Cognitive and behavioral changes after unilateral posteroventral pallidotomy: Relationship with lesional data from MRI
Identifieur interne : 004D80 ( Main/Exploration ); précédent : 004D79; suivant : 004D81Cognitive and behavioral changes after unilateral posteroventral pallidotomy: Relationship with lesional data from MRI
Auteurs : Carme Junqué ; Montse Alegret ; Frederich A. Nobbe ; Francesc Valldeoriola ; Roser Pueyo ; Pere Vendrell ; Eduardo Tolosa ; Jordi Rumià ; Josep Maria Mercader [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Psychiatrie.
English descriptors
- KwdEn :
- Aged, Behavior, Cognition, Cognition Disorders (diagnosis), Exploration, Female, Frontostriatal circuitry, Functional Laterality (physiology), Globus Pallidus (pathology), Globus Pallidus (surgery), Human, Humans, Magnetic Resonance Imaging, Magnetic resonance imaging, Male, Middle Aged, Neuropsychological Tests, Neuropsychology, Nuclear magnetic resonance imaging, Obsessive-Compulsive Disorder (diagnosis), Pallidotomy, Pallidum, Parkinson Disease (surgery), Parkinson disease, Parkinson's disease, Postoperative, Postoperative Complications (diagnosis), Psychiatry, Severity of Illness Index, Surgical resection, Time Factors, Unilateral, Ventral Thalamic Nuclei (pathology), Ventral Thalamic Nuclei (surgery).
- MESH :
- diagnosis : Cognition Disorders, Obsessive-Compulsive Disorder, Postoperative Complications.
- pathology : Globus Pallidus, Ventral Thalamic Nuclei.
- physiology : Functional Laterality.
- surgery : Globus Pallidus, Parkinson Disease, Ventral Thalamic Nuclei.
- Aged, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuropsychological Tests, Severity of Illness Index, Time Factors.
Abstract
We investigated cognitive and behavioral changes after unilateral posteroventral pallidotomy, and their relationship with lesion size and location as identified in magnetic resonance image quantitative analysis. Fifteen consecutive patients with Parkinson's disease were assessed neuropsychologically before and after unilateral posteroventral pallidotomy (five right and 10 left). Immediate postsurgery evaluation (1 week) demonstrated significant worsening of memory, motor learning, motor speed, and verbal fluency. In the 3‐month follow up, learning, memory, and speed returned to the presurgical level, but verbal fluency remained below the baseline. Significant improvements were observed in visuospatial functions and obsessive‐compulsive behavior. Lesional volume did not correlate with neuropsychologic changes. Left lesions produced more impairment in verbal fluency than right‐sided lesions. Regression analysis identified two lesional areas in the pallidum mediale internum. These regions accounted for 68% of the variance in the visuospatial changes.
Url:
DOI: 10.1002/1531-8257(199909)14:5<780::AID-MDS1010>3.0.CO;2-G
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>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-09">1999-09</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="780">780</biblScope><biblScope unit="page" to="789">789</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">9D033B4F09C01017DC4E45BAEAAF7503B211DE33</idno><idno type="DOI">10.1002/1531-8257(199909)14:5<780::AID-MDS1010>3.0.CO;2-G</idno><idno type="ArticleID">MDS1010</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Behavior</term><term>Cognition</term><term>Cognition Disorders (diagnosis)</term><term>Exploration</term><term>Female</term><term>Frontostriatal circuitry</term><term>Functional Laterality (physiology)</term><term>Globus Pallidus (pathology)</term><term>Globus Pallidus (surgery)</term><term>Human</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Magnetic resonance imaging</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Neuropsychology</term><term>Nuclear magnetic resonance imaging</term><term>Obsessive-Compulsive Disorder (diagnosis)</term><term>Pallidotomy</term><term>Pallidum</term><term>Parkinson Disease (surgery)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Postoperative</term><term>Postoperative Complications (diagnosis)</term><term>Psychiatry</term><term>Severity of Illness Index</term><term>Surgical resection</term><term>Time Factors</term><term>Unilateral</term><term>Ventral Thalamic Nuclei (pathology)</term><term>Ventral Thalamic Nuclei (surgery)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term><term>Obsessive-Compulsive Disorder</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Globus Pallidus</term><term>Ventral Thalamic Nuclei</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Functional Laterality</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term><term>Ventral Thalamic Nuclei</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Severity of Illness Index</term><term>Time Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cognition</term><term>Comportement</term><term>Exploration</term><term>Homme</term><term>Imagerie RMN</term><term>Pallidum</term><term>Parkinson maladie</term><term>Postopératoire</term><term>Résection chirurgicale</term><term>Unilatéral</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Psychiatrie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated cognitive and behavioral changes after unilateral posteroventral pallidotomy, and their relationship with lesion size and location as identified in magnetic resonance image quantitative analysis. Fifteen consecutive patients with Parkinson's disease were assessed neuropsychologically before and after unilateral posteroventral pallidotomy (five right and 10 left). Immediate postsurgery evaluation (1 week) demonstrated significant worsening of memory, motor learning, motor speed, and verbal fluency. In the 3‐month follow up, learning, memory, and speed returned to the presurgical level, but verbal fluency remained below the baseline. Significant improvements were observed in visuospatial functions and obsessive‐compulsive behavior. Lesional volume did not correlate with neuropsychologic changes. Left lesions produced more impairment in verbal fluency than right‐sided lesions. Regression analysis identified two lesional areas in the pallidum mediale internum. These regions accounted for 68% of the variance in the visuospatial changes.</div></front></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><noCountry><name sortKey="Alegret, Montse" sort="Alegret, Montse" uniqKey="Alegret M" first="Montse" last="Alegret">Montse Alegret</name><name sortKey="Junque, Carme" sort="Junque, Carme" uniqKey="Junque C" first="Carme" last="Junqué">Carme Junqué</name><name sortKey="Nobbe, Frederich A" sort="Nobbe, Frederich A" uniqKey="Nobbe F" first="Frederich A." last="Nobbe">Frederich A. Nobbe</name><name sortKey="Pueyo, Roser" sort="Pueyo, Roser" uniqKey="Pueyo R" first="Roser" last="Pueyo">Roser Pueyo</name><name sortKey="Rumia, Jordi" sort="Rumia, Jordi" uniqKey="Rumia J" first="Jordi" last="Rumià">Jordi Rumià</name><name sortKey="Tolosa, Eduardo" sort="Tolosa, Eduardo" uniqKey="Tolosa E" first="Eduardo" last="Tolosa">Eduardo Tolosa</name><name sortKey="Valldeoriola, Francesc" sort="Valldeoriola, Francesc" uniqKey="Valldeoriola F" first="Francesc" last="Valldeoriola">Francesc Valldeoriola</name><name sortKey="Vendrell, Pere" sort="Vendrell, Pere" uniqKey="Vendrell P" first="Pere" last="Vendrell">Pere Vendrell</name></noCountry><country name="Espagne"><noRegion><name sortKey="Mercader, Josep Maria" sort="Mercader, Josep Maria" uniqKey="Mercader J" first="Josep Maria" last="Mercader">Josep Maria Mercader</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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