Pre-operative Evaluations for DBS in Dystonia
Identifieur interne : 000445 ( PascalFrancis/Checkpoint ); précédent : 000444; suivant : 000446Pre-operative Evaluations for DBS in Dystonia
Auteurs : Stephane Thobois [France] ; Takaomi Taira [Japon] ; Cynthia Comella [États-Unis] ; Elena Moro [Canada] ; Susan Bressman [États-Unis] ; Alberto Albanese [Italie]Source :
- Movement disorders [ 0885-3185 ] ; 2011.
Descripteurs français
- Pascal (Inist)
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Abstract
Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke-Fahn-Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short-Form Health Survey (SF-36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open-label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes.
Affiliations:
- Canada, France, Italie, Japon, États-Unis
- Illinois, Lombardie, Ontario, État de New York
- Lyon, Milan, Tokyo, Toronto
- Université de Toronto
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type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Comella, Cynthia" sort="Comella, Cynthia" uniqKey="Comella C" first="Cynthia" last="Comella">Cynthia Comella</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurological Sciences, Rush University Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Moro, Elena" sort="Moro, Elena" uniqKey="Moro E" first="Elena" last="Moro">Elena Moro</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Movement Disorders Center, TWH, UHN, Division of Neurology, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bressman, Susan" sort="Bressman, Susan" uniqKey="Bressman S" first="Susan" last="Bressman">Susan Bressman</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Neurology, Beth Israel Medical Center</s1><s2>New York, New York</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Fondazione IRCCS Istituto Neurologico Carlo Besta and Università Cattolica del Sacro Cuore</s1><s2>Milan</s2><s3>ITA</s3><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno 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sortKey="Taira, Takaomi" sort="Taira, Takaomi" uniqKey="Taira T" first="Takaomi" last="Taira">Takaomi Taira</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Neurosurgery, Tokyo Women's Medical University</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>2 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Comella, Cynthia" sort="Comella, Cynthia" uniqKey="Comella C" first="Cynthia" last="Comella">Cynthia Comella</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurological Sciences, Rush University Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Moro, Elena" sort="Moro, Elena" uniqKey="Moro E" first="Elena" last="Moro">Elena Moro</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Movement Disorders Center, TWH, UHN, Division of Neurology, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Bressman, Susan" sort="Bressman, Susan" uniqKey="Bressman S" first="Susan" last="Bressman">Susan Bressman</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Neurology, Beth Israel Medical Center</s1><s2>New York, New York</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Fondazione IRCCS Istituto Neurologico Carlo Besta and Università Cattolica del Sacro Cuore</s1><s2>Milan</s2><s3>ITA</s3><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dystonia</term><term>Evaluation</term><term>Nervous system diseases</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Pathologie du système nerveux</term><term>Evaluation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke-Fahn-Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short-Form Health Survey (SF-36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open-label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>26</s2></fA05><fA06><s2>7</s2><s3>SUP</s3></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Pre-operative Evaluations for DBS in Dystonia</s1></fA08><fA09 i1="01" i2="1" l="ENG"><s1>Deep Brain Stimulation for Dystonia: The State of the Art</s1></fA09><fA11 i1="01" i2="1"><s1>THOBOIS (Stephane)</s1></fA11><fA11 i1="02" i2="1"><s1>TAIRA (Takaomi)</s1></fA11><fA11 i1="03" i2="1"><s1>COMELLA (Cynthia)</s1></fA11><fA11 i1="04" i2="1"><s1>MORO (Elena)</s1></fA11><fA11 i1="05" i2="1"><s1>BRESSMAN (Susan)</s1></fA11><fA11 i1="06" i2="1"><s1>ALBANESE (Alberto)</s1></fA11><fA12 i1="01" i2="1"><s1>MORO (Elena)</s1><s9>ed.</s9></fA12><fA12 i1="02" i2="1"><s1>ALBANESE (Alberto)</s1><s9>ed.</s9></fA12><fA12 i1="03" i2="1"><s1>HARIZ (Marwan I.)</s1><s9>ed.</s9></fA12><fA12 i1="04" i2="1"><s1>KRAUSS (Joachim K.)</s1><s9>ed.</s9></fA12><fA12 i1="05" i2="1"><s1>VERHAGEN METMAN (Leo)</s1><s9>ed.</s9></fA12><fA12 i1="06" i2="1"><s1>VIDAILHET (Marie)</s1><s9>ed.</s9></fA12><fA14 i1="01"><s1>Université Lyon I, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer and CNRS, UMR 5229</s1><s2>Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Neurosurgery, Tokyo Women's Medical University</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neurological Sciences, Rush University Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Movement Disorders Center, TWH, UHN, Division of Neurology, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Neurology, Beth Israel Medical Center</s1><s2>New York, New York</s2><s3>USA</s3><sZ>5 aut.</sZ></fA14><fA14 i1="06"><s1>Fondazione IRCCS Istituto Neurologico Carlo Besta and Università Cattolica del Sacro Cuore</s1><s2>Milan</s2><s3>ITA</s3><sZ>6 aut.</sZ></fA14><fA15 i1="01"><s1>Movement Disorders Center, Division of Neurology, Toronto Western hospital, University of Toronto, UHN</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ></fA15><fA15 i1="02"><s1>Istituto Neurologico Carlo Besta and Università Cattolica</s1><s2>Milano</s2><s3>ITA</s3><sZ>2 aut.</sZ></fA15><fA15 i1="03"><s1>Department of Neurological Sciences, Rush University Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3></fA15><fA15 i1="04"><s1>Hôpital de la Salpetrière, Fédération de Neurologie, CRICM UPMC/INSERM UMR-S 975, UPMC/CNRS UMR 7225</s1><s2>Paris</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ></fA15><fA15 i1="05"><s1>Unit of Functional Neurosurgery, UCL Institute of Neurology, Queen Square</s1><s2>London</s2><s3>GBR</s3><sZ>3 aut.</sZ></fA15><fA15 i1="06"><s1>Department of Neurosurgery, Medical University, MHH</s1><s2>Hannover</s2><s3>DEU</s3><sZ>4 aut.</sZ></fA15><fA20><s2>S17-S26</s2></fA20><fA21><s1>2011</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000190458070020</s5></fA43><fA44><s0>0000</s0><s1>© 2011 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>110 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>11-0356316</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke-Fahn-Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short-Form Health Survey (SF-36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open-label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. 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