MovDisordV3, Main, Merge, bibRecord, 002747

Chronic Deep Brain Stimulation in Patients with Tardive Dystonia Without a History of Major Psychosis

Identifieur interne : 002747 ( Main/Merge ); précédent : 002746; suivant : 002748

Chronic Deep Brain Stimulation in Patients with Tardive Dystonia Without a History of Major Psychosis

Auteurs : Hans-Holger Capelle [Allemagne] ; Christian Blahak [Allemagne] ; Christoph Schrader [Allemagne] ; Hansjörg Baezner [Allemagne] ; Thomas M. Kinfe [Allemagne] ; Jan Herzog [Allemagne] ; Reinhard Dengler [Allemagne] ; Joachim K. Krauss [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2010.

RBID : Pascal:10-0377369

Descripteurs français

Pascal (Inist)
- Dystonie, Psychose, Pathologie du système nerveux, Chronique, Homme, Encéphale, Stimulation cérébrale profonde.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Chronic, Deep brain stimulation, Dystonia, Encephalon, Human, Nervous system diseases, Psychosis.

Abstract

Tardive dystonia usually occurs with a delay after neuroleptic exposure in patients with major psychosis. A subgroup of patients, however, is given such medication for "mild depression" or "neurasthenia." Tardive dystonia, in general, may respond favorably to pallidal deep brain stimulation (DBS). Nevertheless, it remains unclear thus far whether or not similar beneficial outcome is achieved with pallidal DBS in different subgroups of patients with tardive dystonia. Four women (mean age 59 years at surgery) underwent stereotactic pallidal DBS in the frame of an observational study. Tardive dystonia occurred secondary to medication with fluspirilene and haloperidol, and injection of long-acting depot neuroleptics prescribed for mild depression or "nervousness." Assessment included the Burke-Fahn-Marsden (BFM) scale preoperatively and at 12 months follow-up. Extended follow-up was available at a mean of 27.3 months postoperatively (range 16-36 months). There were no surgically related complications. All 4 patients experienced sustained statistically significant benefit from pallidal DBS, Mean improvement at 12 months was 77% for the BFM motor score (range, 45-91%; P = 0.043), and 84% at the last available follow-up (range, 70-91%; P = 0.03). This was paralleled by improvement of the BFM disability score. Chronic pallidal DBS in patients with tardive dystonia without a history of major psychosis provides sustained improvement which is similar to that in other subgroups of patients with tardive dystonia. This effect is stable on extended follow-up for up to 3 years.

