Bilateral effects of unilateral thalamic deep brain stimulation: A case report
Identifieur interne : 003554 ( Main/Merge ); précédent : 003553; suivant : 003555Bilateral effects of unilateral thalamic deep brain stimulation: A case report
Auteurs : Norbert Kovacs [Hongrie] ; Endre Pal [Hongrie] ; Hajnalka Merkli [Hongrie] ; Lorant Kellenyi [Hongrie] ; Ferenc Nagy [Hongrie] ; Jozsef Janszky [Hongrie] ; Istvan Balas [Hongrie]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-01-30.
English descriptors
- KwdEn :
- MESH :
- methods : Deep Brain Stimulation.
- physiology : Thalamus.
- radiation effects : Thalamus.
- therapy : Tremor.
- Female, Humans, Middle Aged.
Abstract
A recent study has proved that unilateral deep brain stimulation (DBS) of the subthalamic nucleus has bilateral effects. However, it is still unclear whether unilateral ventral intermediate thalamic nucleus (Vim) DBS exerts exclusively contralateral or bilateral effects on tremor. Previous studies demonstrated a clinically irrelevant improvement on the nontarget side after thalamic stimulator implantation, which was considered to be solely the result of mechanical effects. We report here the case of a 55‐year‐old woman in whom unilateral thalamic DBS can stop the disabling postural‐kinetic tremor in both hands. Simultaneous surface electromyography (sEMG), accelerometry, and video recordings were obtained to evaluate the underlying mechanism. After the right Vim DBS was turned off, moderate rest tremor appeared in both hands accompanied by bilateral bursts on sEMG. Because right hand tremor cannot simply reflect the mechanical overflow of the left side, the bilateral improvement caused by right Vim DBS is probably due to an active tremor reduction in this particular case. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21788
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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="2008-01-30">2008-01-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="276">276</biblScope><biblScope unit="page" to="279">279</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">424DC365CA379BAC0A9077B126BACE55CBD15988</idno><idno type="DOI">10.1002/mds.21788</idno><idno type="ArticleID">MDS21788</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep Brain Stimulation (methods)</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Thalamus (physiology)</term><term>Thalamus (radiation effects)</term><term>Tremor (therapy)</term><term>deep brain stimulation</term><term>mitochondrial encephalopathy</term><term>thalamotomy</term><term>tremor</term><term>ventral intermediate nucleus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A recent study has proved that unilateral deep brain stimulation (DBS) of the subthalamic nucleus has bilateral effects. However, it is still unclear whether unilateral ventral intermediate thalamic nucleus (Vim) DBS exerts exclusively contralateral or bilateral effects on tremor. Previous studies demonstrated a clinically irrelevant improvement on the nontarget side after thalamic stimulator implantation, which was considered to be solely the result of mechanical effects. We report here the case of a 55‐year‐old woman in whom unilateral thalamic DBS can stop the disabling postural‐kinetic tremor in both hands. Simultaneous surface electromyography (sEMG), accelerometry, and video recordings were obtained to evaluate the underlying mechanism. After the right Vim DBS was turned off, moderate rest tremor appeared in both hands accompanied by bilateral bursts on sEMG. Because right hand tremor cannot simply reflect the mechanical overflow of the left side, the bilateral improvement caused by right Vim DBS is probably due to an active tremor reduction in this particular case. © 2007 Movement Disorder Society</div></front></TEI><double doi="10.1002/mds.21788"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bilateral effects of unilateral thalamic deep brain stimulation: A case report</title><author><name sortKey="Kovacs, Norbert" sort="Kovacs, Norbert" uniqKey="Kovacs N" first="Norbert" last="Kovacs">Norbert Kovacs</name></author><author><name sortKey="Pal, Endre" sort="Pal, Endre" uniqKey="Pal