort="Krcek, Jerry" uniqKey="Krcek J" first="Jerry" last="Krcek">Jerry Krcek</name></author><author><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name></author><author><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin." last="Hu">Bin. Hu</name></author><author><name sortKey="Murphy, William F" sort="Murphy, William F" uniqKey="Murphy W" first="William F." last="Murphy">William F. Murphy</name></author><author><name sortKey="Hobson, Doug" sort="Hobson, Doug" uniqKey="Hobson D" first="Doug" last="Hobson">Doug Hobson</name></author><author><name sortKey="Tasker, Ron R" sort="Tasker, Ron R" uniqKey="Tasker R" first="Ron R." last="Tasker">Ron R. Tasker</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:BADA410BCADE90B725B295E37D7FBFF0C89A5DDD</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1002/mds.10524</idno><idno type="url">https://api.istex.fr/document/BADA410BCADE90B725B295E37D7FBFF0C89A5DDD/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000B19</idno><idno type="wicri:Area/Istex/Curation">000B19</idno><idno type="wicri:Area/Istex/Checkpoint">002988</idno><idno type="wicri:doubleKey">0885-3185:2003:Kiss Z:is:the:target</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:14534922</idno><idno type="wicri:Area/PubMed/Corpus">003664</idno><idno type="wicri:Area/PubMed/Curation">003664</idno><idno type="wicri:Area/PubMed/Checkpoint">003750</idno><idno type="wicri:Area/Ncbi/Merge">000C00</idno><idno type="wicri:Area/Ncbi/Curation">000C00</idno><idno type="wicri:Area/Ncbi/Checkpoint">000C00</idno><idno type="wicri:doubleKey">0885-3185:2003:Kiss Z:is:the:target</idno><idno type="wicri:Area/Main/Merge">005C81</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:04-0095364</idno><idno type="wicri:Area/PascalFrancis/Corpus">002364</idno><idno type="wicri:Area/PascalFrancis/Curation">000957</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002424</idno><idno type="wicri:doubleKey">0885-3185:2003:Kiss Z:is:the:target</idno><idno type="wicri:Area/Main/Merge">005F70</idno><idno type="wicri:Area/Main/Curation">004058</idno><idno type="wicri:Area/Main/Exploration">004058</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Is the target for thalamic deep brain stimulation the same as for thalamotomy?</title><author><name sortKey="Kiss, Zelma H T" sort="Kiss, Zelma H T" uniqKey="Kiss Z" first="Zelma H. T." last="Kiss">Zelma H. T. Kiss</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Foothills Hospital Calgary Health Region, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Wilkinson, Marshall" sort="Wilkinson, Marshall" uniqKey="Wilkinson M" first="Marshall" last="Wilkinson">Marshall Wilkinson</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Foothills Hospital Calgary Health Region, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Krcek, Jerry" sort="Krcek, Jerry" uniqKey="Krcek J" first="Jerry" last="Krcek">Jerry Krcek</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Foothills Hospital Calgary Health Region, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Foothills Hospital Calgary Health Region, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin." last="Hu">Bin. Hu</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, University of Ottawa, Ottawa Health Research Institute, Ottawa</wicri:regionArea><wicri:noRegion>Ottawa</wicri:noRegion></affiliation></author><author><name sortKey="Murphy, William F" sort="Murphy, William F" uniqKey="Murphy W" first="William F." last="Murphy">William F. Murphy</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Foothills Hospital Calgary Health Region, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Hobson, Doug" sort="Hobson, Doug" uniqKey="Hobson D" first="Doug" last="Hobson">Doug Hobson</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, Winnipeg Health Science Centre, Winnipeg</wicri:regionArea><wicri:noRegion>Winnipeg</wicri:noRegion></affiliation></author><author><name sortKey="Tasker, Ron R" sort="Tasker, Ron R" uniqKey="Tasker R" first="Ron R." last="Tasker">Ron R. Tasker</name><affiliation wicri:level="4"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Surgery, University of Toronto, Toronto Western Hospital, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></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="2003-10">2003-10</date><biblScope unit="vol">18</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1169">1169</biblScope><biblScope unit="page" to="1175">1175</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">BADA410BCADE90B725B295E37D7FBFF0C89A5DDD</idno><idno type="DOI">10.1002/mds.10524</idno><idno type="ArticleID">MDS10524</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Brain Mapping</term><term>Case-Control