On‐demand deep brain stimulation for essential tremor: A report on four cases
Identifieur interne : 004616 ( Main/Merge ); précédent : 004615; suivant : 004617On‐demand deep brain stimulation for essential tremor: A report on four cases
Auteurs : Martin Kronenbuerger [Allemagne] ; Christoph Fromm [Allemagne] ; Frank Block [Allemagne] ; Volker A. Coenen [Allemagne] ; Ina Rohde [Allemagne] ; Veit Rohde [Allemagne] ; Johannes Noth [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-03.
English descriptors
- KwdEn :
- MESH :
- methods : Deep Brain Stimulation.
- pathology : Thalamus.
- therapy : Essential Tremor.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Questionnaires.
Abstract
Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20714
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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="2006-03">2006-03</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="401">401</biblScope><biblScope unit="page" to="405">405</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">970A7EDD49A966605DB6C17B9E93D6E8CF6B2545</idno><idno type="DOI">10.1002/mds.20714</idno><idno type="ArticleID">MDS20714</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Deep Brain Stimulation (methods)</term><term>Essential Tremor (therapy)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Questionnaires</term><term>Thalamus (pathology)</term><term>deep brain stimulation</term><term>essential tremor</term><term>on‐demand use</term><term>thalamus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Essential Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Questionnaires</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. 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Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society</div></front></TEI><double doi="10.1002/mds.20714"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">On‐demand deep brain stimulation for essential tremor: A report on four cases</title><author><name sortKey="Kronenbuerger, Martin" sort="Kronenbuerger, Martin" uniqKey="Kronenbuerger M" first="Martin" last="Kronenbuerger">Martin Kronenbuerger</name></author><author><name sortKey="Fromm, Christoph" sort="Fromm, Christoph" uniqKey="Fromm C" first="Christoph" last="Fromm">Christoph Fromm</name></author><author><name sortKey="Block, Frank" sort="Block, Frank" uniqKey="Block F" first="Frank" last="Block">Frank Block</name></author><author><name sortKey="Coenen, Volker A" sort="Coenen, Volker A" uniqKey="Coenen V" first="Volker A." last="Coenen">Volker A. Coenen</name></author><author><name sortKey="Rohde, Ina" sort="Rohde, Ina" uniqKey="Rohde I" first="Ina" last="Rohde">Ina Rohde</name></author><author><name sortKey="Rohde, Veit" sort="Rohde, Veit" uniqKey="Rohde V" first="Veit" last="Rohde">Veit Rohde</name></author><author><name sortKey="Noth, Johannes" sort="Noth, Johannes" uniqKey="Noth J" first="Johannes" last="Noth">Johannes Noth</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:970A7EDD49A966605DB6C17B9E93D6E8CF6B2545</idno><date when="2006" year="2006">2006</date><idno type="doi">10.1002/mds.20714</idno><idno type="url">https://api.istex.fr/document/970A7EDD49A966605DB6C17B9E93D6E8CF6B2545/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001F68</idno><idno type="wicri:Area/Istex/Curation">001F68</idno><idno type="wicri:Area/Istex/Checkpoint">001D62</idno><idno type="wicri:doubleKey">0885-3185:2006:Kronenbuerger M:on:demand:deep</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">On‐demand deep brain stimulation for essential tremor: A report on four cases</title><author><name sortKey="Kronenbuerger, Martin" sort="Kronenbuerger, Martin" uniqKey="Kronenbuerger M" first="Martin" last="Kronenbuerger">Martin Kronenbuerger</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Fromm, Christoph" sort="Fromm, Christoph" uniqKey="Fromm C" first="Christoph" last="Fromm">Christoph Fromm</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Block, Frank" sort="Block, Frank" uniqKey="Block F" first="Frank" last="Block">Frank Block</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Coenen, Volker A" sort="Coenen, Volker A" uniqKey="Coenen V" first="Volker A." last="Coenen">Volker A. Coenen</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Rohde, Ina" sort="Rohde, Ina" uniqKey="Rohde I" first="Ina" last="Rohde">Ina Rohde</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Rohde, Veit" sort="Rohde, Veit" uniqKey="Rohde V" first="Veit" last="Rohde">Veit Rohde</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurosurgery, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Noth, Johannes" sort="Noth, Johannes" uniqKey="Noth J" first="Johannes" last="Noth">Johannes Noth</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</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="2006-03">2006-03</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="401">401</biblScope><biblScope unit="page" to="405">405</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">970A7EDD49A966605DB6C17B9E93D6E8CF6B2545</idno><idno type="DOI">10.1002/mds.20714</idno><idno