Uncoupling of dopaminergic and subthalamic stimulation: Life-threatening DBS withdrawal syndrome.
Identifieur interne : 004412 ( Ncbi/Merge ); précédent : 004411; suivant : 004413Uncoupling of dopaminergic and subthalamic stimulation: Life-threatening DBS withdrawal syndrome.
Auteurs : Sigrid Reuter [Allemagne] ; Günther Deuschl [Allemagne] ; Daniela Falk [Allemagne] ; Maximilian Mehdorn [Allemagne] ; Karsten Witt [Allemagne]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
Deep brain stimulation (DBS) in therapy for advanced Parkinson's disease (PD) is an accepted treatment. Infections of the system and other complications occasionally result in hardware removal and subsequent medical treatment alone for months.
DOI: 10.1002/mds.26324
PubMed: 26184453
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wicri:level="3"><nlm:affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Falk, Daniela" sort="Falk, Daniela" uniqKey="Falk D" first="Daniela" last="Falk">Daniela Falk</name><affiliation wicri:level="3"><nlm:affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Mehdorn, Maximilian" sort="Mehdorn, Maximilian" uniqKey="Mehdorn M" first="Maximilian" last="Mehdorn">Maximilian Mehdorn</name><affiliation wicri:level="3"><nlm:affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Witt, Karsten" sort="Witt, Karsten" uniqKey="Witt K" first="Karsten" last="Witt">Karsten Witt</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26184453</idno><idno type="pmid">26184453</idno><idno type="doi">10.1002/mds.26324</idno><idno type="wicri:Area/PubMed/Corpus">000106</idno><idno type="wicri:Area/PubMed/Curation">000106</idno><idno type="wicri:Area/PubMed/Checkpoint">000011</idno><idno type="wicri:Area/Ncbi/Merge">004412</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Uncoupling of dopaminergic and subthalamic stimulation: Life-threatening DBS withdrawal syndrome.</title><author><name sortKey="Reuter, Sigrid" sort="Reuter, Sigrid" uniqKey="Reuter S" first="Sigrid" last="Reuter">Sigrid Reuter</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Falk, Daniela" sort="Falk, Daniela" uniqKey="Falk D" first="Daniela" last="Falk">Daniela Falk</name><affiliation wicri:level="3"><nlm:affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Mehdorn, Maximilian" sort="Mehdorn, Maximilian" uniqKey="Mehdorn M" first="Maximilian" last="Mehdorn">Maximilian Mehdorn</name><affiliation wicri:level="3"><nlm:affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Witt, Karsten" sort="Witt, Karsten" uniqKey="Witt K" first="Karsten" last="Witt">Karsten Witt</name><affiliation wicri:level="3"><nlm:affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></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="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) in therapy for advanced Parkinson's disease (PD) is an accepted treatment. Infections of the system and other complications occasionally result in hardware removal and subsequent medical treatment alone for months.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Process"><PMID Version="1">26184453</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>03</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>10</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Uncoupling of dopaminergic and subthalamic stimulation: Life-threatening DBS withdrawal syndrome.</ArticleTitle><Pagination><MedlinePgn>1407-13</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.26324</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Deep brain stimulation (DBS) in therapy for advanced Parkinson's disease (PD) is an accepted treatment. Infections of the system and other complications occasionally result in hardware removal and subsequent medical treatment alone for months.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We have analyzed the clinical course of 15 patients requiring removal of at least parts of the DBS system, resulting in a cessation of stimulation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most had an uncomplicated return to medical treatment. Three had an unfavorable course during withdrawal, including two deaths. These patients had suffered from PD for more than 18 y and had had DBS for more than 8 y.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We conclude that DBS withdrawal can be life-threatening, because the whole range of dopaminergic and nondopaminergic medical treatments may be ineffective at this stage. The lack of response to medical treatment might be attributable to advanced disease and long-term changes of the basal ganglia loop in PD.</AbstractText><CopyrightInformation>© 2015 International Parkinson and Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Reuter</LastName><ForeName>Sigrid</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deuschl</LastName><ForeName>Günther</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Falk</LastName><ForeName>Daniela</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mehdorn</LastName><ForeName>Maximilian</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neurosurgery, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Witt</LastName><ForeName>Karsten</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Departments of Neurology, University Hospital Schleswig Holstein, Campus Kiel, Christian-Albrechts-University, Kiel, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>07</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">deep brain stimulation</Keyword><Keyword MajorTopicYN="N">dopamine</Keyword><Keyword MajorTopicYN="N">infection</Keyword><Keyword MajorTopicYN="N">subthalamic nucleus</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>1</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>5</Month><Day>8</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>5</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>7</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26184453</ArticleId><ArticleId IdType="doi">10.1002/mds.26324</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Schleswig-Holstein</li></region><settlement><li>Kiel</li></settlement></list><tree><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Reuter, Sigrid" sort="Reuter, Sigrid" uniqKey="Reuter S" first="Sigrid" last="Reuter">Sigrid Reuter</name></region><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><name sortKey="Falk, Daniela" sort="Falk, Daniela" uniqKey="Falk D" first="Daniela" last="Falk">Daniela Falk</name><name sortKey="Mehdorn, Maximilian" sort="Mehdorn, Maximilian" uniqKey="Mehdorn M" first="Maximilian" last="Mehdorn">Maximilian Mehdorn</name><name sortKey="Witt, Karsten" sort="Witt, Karsten" uniqKey="Witt K" first="Karsten" last="Witt">Karsten Witt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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