Movement Disorders (revue)

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Low-frequency subthalamic nucleus stimulation in Parkinson's disease: a randomized clinical trial.

Identifieur interne : 003E97 ( Ncbi/Merge ); précédent : 003E96; suivant : 003E98

Low-frequency subthalamic nucleus stimulation in Parkinson's disease: a randomized clinical trial.

Auteurs : Hui Ming Khoo [Japon] ; Haruhiko Kishima ; Koichi Hosomi ; Tomoyuki Maruo ; Naoki Tani ; Satoru Oshino ; Toshio Shimokawa ; Masaru Yokoe ; Hideki Mochizuki ; Youichi Saitoh ; Toshiki Yoshimine

Source :

RBID : pubmed:24449169

English descriptors

Abstract

Low-frequency, bilateral stimulation of the subthalamic nucleus can improve axial symptoms of advanced Parkinson's disease (PD), but it is not particularly effective for segmental symptoms.

DOI: 10.1002/mds.25810
PubMed: 24449169

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pubmed:24449169

Le document en format XML

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<nlm:affiliation>Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
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<name sortKey="Kishima, Haruhiko" sort="Kishima, Haruhiko" uniqKey="Kishima H" first="Haruhiko" last="Kishima">Haruhiko Kishima</name>
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<name sortKey="Hosomi, Koichi" sort="Hosomi, Koichi" uniqKey="Hosomi K" first="Koichi" last="Hosomi">Koichi Hosomi</name>
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<name sortKey="Maruo, Tomoyuki" sort="Maruo, Tomoyuki" uniqKey="Maruo T" first="Tomoyuki" last="Maruo">Tomoyuki Maruo</name>
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<name sortKey="Tani, Naoki" sort="Tani, Naoki" uniqKey="Tani N" first="Naoki" last="Tani">Naoki Tani</name>
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<name sortKey="Oshino, Satoru" sort="Oshino, Satoru" uniqKey="Oshino S" first="Satoru" last="Oshino">Satoru Oshino</name>
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<name sortKey="Shimokawa, Toshio" sort="Shimokawa, Toshio" uniqKey="Shimokawa T" first="Toshio" last="Shimokawa">Toshio Shimokawa</name>
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<name sortKey="Yoshimine, Toshiki" sort="Yoshimine, Toshiki" uniqKey="Yoshimine T" first="Toshiki" last="Yoshimine">Toshiki Yoshimine</name>
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<name sortKey="Maruo, Tomoyuki" sort="Maruo, Tomoyuki" uniqKey="Maruo T" first="Tomoyuki" last="Maruo">Tomoyuki Maruo</name>
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<name sortKey="Tani, Naoki" sort="Tani, Naoki" uniqKey="Tani N" first="Naoki" last="Tani">Naoki Tani</name>
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<name sortKey="Oshino, Satoru" sort="Oshino, Satoru" uniqKey="Oshino S" first="Satoru" last="Oshino">Satoru Oshino</name>
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<name sortKey="Shimokawa, Toshio" sort="Shimokawa, Toshio" uniqKey="Shimokawa T" first="Toshio" last="Shimokawa">Toshio Shimokawa</name>
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<name sortKey="Yokoe, Masaru" sort="Yokoe, Masaru" uniqKey="Yokoe M" first="Masaru" last="Yokoe">Masaru Yokoe</name>
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<name sortKey="Mochizuki, Hideki" sort="Mochizuki, Hideki" uniqKey="Mochizuki H" first="Hideki" last="Mochizuki">Hideki Mochizuki</name>
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<name sortKey="Saitoh, Youichi" sort="Saitoh, Youichi" uniqKey="Saitoh Y" first="Youichi" last="Saitoh">Youichi Saitoh</name>
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<name sortKey="Yoshimine, Toshiki" sort="Yoshimine, Toshiki" uniqKey="Yoshimine T" first="Toshiki" last="Yoshimine">Toshiki Yoshimine</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Outcome Assessment (Health Care)</term>
<term>Parkinson Disease (therapy)</term>
<term>Statistics, Nonparametric</term>
<term>Subthalamic Nucleus (physiology)</term>
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<term>Deep Brain Stimulation</term>
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<term>Parkinson Disease</term>
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<term>Biophysics</term>
<term>Cross-Over Studies</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Outcome Assessment (Health Care)</term>
<term>Statistics, Nonparametric</term>
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<div type="abstract" xml:lang="en">Low-frequency, bilateral stimulation of the subthalamic nucleus can improve axial symptoms of advanced Parkinson's disease (PD), but it is not particularly effective for segmental symptoms.</div>
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<DateCreated>
<Year>2014</Year>
<Month>03</Month>
<Day>04</Day>
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<DateCompleted>
<Year>2014</Year>
<Month>10</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>11</Month>
<Day>18</Day>
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<ISSN IssnType="Electronic">1531-8257</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29</Volume>
<Issue>2</Issue>
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<Year>2014</Year>
<Month>Feb</Month>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Low-frequency subthalamic nucleus stimulation in Parkinson's disease: a randomized clinical trial.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Low-frequency, bilateral stimulation of the subthalamic nucleus can improve axial symptoms of advanced Parkinson's disease (PD), but it is not particularly effective for segmental symptoms.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The optimal contacts for low-frequency (60 Hz) and high-frequency (130 Hz) single monopolar stimulation were determined. Then, in a randomized, double-blind, prospective crossover manner, 60-Hz and 130-Hz stimulations via the respective optimal contacts were compared for immediate efficacy in improving the motor function of patients with PD.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The optimal contacts for 60-Hz stimulation were situated more ventrally than those for 130-Hz stimulation (P = 0.038). Under the respective optimal, single monopolar stimulation, 60 Hz provided superior efficacy over 130 Hz in improving the total Unified Parkinson's Disease Rating Scale motor score (P < 0.001) and the akinesia (P = 0.011) and axial motor signs (P = 0.012) subscores without compromising the therapeutic effect on tremor and rigidity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Low-frequency stimulation via the optimal contacts is effective in improving overall motor function of patients with PD.</AbstractText>
<CopyrightInformation>© 2014 Movement Disorder Society.</CopyrightInformation>
</Abstract>
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<RefSource>Mov Disord. 2014 Feb;29(2):161-3</RefSource>
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<RefSource>Mov Disord. 2014 Oct;29(12):1569-70</RefSource>
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<RefSource>Mov Disord. 2014 Oct;29(12):1569</RefSource>
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