MovDisordV3, Main, Exploration, bibRecord, 004675

Thalamic deep brain stimulation: Effects on the nontarget limbs

Identifieur interne : 004675 ( Main/Exploration ); précédent : 004674; suivant : 004676

Thalamic deep brain stimulation: Effects on the nontarget limbs

Auteurs : William Ondo [États-Unis] ; Kevin Dat Vuong [États-Unis] ; Michael Almaguer [États-Unis] ; Joseph Jankovic [États-Unis] ; Richard K. Simpson [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2001-11.

RBID : ISTEX:796A25A48BA53058FD0BC2594262D3E1E7E6772F

Descripteurs français

Pascal (Inist)
- Essentiel, Evolution, Homme, Homolatéral, Noyau ventromédial, Parkinson maladie, Stimulation instrumentale, Thalamus, Traitement, Tremblement, Unilatéral.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Aged, Dominance, Cerebral, Electric Stimulation Therapy (methods), Electrodes, Implanted, Essential, Essential Tremor (therapy), Evolution, Female, Human, Humans, Instrumental stimulation, Ipsilateral, Male, Middle Aged, Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Severity of Illness Index, Single-Blind Method, Thalamus, Treatment, Treatment Outcome, Tremor, Unilateral, Ventral Thalamic Nuclei, Ventromedial nucleus, deep brain stimulation, essential tremor, stereotactic surgery, thalamic stimulation.
MESH :
- methods : Electric Stimulation Therapy.
- therapy : Essential Tremor, Parkinson Disease.
- Aged, Dominance, Cerebral, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Severity of Illness Index, Single-Blind Method, Treatment Outcome, Ventral Thalamic Nuclei.

Abstract

Unilateral thalamic ventral intermediate (VIM) deep brain stimulation (DBS) is now accepted as an effective treatment for essential tremor (ET) and tremor related to Parkinson's disease (PD). The effects of unilateral placement on the side ipsilateral to the surgical site have not been carefully evaluated. To systematically assess the effects ipsilateral to the surgical side and to determine the effects of device inactivation on the baseline tremor, we evaluated tremor in 73 patients approximately 3 months after their unilateral thalamic placement. Assessment included blinded and unblinded ratings using the Unified Parkinson's Disease Rating Scale for PD patients and a modified Tremor Rating Scale in ET patients. All measures of tremor contralateral to the implantation site improved significantly and robustly in both PD and ET. Implantation did not worsen tremor by any measure on the ipsilateral side. There was mild ipsilateral improvement as measured by lower observed tremor scores in ET (6.0 ± 1.8 to 5.0 ± 1.9, P < 0.005), but not PD. There was no rebound augmentation of tremor in either hand after the devices were deactivated in either group. We conclude that VIM DBS may mildly improve ipsilateral ET, and that concerns about meaningful ipsilateral tremor augmentation after device deactivation are not warranted. © 2001 Movement Disorder Society.

Url:

https://api.istex.fr/document/796A25A48BA53058FD0BC2594262D3E1E7E6772F/fulltext/pdf

DOI: 10.1002/mds.1249

Affiliations:

Le document en format XML

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<term>Electric Stimulation Therapy (methods)</term>
<term>Electrodes, Implanted</term>
<term>Essential</term>
<term>Essential Tremor (therapy)</term>
<term>Evolution</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Instrumental stimulation</term>
<term>Ipsilateral</term>
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<term>Middle Aged</term>
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<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Severity of Illness Index</term>
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<term>Thalamus</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>Tremor</term>
<term>Unilateral</term>
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<term>Ventromedial nucleus</term>
<term>deep brain stimulation</term>
<term>essential tremor</term>
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<term>thalamic stimulation</term>
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<term>Parkinson Disease</term>
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<term>Dominance, Cerebral</term>
<term>Electrodes, Implanted</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
<term>Single-Blind Method</term>
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<front><div type="abstract" xml:lang="fr">Unilateral thalamic ventral intermediate (VIM) deep brain stimulation (DBS) is now accepted as an effective treatment for essential tremor (ET) and tremor related to Parkinson's disease (PD). The effects of unilateral placement on the side ipsilateral to the surgical site have not been carefully evaluated. To systematically assess the effects ipsilateral to the surgical side and to determine the effects of device inactivation on the baseline tremor, we evaluated tremor in 73 patients approximately 3 months after their unilateral thalamic placement. Assessment included blinded and unblinded ratings using the Unified Parkinson's Disease Rating Scale for PD patients and a modified Tremor Rating Scale in ET patients. All measures of tremor contralateral to the implantation site improved significantly and robustly in both PD and ET. Implantation did not worsen tremor by any measure on the ipsilateral side. There was mild ipsilateral improvement as measured by lower observed tremor scores in ET (6.0 ± 1.8 to 5.0 ± 1.9, P < 0.005), but not PD. There was no rebound augmentation of tremor in either hand after the devices were deactivated in either group. We conclude that VIM DBS may mildly improve ipsilateral ET, and that concerns about meaningful ipsilateral tremor augmentation after device deactivation are not warranted. © 2001 Movement Disorder Society.</div>
</front>
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Movement Disorders (revue)

Thalamic deep brain stimulation: Effects on the nontarget limbs

Thalamic deep brain stimulation: Effects on the nontarget limbs

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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