Stereotactic posteroventral pallidotomy: clinical methods and results at 1-year follow up.
Identifieur interne : 000009 ( Ncbi/Merge ); précédent : 000008; suivant : 000010Stereotactic posteroventral pallidotomy: clinical methods and results at 1-year follow up.
Auteurs : A. Dalvi [États-Unis] ; L. Winfield ; Q. Yu ; L. Côté ; R R Goodman ; S L PullmanSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1999.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Female, Follow-Up Studies, Globus Pallidus (surgery), Humans, Male, Middle Aged, Monitoring, Intraoperative, Movement Disorders (surgery), Parkinson Disease (surgery), Recovery of Function, Stereotaxic Techniques (adverse effects), Stereotaxic Techniques (standards), Time Factors, Treatment Outcome.
- MESH :
- adverse effects : Stereotaxic Techniques.
- standards : Stereotaxic Techniques.
- surgery : Globus Pallidus, Movement Disorders, Parkinson Disease.
- Activities of Daily Living, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Monitoring, Intraoperative, Recovery of Function, Time Factors, Treatment Outcome.
Abstract
Twenty consecutive patients with idiopathic Parkinson's disease underwent stereotactic posteroventral pallidotomy. Schwab and England ADL scores in the "off" state were improved by 18% and in the "on" state the scores declined by 2%. Three patients also reported marked improvement in "off" state dystonia. One-year data are available on 12 patients who underwent evaluations according to the Core Assessment Program for Intracerebral Transplantation protocol preoperatively and at 3, 6, and 12 months after surgery. Significant improvements in Unified Parkinson's Disease Rating Scale sections II and III scores in the "off" state, composite "off" state scores of bradykinesia and rigidity, contralateral tremor in the "off" state, and contralateral dyskinesias were observed. Although there was reduction in the daily levodopa dose, this did not reach statistical significance. Major complications (15%) included hemiparesis (one of 20) and visual field cuts (two of 20); minor complications (45%) included mild cognitive dysfunction (four of 20), reading difficulty not related to visual disturbance (one of 20), and 5-10 lb weight gain (four of 20).
PubMed: 10091619
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Côté</name></author><author><name sortKey="Goodman, R R" sort="Goodman, R R" uniqKey="Goodman R" first="R R" last="Goodman">R R Goodman</name></author><author><name sortKey="Pullman, S L" sort="Pullman, S L" uniqKey="Pullman S" first="S L" last="Pullman">S L Pullman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10091619</idno><idno type="pmid">10091619</idno><idno type="wicri:Area/PubMed/Corpus">004242</idno><idno type="wicri:Area/PubMed/Curation">004242</idno><idno type="wicri:Area/PubMed/Checkpoint">004100</idno><idno type="wicri:Area/Ncbi/Merge">000009</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Stereotactic posteroventral pallidotomy: clinical methods and results at 1-year follow up.</title><author><name sortKey="Dalvi, A" sort="Dalvi, A" uniqKey="Dalvi A" first="A" last="Dalvi">A. Dalvi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, University of Cincinnati, Ohio, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Winfield, L" sort="Winfield, L" uniqKey="Winfield L" first="L" last="Winfield">L. Winfield</name></author><author><name sortKey="Yu, Q" sort="Yu, Q" uniqKey="Yu Q" first="Q" last="Yu">Q. Yu</name></author><author><name sortKey="Cote, L" sort="Cote, L" uniqKey="Cote L" first="L" last="Côté">L. Côté</name></author><author><name sortKey="Goodman, R R" sort="Goodman, R R" uniqKey="Goodman R" first="R R" last="Goodman">R R Goodman</name></author><author><name sortKey="Pullman, S L" sort="Pullman, S L" uniqKey="Pullman S" first="S L" last="Pullman">S L Pullman</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="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Globus Pallidus (surgery)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Monitoring, Intraoperative</term><term>Movement Disorders (surgery)</term><term>Parkinson Disease (surgery)</term><term>Recovery of Function</term><term>Stereotaxic Techniques (adverse effects)</term><term>Stereotaxic Techniques (standards)</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Stereotaxic Techniques</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Stereotaxic Techniques</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Monitoring, Intraoperative</term><term>Recovery of Function</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Twenty consecutive patients with idiopathic Parkinson's disease underwent stereotactic posteroventral pallidotomy. Schwab and England ADL scores in the "off" state were improved by 18% and in the "on" state the scores declined by 2%. Three patients also reported marked improvement in "off" state dystonia. One-year data are available on 12 patients who underwent evaluations according to the Core Assessment Program for Intracerebral Transplantation protocol preoperatively and at 3, 6, and 12 months after surgery. Significant improvements in Unified Parkinson's Disease Rating Scale sections II and III scores in the "off" state, composite "off" state scores of bradykinesia and rigidity, contralateral tremor in the "off" state, and contralateral dyskinesias were observed. Although there was reduction in the daily levodopa dose, this did not reach statistical significance. Major complications (15%) included hemiparesis (one of 20) and visual field cuts (two of 20); minor complications (45%) included mild cognitive dysfunction (four of 20), reading difficulty not related to visual disturbance (one of 20), and 5-10 lb weight gain (four of 20).</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">10091619</PMID><DateCreated><Year>1999</Year><Month>06</Month><Day>15</Day></DateCreated><DateCompleted><Year>1999</Year><Month>06</Month><Day>15</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><Issue>2</Issue><PubDate><Year>1999</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Stereotactic posteroventral pallidotomy: clinical methods and results at 1-year follow up.</ArticleTitle><Pagination><MedlinePgn>256-61</MedlinePgn></Pagination><Abstract><AbstractText>Twenty consecutive patients with idiopathic Parkinson's disease underwent stereotactic posteroventral pallidotomy. Schwab and England ADL scores in the "off" state were improved by 18% and in the "on" state the scores declined by 2%. Three patients also reported marked improvement in "off" state dystonia. One-year data are available on 12 patients who underwent evaluations according to the Core Assessment Program for Intracerebral Transplantation protocol preoperatively and at 3, 6, and 12 months after surgery. Significant improvements in Unified Parkinson's Disease Rating Scale sections II and III scores in the "off" state, composite "off" state scores of bradykinesia and rigidity, contralateral tremor in the "off" state, and contralateral dyskinesias were observed. Although there was reduction in the daily levodopa dose, this did not reach statistical significance. Major complications (15%) included hemiparesis (one of 20) and visual field cuts (two of 20); minor complications (45%) included mild cognitive dysfunction (four of 20), reading difficulty not related to visual disturbance (one of 20), and 5-10 lb weight gain (four of 20).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dalvi</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, University of Cincinnati, Ohio, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Winfield</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Yu</LastName><ForeName>Q</ForeName><Initials>Q</Initials></Author><Author ValidYN="Y"><LastName>Côté</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Goodman</LastName><ForeName>R R</ForeName><Initials>RR</Initials></Author><Author ValidYN="Y"><LastName>Pullman</LastName><ForeName>S L</ForeName><Initials>SL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>UNITED STATES</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000203">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005917">Globus Pallidus</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016343">Monitoring, Intraoperative</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009069">Movement Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020127">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013238">Stereotaxic Techniques</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000592">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>3</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>3</Month><Day>26</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>3</Month><Day>26</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10091619</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><noCountry><name sortKey="Cote, L" sort="Cote, L" uniqKey="Cote L" first="L" last="Côté">L. Côté</name><name sortKey="Goodman, R R" sort="Goodman, R R" uniqKey="Goodman R" first="R R" last="Goodman">R R Goodman</name><name sortKey="Pullman, S L" sort="Pullman, S L" uniqKey="Pullman S" first="S L" last="Pullman">S L Pullman</name><name sortKey="Winfield, L" sort="Winfield, L" uniqKey="Winfield L" first="L" last="Winfield">L. Winfield</name><name sortKey="Yu, Q" sort="Yu, Q" uniqKey="Yu Q" first="Q" last="Yu">Q. Yu</name></noCountry><country name="États-Unis"><region name="Ohio"><name sortKey="Dalvi, A" sort="Dalvi, A" uniqKey="Dalvi A" first="A" last="Dalvi">A. Dalvi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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