Studies</term><term>Comparative study</term><term>Electric Stimulation (methods)</term><term>Electrical stimulus</term><term>Electrodes</term><term>Electrodes, Implanted</term><term>Essential</term><term>Essential Tremor (therapy)</term><term>Evaluation Studies as Topic</term><term>Exploration</term><term>Female</term><term>Follow-Up Studies</term><term>Human</term><term>Humans</term><term>Localization</term><term>Male</term><term>Microelectrode</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Psychomotor Performance</term><term>Psychosurgery (methods)</term><term>Stereotaxic Techniques</term><term>Thalamotomy</term><term>Thalamus</term><term>Thalamus (anatomy & histology)</term><term>Thalamus (radiation effects)</term><term>Thalamus (surgery)</term><term>Treatment Outcome</term><term>Tremor</term><term>deep brain stimulation</term><term>microelectrode recording</term><term>thalamus</term><term>tremor</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation</term><term>Psychosurgery</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Essential Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Brain Mapping</term><term>Case-Control Studies</term><term>Electrodes, Implanted</term><term>Evaluation Studies as Topic</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Psychomotor Performance</term><term>Stereotaxic Techniques</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Electrode</term><term>Essentiel</term><term>Etude comparative</term><term>Exploration</term><term>Homme</term><term>Localisation</term><term>Microélectrode</term><term>Stimulus électrique</term><term>Thalamotomie</term><term>Thalamus</term><term>Tremblement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) has virtually replaced thalamotomy for the treatment of essential tremor. It is thought that the site for DBS is the same as the optimal lesion site; however, this match has not been investigated previously. We sought to determine whether the location of thalamic DBS matched the site at which thalamotomy would be performed. Eleven patients who had detailed microelectrode recording and stimulation for placement of DBS electrodes and subsequent successful tremor control were analysed. An experienced surgeon, blinded to outcome and final electrode position, selected the ideal thalamotomy site based on the reconstructed maps obtained intraoperatively. When the site of long‐term clinically used DBS and theoretical thalamotomy location was calculated in three‐dimensional space and compared for each of the x, y, and z axes in stereotactic space, there was no significant difference in the mediolateral location of DBS and theoretical lesion site. There was also no difference between the theoretical lesion site and the placement of the tip of the electrode; however, the active electrodes used for chronic stimulation were significantly more anterior (P = 0.005) and dorsal (P = 0.034) to the ideal thalamotomy target. This mismatch may reflect the compromise required between adverse and beneficial effects with chronic stimulation, but it also suggests different mechanisms of effect of DBS and thalamotomy. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Alberta</li><li>Ontario</li></region><settlement><li>Calgary</li><li>Toronto</li></settlement><orgName><li>Université de Calgary</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Alberta"><name sortKey="Kiss, Zelma H T" sort="Kiss, Zelma H T" uniqKey="Kiss Z" first="Zelma H. T." last="Kiss">Zelma H. T. Kiss</name></region><name sortKey="Hobson, Doug" sort="Hobson, Doug" uniqKey="Hobson D" first="Doug" last="Hobson">Doug Hobson</name><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin." last="Hu">Bin. Hu</name><name sortKey="Krcek, Jerry" sort="Krcek, Jerry" uniqKey="Krcek J" first="Jerry" last="Krcek">Jerry Krcek</name><name sortKey="Murphy, William F" sort="Murphy, William F" uniqKey="Murphy W" first="William F." last="Murphy">William F. Murphy</name><name sortKey="Suchowersky, Oksana" sort="Suchowersky, Oksana" uniqKey="Suchowersky O" first="Oksana" last="Suchowersky">Oksana Suchowersky</name><name sortKey="Tasker, Ron R" sort="Tasker, Ron R" uniqKey="Tasker R" first="Ron R." last="Tasker">Ron R. Tasker</name><name sortKey="Wilkinson, Marshall" sort="Wilkinson, Marshall" uniqKey="Wilkinson M" first="Marshall" last="Wilkinson">Marshall Wilkinson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004058 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004058 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:BADA410BCADE90B725B295E37D7FBFF0C89A5DDD
|texte= Is the target for thalamic deep brain stimulation the same as for thalamotomy?
}}
| This area was generated with Dilib version V0.6.23. |  |