Deep Brain Pulse-Generator and Lead-Extensions : Subjective Sensations Related to Measured Parameters
Identifieur interne : 003909 ( Main/Merge ); précédent : 003908; suivant : 003910Deep Brain Pulse-Generator and Lead-Extensions : Subjective Sensations Related to Measured Parameters
Auteurs : Camillo Sherif [Autriche] ; Christian Dorfer [Autriche] ; Karin Kalteis [Autriche] ; Caroline Thun [Autriche] ; Iris Kaiser [Autriche] ; Daniel Gibson [États-Unis] ; Francois Alesch [Autriche]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
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Abstract
This study analyzed subjective sensations caused by DBS pulse-generator and lead-extensions in relation with objectively measured parameters. In 50 patients implant-related sensations were evaluated. The pulse-generator mobility was video-analyzed. Insufficient lead-extension/pulse-generator tolerability (72%/84%) was documented. Furthermore, 54% of the patients described movement impairments and 48% cosmetic deformity. High body mass index (BMI) was associated with low lead-extension related pain (P < 0.001). High generator mobility resulted in high lead-extension related pain (P < 0.001). Compared with lead-extension type 7482, type 7495 showed less lead-extension related pain (P = 0.0138), we suppose secondary to surgical tunneling instruments with a larger tip diameter. The lead-extension path with one tissue tunnel for both lead-extensions had 36% lead-extension related pain versus 11% for the path with one single tunnel for each lead-extension. Smaller pulse-generators for better cosmetic results, surgical procedures using larger tunneling instruments and one single tunnel for each lead-extension would provide better results for patients with BMI <30.
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Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Kalteis, Karin" sort="Kalteis, Karin" uniqKey="Kalteis K" first="Karin" last="Kalteis">Karin Kalteis</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department ofNeurosurgery, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Thun, Caroline" sort="Thun, Caroline" uniqKey="Thun C" first="Caroline" last="Thun">Caroline Thun</name><affiliation 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type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Dorfer, Christian" sort="Dorfer, Christian" uniqKey="Dorfer C" first="Christian" last="Dorfer">Christian Dorfer</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department ofNeurosurgery, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Kalteis, Karin" sort="Kalteis, Karin" uniqKey="Kalteis K" first="Karin" last="Kalteis">Karin Kalteis</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department ofNeurosurgery, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Thun, Caroline" sort="Thun, Caroline" uniqKey="Thun C" first="Caroline" last="Thun">Caroline Thun</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Neurology, Wilhelminenspital</s1><s2>Vienna</s2><s3>AUT</s3><sZ>4 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Kaiser, Iris" sort="Kaiser, Iris" uniqKey="Kaiser I" first="Iris" last="Kaiser">Iris Kaiser</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department ofNeurosurgery, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Gibson, Daniel" sort="Gibson, Daniel" uniqKey="Gibson D" first="Daniel" last="Gibson">Daniel Gibson</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Section ofNeurosurgery, Dartmouth Medical School</s1><s2>Lebanon, New Hampshire</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">New Hampshire</region></placeName></affiliation></author><author><name sortKey="Alesch, Francois" sort="Alesch, Francois" uniqKey="Alesch F" first="Francois" last="Alesch">Francois Alesch</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department ofNeurosurgery, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cosmetic</term><term>Encephalon</term><term>Implant</term><term>Nervous system diseases</term><term>Pulse generator</term><term>Sensation</term><term>Subcutaneous</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pathologie du système nerveux</term><term>Encéphale</term><term>Générateur impulsion</term><term>Sensation</term><term>Cosmétique</term><term>Implant</term><term>Souscutané</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study analyzed subjective sensations caused by DBS pulse-generator and lead-extensions in relation with objectively measured parameters. In 50 patients implant-related sensations were evaluated. The pulse-generator mobility was video-analyzed. Insufficient lead-extension/pulse-generator tolerability (72%/84%) was documented. Furthermore, 54% of the patients described movement impairments and 48% cosmetic deformity. High body mass index (BMI) was associated with low lead-extension related pain (P < 0.001). High generator mobility resulted in high lead-extension related pain (P < 0.001). Compared with lead-extension type 7482, type 7495 showed less lead-extension related pain (P = 0.0138), we suppose secondary to surgical tunneling instruments with a larger tip diameter. The lead-extension path with one tissue tunnel for both lead-extensions had 36% lead-extension related pain versus 11% for the path with one single tunnel for each lead-extension. Smaller pulse-generators for better cosmetic results, surgical procedures using larger tunneling instruments and one single tunnel for each lead-extension would provide better results for patients with BMI <30.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>États-Unis</li></country><region><li>New Hampshire</li><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Sherif, Camillo" sort="Sherif, Camillo" uniqKey="Sherif C" first="Camillo" last="Sherif">Camillo Sherif</name></region><name sortKey="Alesch, Francois" sort="Alesch, Francois" uniqKey="Alesch F" first="Francois" last="Alesch">Francois Alesch</name><name sortKey="Dorfer, Christian" sort="Dorfer, Christian" uniqKey="Dorfer C" first="Christian" last="Dorfer">Christian Dorfer</name><name sortKey="Kaiser, Iris" sort="Kaiser, Iris" uniqKey="Kaiser I" first="Iris" last="Kaiser">Iris Kaiser</name><name sortKey="Kalteis, Karin" sort="Kalteis, Karin" uniqKey="Kalteis K" first="Karin" last="Kalteis">Karin Kalteis</name><name sortKey="Thun, Caroline" sort="Thun, Caroline" uniqKey="Thun C" first="Caroline" last="Thun">Caroline Thun</name></country><country name="États-Unis"><region name="New Hampshire"><name sortKey="Gibson, Daniel" sort="Gibson, Daniel" uniqKey="Gibson D" first="Daniel" last="Gibson">Daniel Gibson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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