E" first="Endre" last="Pal">Endre Pal</name></author><author><name sortKey="Merkli, Hajnalka" sort="Merkli, Hajnalka" uniqKey="Merkli H" first="Hajnalka" last="Merkli">Hajnalka Merkli</name></author><author><name sortKey="Kellenyi, Lorant" sort="Kellenyi, Lorant" uniqKey="Kellenyi L" first="Lorant" last="Kellenyi">Lorant Kellenyi</name></author><author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name></author><author><name sortKey="Janszky, Jozsef" sort="Janszky, Jozsef" uniqKey="Janszky J" first="Jozsef" last="Janszky">Jozsef Janszky</name></author><author><name sortKey="Balas, Istvan" sort="Balas, Istvan" uniqKey="Balas I" first="Istvan" last="Balas">Istvan Balas</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:424DC365CA379BAC0A9077B126BACE55CBD15988</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1002/mds.21788</idno><idno type="url">https://api.istex.fr/document/424DC365CA379BAC0A9077B126BACE55CBD15988/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002D28</idno><idno type="wicri:Area/Istex/Curation">002D28</idno><idno type="wicri:Area/Istex/Checkpoint">001532</idno><idno type="wicri:doubleKey">0885-3185:2008:Kovacs N:bilateral:effects:of</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Bilateral effects of unilateral thalamic deep brain stimulation: A case report</title><author><name sortKey="Kovacs, Norbert" sort="Kovacs, Norbert" uniqKey="Kovacs N" first="Norbert" last="Kovacs">Norbert Kovacs</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Pal, Endre" sort="Pal, Endre" uniqKey="Pal E" first="Endre" last="Pal">Endre Pal</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Merkli, Hajnalka" sort="Merkli, Hajnalka" uniqKey="Merkli H" first="Hajnalka" last="Merkli">Hajnalka Merkli</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Kellenyi, Lorant" sort="Kellenyi, Lorant" uniqKey="Kellenyi L" first="Lorant" last="Kellenyi">Lorant Kellenyi</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Janszky, Jozsef" sort="Janszky, Jozsef" uniqKey="Janszky J" first="Jozsef" last="Janszky">Jozsef Janszky</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Balas, Istvan" sort="Balas, Istvan" uniqKey="Balas I" first="Istvan" last="Balas">Istvan Balas</name><affiliation wicri:level="1"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurosurgery, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</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="2008-01-30">2008-01-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="276">276</biblScope><biblScope unit="page" to="279">279</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">424DC365CA379BAC0A9077B126BACE55CBD15988</idno><idno type="DOI">10.1002/mds.21788</idno><idno type="ArticleID">MDS21788</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>mitochondrial encephalopathy</term><term>thalamotomy</term><term>tremor</term><term>ventral intermediate nucleus</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A recent study has proved that unilateral deep brain stimulation (DBS) of the subthalamic nucleus has bilateral effects. However, it is still unclear whether unilateral ventral intermediate thalamic nucleus (Vim) DBS exerts exclusively contralateral or bilateral effects on tremor. Previous studies demonstrated a clinically irrelevant improvement on the nontarget side after thalamic stimulator implantation, which was considered to be solely the result of mechanical effects. We report here the case of a 55‐year‐old woman in whom unilateral thalamic DBS can stop the disabling postural‐kinetic tremor in both hands. Simultaneous surface electromyography (sEMG), accelerometry, and video recordings were obtained to evaluate the underlying mechanism. After the right Vim DBS was turned off, moderate rest tremor appeared in both hands accompanied by bilateral bursts on sEMG. Because right hand tremor cannot simply reflect the mechanical overflow of the left side, the bilateral improvement caused by right Vim DBS is probably due to an active tremor reduction in this particular case. © 2007 Movement Disorder Society</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bilateral effects of unilateral thalamic deep brain stimulation: a case report.