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Pascal:10-0377369

Le document en format XML

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<author><name sortKey="Capelle, Hans Holger" sort="Capelle, Hans Holger" uniqKey="Capelle H" first="Hans-Holger" last="Capelle">Hans-Holger Capelle</name>
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<author><name sortKey="Kinfe, Thomas M" sort="Kinfe, Thomas M" uniqKey="Kinfe T" first="Thomas M." last="Kinfe">Thomas M. Kinfe</name>
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<author><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Chronic Deep Brain Stimulation in Patients with Tardive Dystonia Without a History of Major Psychosis</title>
<author><name sortKey="Capelle, Hans Holger" sort="Capelle, Hans Holger" uniqKey="Capelle H" first="Hans-Holger" last="Capelle">Hans-Holger Capelle</name>
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<author><name sortKey="Blahak, Christian" sort="Blahak, Christian" uniqKey="Blahak C" first="Christian" last="Blahak">Christian Blahak</name>
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<author><name sortKey="Baezner, Hansjorg" sort="Baezner, Hansjorg" uniqKey="Baezner H" first="Hansjörg" last="Baezner">Hansjörg Baezner</name>
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<author><name sortKey="Kinfe, Thomas M" sort="Kinfe, Thomas M" uniqKey="Kinfe T" first="Thomas M." last="Kinfe">Thomas M. Kinfe</name>
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<s3>DEU</s3>
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<country>Allemagne</country>
<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology, University Hospital Kiel</s1>
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<country>Allemagne</country>
<placeName><region type="land" nuts="2">Schleswig-Holstein</region>
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</placeName>
</affiliation>
</author>
<author><name sortKey="Dengler, Reinhard" sort="Dengler, Reinhard" uniqKey="Dengler R" first="Reinhard" last="Dengler">Reinhard Dengler</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Medical School Hannover, MHH</s1>
<s2>Hannover</s2>
<s3>DEU</s3>
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<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurosurgery, Medical School Hannover, MHH</s1>
<s2>Hannover</s2>
<s3>DEU</s3>
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<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
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<series><title level="j" type="main">Movement disorders</title>
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<idno type="ISSN">0885-3185</idno>
<imprint><date when="2010">2010</date>
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<seriesStmt><title level="j" type="main">Movement disorders</title>
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<idno type="ISSN">0885-3185</idno>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic</term>
<term>Deep brain stimulation</term>
<term>Dystonia</term>
<term>Encephalon</term>
<term>Human</term>
<term>Nervous system diseases</term>
<term>Psychosis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term>
<term>Psychose</term>
<term>Pathologie du   système nerveux</term>
<term>Chronique</term>
<term>Homme</term>
<term>Encéphale</term>
<term>Stimulation cérébrale profonde</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Tardive dystonia usually occurs with a delay after neuroleptic exposure in patients with major psychosis. A subgroup of patients, however, is given such medication for "mild depression" or "neurasthenia." Tardive dystonia, in general, may respond favorably to pallidal deep brain stimulation (DBS). Nevertheless, it remains unclear thus far whether or not similar beneficial outcome is achieved with pallidal DBS in different subgroups of patients with tardive dystonia. Four women (mean age 59 years at surgery) underwent stereotactic pallidal DBS in the frame of an observational study. Tardive dystonia occurred secondary to medication with fluspirilene and haloperidol, and injection of long-acting depot neuroleptics prescribed for mild depression or "nervousness." Assessment included the Burke-Fahn-Marsden (BFM) scale preoperatively and at 12 months follow-up. Extended follow-up was available at a mean of 27.3 months postoperatively (range 16-36 months). There were no surgically related complications. All 4 patients experienced sustained statistically significant benefit from pallidal DBS, Mean improvement at 12 months was 77% for the BFM motor score (range, 45-91%; P = 0.043), and 84% at the last available follow-up (range, 70-91%; P = 0.03). This was paralleled by improvement of the BFM disability score. Chronic pallidal DBS in patients with tardive dystonia without a history of major psychosis provides sustained improvement which is similar to that in other subgroups of patients with tardive dystonia. This effect is stable on extended follow-up for up to 3 years.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
</country>
<region><li>Bade-Wurtemberg</li>
<li>Basse-Saxe</li>
<li>District de Karlsruhe</li>
<li>Schleswig-Holstein</li>
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<settlement><li>Hanovre</li>
<li>Kiel</li>
<li>Mannheim</li>
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<tree><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Capelle, Hans Holger" sort="Capelle, Hans Holger" uniqKey="Capelle H" first="Hans-Holger" last="Capelle">Hans-Holger Capelle</name>
</region>
<name sortKey="Baezner, Hansjorg" sort="Baezner, Hansjorg" uniqKey="Baezner H" first="Hansjörg" last="Baezner">Hansjörg Baezner</name>
<name sortKey="Blahak, Christian" sort="Blahak, Christian" uniqKey="Blahak C" first="Christian" last="Blahak">Christian Blahak</name>
<name sortKey="Dengler, Reinhard" sort="Dengler, Reinhard" uniqKey="Dengler R" first="Reinhard" last="Dengler">Reinhard Dengler</name>
<name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<name sortKey="Kinfe, Thomas M" sort="Kinfe, Thomas M" uniqKey="Kinfe T" first="Thomas M." last="Kinfe">Thomas M. Kinfe</name>
<name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name>
<name sortKey="Schrader, Christoph" sort="Schrader, Christoph" uniqKey="Schrader C" first="Christoph" last="Schrader">Christoph Schrader</name>
</country>
</tree>
</affiliations>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Chronic Deep Brain Stimulation in Patients with Tardive Dystonia Without a History of Major Psychosis

Chronic Deep Brain Stimulation in Patients with Tardive Dystonia Without a History of Major Psychosis

Source :

Descripteurs français

English descriptors

Abstract

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

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri