Deep brain pulse-generator and lead-extensions: subjective sensations related to measured parameters.
Identifieur interne : 002077 ( Ncbi/Merge ); précédent : 002076; suivant : 002078Deep brain pulse-generator and lead-extensions: subjective sensations related to measured parameters.
Auteurs : Camillo Sherif [Autriche] ; Christian Dorfer ; Karin Kalteis ; Caroline Thun ; Iris Kaiser ; Daniel Gibson ; François AleschSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Deep Brain Stimulation.
- diagnosis : Parkinson Disease.
- epidemiology : Parkinson Disease.
- instrumentation : Deep Brain Stimulation.
- Body Mass Index, Equipment Design, Humans, Questionnaires.
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.
DOI: 10.1002/mds.21973
PubMed: 18381642
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uniqKey="Kalteis K" first="Karin" last="Kalteis">Karin Kalteis</name></author><author><name sortKey="Thun, Caroline" sort="Thun, Caroline" uniqKey="Thun C" first="Caroline" last="Thun">Caroline Thun</name></author><author><name sortKey="Kaiser, Iris" sort="Kaiser, Iris" uniqKey="Kaiser I" first="Iris" last="Kaiser">Iris Kaiser</name></author><author><name sortKey="Gibson, Daniel" sort="Gibson, Daniel" uniqKey="Gibson D" first="Daniel" last="Gibson">Daniel Gibson</name></author><author><name sortKey="Alesch, Francois" sort="Alesch, Francois" uniqKey="Alesch F" first="François" last="Alesch">François Alesch</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.21973</idno><idno type="RBID">pubmed:18381642</idno><idno type="pmid">18381642</idno><idno type="wicri:Area/PubMed/Corpus">002284</idno><idno type="wicri:Area/PubMed/Curation">002284</idno><idno 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last="Dorfer">Christian Dorfer</name></author><author><name sortKey="Kalteis, Karin" sort="Kalteis, Karin" uniqKey="Kalteis K" first="Karin" last="Kalteis">Karin Kalteis</name></author><author><name sortKey="Thun, Caroline" sort="Thun, Caroline" uniqKey="Thun C" first="Caroline" last="Thun">Caroline Thun</name></author><author><name sortKey="Kaiser, Iris" sort="Kaiser, Iris" uniqKey="Kaiser I" first="Iris" last="Kaiser">Iris Kaiser</name></author><author><name sortKey="Gibson, Daniel" sort="Gibson, Daniel" uniqKey="Gibson D" first="Daniel" last="Gibson">Daniel Gibson</name></author><author><name sortKey="Alesch, Francois" sort="Alesch, Francois" uniqKey="Alesch F" first="François" last="Alesch">François Alesch</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Body Mass Index</term><term>Deep Brain Stimulation (adverse effects)</term><term>Deep Brain Stimulation (instrumentation)</term><term>Equipment Design</term><term>Humans</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (epidemiology)</term><term>Questionnaires</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Deep Brain Stimulation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Body Mass Index</term><term>Equipment Design</term><term>Humans</term><term>Questionnaires</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><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18381642</PMID><DateCreated><Year>2008</Year><Month>06</Month><Day>03</Day></DateCreated><DateCompleted><Year>2008</Year><Month>08</Month><Day>14</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>7</Issue><PubDate><Year>2008</Year><Month>May</Month><Day>15</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Deep brain pulse-generator and lead-extensions: subjective sensations related to measured parameters.</ArticleTitle><Pagination><MedlinePgn>1036-40</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.21973</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sherif</LastName><ForeName>Camillo</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. camillo.sherif@meduniwien.ac.at</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dorfer</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Kalteis</LastName><ForeName>Karin</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Thun</LastName><ForeName>Caroline</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Kaiser</LastName><ForeName>Iris</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Gibson</LastName><ForeName>Daniel</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Alesch</LastName><ForeName>François</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</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="D015992">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D046690">Deep Brain Stimulation</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011795">Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>4</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>8</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>4</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.21973</ArticleId><ArticleId IdType="pubmed">18381642</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><noCountry><name sortKey="Alesch, Francois" sort="Alesch, Francois" uniqKey="Alesch F" first="François" last="Alesch">François Alesch</name><name sortKey="Dorfer, Christian" sort="Dorfer, Christian" uniqKey="Dorfer C" first="Christian" last="Dorfer">Christian Dorfer</name><name sortKey="Gibson, Daniel" sort="Gibson, Daniel" uniqKey="Gibson D" first="Daniel" last="Gibson">Daniel Gibson</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></noCountry><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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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