Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation.
Identifieur interne : 001B88 ( Ncbi/Checkpoint ); précédent : 001B87; suivant : 001B89Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation.
Auteurs : Ettore Accolla [Italie] ; Elena Caputo ; Filippo Cogiamanian ; Filippo Tamma ; Simona Mrakic-Sposta ; Sara Marceglia ; Marcello Egidi ; Paolo Rampini ; Marco Locatelli ; Alberto PrioriSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Adult, Age of Onset, Brain (surgery), Deep Brain Stimulation (methods), Female, Humans, Hypokinesia (diagnosis), Hypokinesia (epidemiology), Male, Middle Aged, Neurosurgical Procedures, Parkinson Disease (epidemiology), Parkinson Disease (surgery), Parkinson Disease (therapy), Preoperative Care, Prevalence, Severity of Illness Index, Sex Factors, Subthalamic Nucleus (physiology).
- MESH :
- diagnosis : Hypokinesia.
- epidemiology : Hypokinesia, Parkinson Disease.
- methods : Deep Brain Stimulation.
- physiology : Subthalamic Nucleus.
- surgery : Brain, Parkinson Disease.
- therapy : Parkinson Disease.
- Adult, Age of Onset, Female, Humans, Male, Middle Aged, Neurosurgical Procedures, Preoperative Care, Prevalence, Severity of Illness Index, Sex Factors.
Abstract
We investigated gender-differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty-eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa-induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender-related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN-DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN-DBS treatment.
DOI: 10.1002/mds.21520
PubMed: 17469208
Affiliations:
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last="Cogiamanian">Filippo Cogiamanian</name></author><author><name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name></author><author><name sortKey="Mrakic Sposta, Simona" sort="Mrakic Sposta, Simona" uniqKey="Mrakic Sposta S" first="Simona" last="Mrakic-Sposta">Simona Mrakic-Sposta</name></author><author><name sortKey="Marceglia, Sara" sort="Marceglia, Sara" uniqKey="Marceglia S" first="Sara" last="Marceglia">Sara Marceglia</name></author><author><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name></author><author><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name></author><author><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name></author><author><name sortKey="Priori, Alberto" sort="Priori, Alberto" 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Neurologiche, Università di Milano, Fondazione IRCCS Ospedale, Policlinico, Milano, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Dipartimento di Scienze Neurologiche, Università di Milano, Fondazione IRCCS Ospedale, Policlinico, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name></author><author><name sortKey="Cogiamanian, Filippo" sort="Cogiamanian, Filippo" uniqKey="Cogiamanian F" first="Filippo" last="Cogiamanian">Filippo Cogiamanian</name></author><author><name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name></author><author><name sortKey="Mrakic Sposta, Simona" sort="Mrakic Sposta, Simona" uniqKey="Mrakic Sposta S" first="Simona" last="Mrakic-Sposta">Simona Mrakic-Sposta</name></author><author><name sortKey="Marceglia, Sara" sort="Marceglia, Sara" uniqKey="Marceglia S" first="Sara" last="Marceglia">Sara Marceglia</name></author><author><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name></author><author><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name></author><author><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name></author><author><name sortKey="Priori, Alberto" sort="Priori, Alberto" uniqKey="Priori A" first="Alberto" last="Priori">Alberto Priori</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="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" 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xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brain</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age of Onset</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurosurgical Procedures</term><term>Preoperative Care</term><term>Prevalence</term><term>Severity of Illness Index</term><term>Sex Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated gender-differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty-eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa-induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender-related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN-DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN-DBS treatment.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name><name sortKey="Cogiamanian, Filippo" sort="Cogiamanian, Filippo" uniqKey="Cogiamanian F" first="Filippo" last="Cogiamanian">Filippo Cogiamanian</name><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name><name sortKey="Marceglia, Sara" sort="Marceglia, Sara" uniqKey="Marceglia S" first="Sara" last="Marceglia">Sara Marceglia</name><name sortKey="Mrakic Sposta, Simona" sort="Mrakic Sposta, Simona" uniqKey="Mrakic Sposta S" first="Simona" last="Mrakic-Sposta">Simona Mrakic-Sposta</name><name sortKey="Priori, Alberto" sort="Priori, Alberto" uniqKey="Priori A" first="Alberto" last="Priori">Alberto Priori</name><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name><name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name></noCountry><country name="Italie"><noRegion><name sortKey="Accolla, Ettore" sort="Accolla, Ettore" uniqKey="Accolla E" first="Ettore" last="Accolla">Ettore Accolla</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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