type="ArticleID">MDS20714</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>essential tremor</term><term>on‐demand use</term><term>thalamus</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on‐demand and if this would prevent tolerance. We report on the effects of left‐side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed‐up to 30 months after surgery. The patients were capable of using DBS only on‐demand (DBS use of 22.0 ± 13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow‐up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on‐demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on‐demand DBS saves money, may help to prevent tolerance, and should be adopted for the long‐term treatment of ET patients. © 2005 Movement Disorder Society</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">On-demand deep brain stimulation for essential tremor: a report on four cases.</title><author><name sortKey="Kronenbuerger, Martin" sort="Kronenbuerger, Martin" uniqKey="Kronenbuerger M" first="Martin" last="Kronenbuerger">Martin Kronenbuerger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany. martin_kronenbuerger@web.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Fromm, Christoph" sort="Fromm, Christoph" uniqKey="Fromm C" first="Christoph" last="Fromm">Christoph Fromm</name></author><author><name sortKey="Block, Frank" sort="Block, Frank" uniqKey="Block F" first="Frank" last="Block">Frank Block</name></author><author><name sortKey="Coenen, Volker A" sort="Coenen, Volker A" uniqKey="Coenen V" first="Volker A" last="Coenen">Volker A. Coenen</name></author><author><name sortKey="Rohde, Ina" sort="Rohde, Ina" uniqKey="Rohde I" first="Ina" last="Rohde">Ina Rohde</name></author><author><name sortKey="Rohde, Veit" sort="Rohde, Veit" uniqKey="Rohde V" first="Veit" last="Rohde">Veit Rohde</name></author><author><name sortKey="Noth, Johannes" sort="Noth, Johannes" uniqKey="Noth J" first="Johannes" last="Noth">Johannes Noth</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.20714</idno><idno type="RBID">pubmed:16211619</idno><idno type="pmid">16211619</idno><idno type="wicri:Area/PubMed/Corpus">002E36</idno><idno type="wicri:Area/PubMed/Curation">002E36</idno><idno type="wicri:Area/PubMed/Checkpoint">002B97</idno><idno type="wicri:Area/Ncbi/Merge">001492</idno><idno type="wicri:Area/Ncbi/Curation">001492</idno><idno type="wicri:Area/Ncbi/Checkpoint">001492</idno><idno type="wicri:doubleKey">0885-3185:2006:Kronenbuerger M:on:demand:deep</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">On-demand deep brain stimulation for essential tremor: a report on four cases.</title><author><name sortKey="Kronenbuerger, Martin" sort="Kronenbuerger, Martin" uniqKey="Kronenbuerger M" first="Martin" last="Kronenbuerger">Martin Kronenbuerger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Hospital, RWTH Aachen, Germany. martin_kronenbuerger@web.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Fromm, Christoph" sort="Fromm, Christoph" uniqKey="Fromm C" first="Christoph" last="Fromm">Christoph Fromm</name></author><author><name sortKey="Block, Frank" sort="Block, Frank" uniqKey="Block F" first="Frank" last="Block">Frank Block</name></author><author><name sortKey="Coenen, Volker A" sort="Coenen, Volker A" uniqKey="Coenen V" first="Volker A" last="Coenen">Volker A. Coenen</name></author><author><name sortKey="Rohde, Ina" sort="Rohde, Ina" uniqKey="Rohde I" first="Ina" last="Rohde">Ina Rohde</name></author><author><name sortKey="Rohde, Veit" sort="Rohde, Veit" uniqKey="Rohde V" first="Veit" last="Rohde">Veit Rohde</name></author><author><name sortKey="Noth, Johannes" sort="Noth, Johannes" uniqKey="Noth J" first="Johannes" last="Noth">Johannes Noth</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Deep Brain Stimulation (methods)</term><term>Essential Tremor (therapy)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Questionnaires</term><term>Thalamus (pathology)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Essential Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an established therapy for essential tremor (ET), but loss of efficacy due to tolerance can occur. Our objective was to evaluate if it is feasible to use DBS only on-demand and if this would prevent tolerance. We report on the effects of left-side thalamic DBS in 4 ET patients who were instructed to switch on stimulation only when using their right hand for motor tasks and were followed-up to 30 months after surgery. The patients were capable of using DBS only on-demand (DBS use of 22.0+/-13.5%/day). DBS led to a stable suppression of right arm tremor throughout the follow-up. No problems associated with tolerance such as tremor rebound or late therapy failure occurred. In comparison to publications stating that ET patients had been using DBS continuously during the daytime, the use of on-demand DBS saves battery life, which delays surgical replacement of the stimulator. Thus, on-demand DBS saves money, may help to prevent tolerance, and should be adopted for the long-term treatment of ET patients.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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