</title><author><name sortKey="Kovacs, Norbert" sort="Kovacs, Norbert" uniqKey="Kovacs N" first="Norbert" last="Kovacs">Norbert Kovacs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Pecs, Pecs, Hungary. norbert.kovacs@aok.pte.hu</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Pal, Endre" sort="Pal, Endre" uniqKey="Pal E" first="Endre" last="Pal">Endre Pal</name></author><author><name sortKey="Merkli, Hajnalka" sort="Merkli, Hajnalka" uniqKey="Merkli H" first="Hajnalka" last="Merkli">Hajnalka Merkli</name></author><author><name sortKey="Kellenyi, Lorant" sort="Kellenyi, Lorant" uniqKey="Kellenyi L" first="Lorant" last="Kellenyi">Lorant Kellenyi</name></author><author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name></author><author><name sortKey="Janszky, Jozsef" sort="Janszky, Jozsef" uniqKey="Janszky J" first="Jozsef" last="Janszky">Jozsef Janszky</name></author><author><name sortKey="Balas, Istvan" sort="Balas, Istvan" uniqKey="Balas I" first="Istvan" last="Balas">Istvan Balas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.21788</idno><idno type="RBID">pubmed:18004748</idno><idno type="pmid">18004748</idno><idno type="wicri:Area/PubMed/Corpus">002435</idno><idno type="wicri:Area/PubMed/Curation">002435</idno><idno type="wicri:Area/PubMed/Checkpoint">002410</idno><idno type="wicri:Area/Ncbi/Merge">001F24</idno><idno type="wicri:Area/Ncbi/Curation">001F24</idno><idno type="wicri:Area/Ncbi/Checkpoint">001F24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Bilateral effects of unilateral thalamic deep brain stimulation: a case report.</title><author><name sortKey="Kovacs, Norbert" sort="Kovacs, Norbert" uniqKey="Kovacs N" first="Norbert" last="Kovacs">Norbert Kovacs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Pecs, Pecs, Hungary. norbert.kovacs@aok.pte.hu</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, University of Pecs, Pecs</wicri:regionArea><wicri:noRegion>Pecs</wicri:noRegion></affiliation></author><author><name sortKey="Pal, Endre" sort="Pal, Endre" uniqKey="Pal E" first="Endre" last="Pal">Endre Pal</name></author><author><name sortKey="Merkli, Hajnalka" sort="Merkli, Hajnalka" uniqKey="Merkli H" first="Hajnalka" last="Merkli">Hajnalka Merkli</name></author><author><name sortKey="Kellenyi, Lorant" sort="Kellenyi, Lorant" uniqKey="Kellenyi L" first="Lorant" last="Kellenyi">Lorant Kellenyi</name></author><author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name></author><author><name sortKey="Janszky, Jozsef" sort="Janszky, Jozsef" uniqKey="Janszky J" first="Jozsef" last="Janszky">Jozsef Janszky</name></author><author><name sortKey="Balas, Istvan" sort="Balas, Istvan" uniqKey="Balas I" first="Istvan" last="Balas">Istvan Balas</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deep Brain Stimulation (methods)</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Thalamus (physiology)</term><term>Thalamus (radiation effects)</term><term>Tremor (therapy)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A recent study has proved that unilateral deep brain stimulation (DBS) of the subthalamic nucleus has bilateral effects. However, it is still unclear whether unilateral ventral intermediate thalamic nucleus (Vim) DBS exerts exclusively contralateral or bilateral effects on tremor. Previous studies demonstrated a clinically irrelevant improvement on the nontarget side after thalamic stimulator implantation, which was considered to be solely the result of mechanical effects. We report here the case of a 55-year-old woman in whom unilateral thalamic DBS can stop the disabling postural-kinetic tremor in both hands. Simultaneous surface electromyography (sEMG), accelerometry, and video recordings were obtained to evaluate the underlying mechanism. After the right Vim DBS was turned off, moderate rest tremor appeared in both hands accompanied by bilateral bursts on sEMG. Because right hand tremor cannot simply reflect the mechanical overflow of the left side, the bilateral improvement caused by right Vim DBS is probably due to an active tremor reduction in this particular case.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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