Are parkin patients particularly suited for deep-brain stimulation?
Identifieur interne : 002038 ( Ncbi/Checkpoint ); précédent : 002037; suivant : 002039Are parkin patients particularly suited for deep-brain stimulation?
Auteurs : Ebba Lohmann [France] ; Marie-Laure Welter ; Valérie Fraix ; Paul Krack ; Suzanne Lesage ; Sophie Laine ; Marie-Laure Tanguy ; Jean-Luc Houeto ; Valérie Mesnage ; Pierre Pollak ; Alexandra Durr ; Yves Agid [France] ; Alexis BriceSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), DNA Mutational Analysis, Deep Brain Stimulation, Dyskinesia, Drug-Induced, Female, Follow-Up Studies, Genetic Testing, Heterozygote, Homozygote, Humans, Levodopa (adverse effects), Levodopa (therapeutic use), Male, Middle Aged, Mutation, Parkinsonian Disorders (genetics), Parkinsonian Disorders (therapy), Treatment Outcome, Ubiquitin-Protein Ligases (genetics).
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , genetics : Ubiquitin-Protein Ligases.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- genetics : Parkinsonian Disorders.
- therapy : Parkinsonian Disorders.
- Adult, Aged, DNA Mutational Analysis, Deep Brain Stimulation, Dyskinesia, Drug-Induced, Female, Follow-Up Studies, Genetic Testing, Heterozygote, Homozygote, Humans, Male, Middle Aged, Mutation, Treatment Outcome.
Abstract
Patients with parkin mutations are known to have slower PD progression and a better response to levodopa at lower doses than patients with idiopathic Parkinson's disease. To determine the effects of deep brain stimulation (DBS) on such patients, we have compared the follow-up after surgery of 7 patients with one parkin mutation, 7 patients with two parkin mutations, and 39 patients without parkin mutations. Twelve to 24 months after neurosurgery, the daily doses of levodopa equivalent were significantly lower in patients with two parkin mutations, indicating that these patients benefit from DBS, and they might have more durable results.
DOI: 10.1002/mds.21903
PubMed: 18228569
Affiliations:
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pubmed:18228569Le document en format XML
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<front><div type="abstract" xml:lang="en">Patients with parkin mutations are known to have slower PD progression and a better response to levodopa at lower doses than patients with idiopathic Parkinson's disease. To determine the effects of deep brain stimulation (DBS) on such patients, we have compared the follow-up after surgery of 7 patients with one parkin mutation, 7 patients with two parkin mutations, and 39 patients without parkin mutations. Twelve to 24 months after neurosurgery, the daily doses of levodopa equivalent were significantly lower in patients with two parkin mutations, indicating that these patients benefit from DBS, and they might have more durable results.</div>
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