Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia
Identifieur interne : 002832 ( PascalFrancis/Checkpoint ); précédent : 002831; suivant : 002833Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia
Auteurs : Benjamin Bereznai [Allemagne] ; Ulrich Steude [Allemagne] ; Klaus Seelos [Allemagne] ; Kai Bötzel [Allemagne]Source :
- Movement disorders [ 0885-3185 ] ; 2002.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
Abstract
The results of deep brain stimulation (DBS) of the globus pallidus internus (Gpi) in six patients with generalized, focal, and segmental dystonia are presented. Pre- and postoperative assessments are given for one patient with generalized inherited dystonia and for five patients with idiopathic segmental or cervical dystonia, Clinical symptoms were evaluated before and 3-12 months after surgery using the Burke-Fahn-Marsden (BFM) dystonia rating scale for primary torsion dystonia and the Tsui scale for cervical dystonia. The Short-Form Health Survey (SF-36) was completed by each patient to document preoperative and postoperative health status Also, neurological status was documented by video before and during chronic stimulation. Magnetic resonance imaging studies were performed to show the anatomical localization of the electrode leads. Five patients showed a progressive improvement within 7 days. One patient with cervical dystonia and Meige's syndrome showed no improvement for 3 months, but beneficial effects were observed after 12 months. On average, the BFM movement scale scores decreased by 72.5% and Tsui scale scores by 63%. SF-36 showed an improvement in health status by an average of 36% according to eight different health categories. We conclude that chronic high-frequency Gpi stimulation in different types of dystonia is a very effective and safe treatment.
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
Pascal:02-0204912Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia</title><author><name sortKey="Bereznai, Benjamin" sort="Bereznai, Benjamin" uniqKey="Bereznai B" first="Benjamin" last="Bereznai">Benjamin Bereznai</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Neurology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Steude, Ulrich" sort="Steude, Ulrich" uniqKey="Steude U" first="Ulrich" last="Steude">Ulrich Steude</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Neurosurgery, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Seelos, Klaus" sort="Seelos, Klaus" uniqKey="Seelos K" first="Klaus" last="Seelos">Klaus Seelos</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Neuroradiology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Neurology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">02-0204912</idno><date when="2002">2002</date><idno type="stanalyst">PASCAL 02-0204912 INIST</idno><idno type="RBID">Pascal:02-0204912</idno><idno type="wicri:Area/PascalFrancis/Corpus">002833</idno><idno type="wicri:Area/PascalFrancis/Curation">000488</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002832</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia</title><author><name sortKey="Bereznai, Benjamin" sort="Bereznai, Benjamin" uniqKey="Bereznai B" first="Benjamin" last="Bereznai">Benjamin Bereznai</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Neurology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Steude, Ulrich" sort="Steude, Ulrich" uniqKey="Steude U" first="Ulrich" last="Steude">Ulrich Steude</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Neurosurgery, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Seelos, Klaus" sort="Seelos, Klaus" uniqKey="Seelos K" first="Klaus" last="Seelos">Klaus Seelos</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Neuroradiology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Neurology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></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="2002">2002</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>Adult</term><term>Case study</term><term>Continuous</term><term>Dystonia</term><term>Electrical stimulus</term><term>High frequency</term><term>Instrumentation therapy</term><term>Nuclear magnetic resonance imaging</term><term>Pallidum</term><term>Prognosis</term><term>Video recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Stimulus électrique</term><term>Pallidum</term><term>Haute fréquence</term><term>Dystonie</term><term>Continu</term><term>Imagerie RMN</term><term>Enregistrement vidéo</term><term>Traitement instrumental</term><term>Pronostic</term><term>Etude cas</term><term>Adulte</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The results of deep brain stimulation (DBS) of the globus pallidus internus (Gpi) in six patients with generalized, focal, and segmental dystonia are presented. Pre- and postoperative assessments are given for one patient with generalized inherited dystonia and for five patients with idiopathic segmental or cervical dystonia, Clinical symptoms were evaluated before and 3-12 months after surgery using the Burke-Fahn-Marsden (BFM) dystonia rating scale for primary torsion dystonia and the Tsui scale for cervical dystonia. The Short-Form Health Survey (SF-36) was completed by each patient to document preoperative and postoperative health status Also, neurological status was documented by video before and during chronic stimulation. Magnetic resonance imaging studies were performed to show the anatomical localization of the electrode leads. Five patients showed a progressive improvement within 7 days. One patient with cervical dystonia and Meige's syndrome showed no improvement for 3 months, but beneficial effects were observed after 12 months. On average, the BFM movement scale scores decreased by 72.5% and Tsui scale scores by 63%. SF-36 showed an improvement in health status by an average of 36% according to eight different health categories. We conclude that chronic high-frequency Gpi stimulation in different types of dystonia is a very effective and safe treatment.</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>17</s2></fA05><fA06><s2>1</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia</s1></fA08><fA11 i1="01" i2="1"><s1>BEREZNAI (Benjamin)</s1></fA11><fA11 i1="02" i2="1"><s1>STEUDE (Ulrich)</s1></fA11><fA11 i1="03" i2="1"><s1>SEELOS (Klaus)</s1></fA11><fA11 i1="04" i2="1"><s1>BÖTZEL (Kai)</s1></fA11><fA14 i1="01"><s1>Department of Neurology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Neurosurgery, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neuroradiology, Ludwig-Maximilians University</s1><s2>Munich</s2><s3>DEU</s3><sZ>3 aut.</sZ></fA14><fA20><s1>138-144</s1></fA20><fA21><s1>2002</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000100147290210</s5></fA43><fA44><s0>0000</s0><s1>© 2002 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>15 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>02-0204912</s0></fA47><fA60><s1>P</s1><s3>CC</s3></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>The results of deep brain stimulation (DBS) of the globus pallidus internus (Gpi) in six patients with generalized, focal, and segmental dystonia are presented. Pre- and postoperative assessments are given for one patient with generalized inherited dystonia and for five patients with idiopathic segmental or cervical dystonia, Clinical symptoms were evaluated before and 3-12 months after surgery using the Burke-Fahn-Marsden (BFM) dystonia rating scale for primary torsion dystonia and the Tsui scale for cervical dystonia. The Short-Form Health Survey (SF-36) was completed by each patient to document preoperative and postoperative health status Also, neurological status was documented by video before and during chronic stimulation. Magnetic resonance imaging studies were performed to show the anatomical localization of the electrode leads. Five patients showed a progressive improvement within 7 days. One patient with cervical dystonia and Meige's syndrome showed no improvement for 3 months, but beneficial effects were observed after 12 months. On average, the BFM movement scale scores decreased by 72.5% and Tsui scale scores by 63%. SF-36 showed an improvement in health status by an average of 36% according to eight different health categories. We conclude that chronic high-frequency Gpi stimulation in different types of dystonia is a very effective and safe treatment.</s0></fC01><fC02 i1="01" i2="X"><s0>002B26I</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Stimulus électrique</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Electrical stimulus</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Estímulo eléctrico</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Pallidum</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Pallidum</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Pallidum</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Haute fréquence</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>High frequency</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Alta frecuencia</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Dystonie</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Dystonia</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Distonía</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Continu</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Continuous</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Contínuo</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Imagerie RMN</s0><s5>07</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Nuclear magnetic resonance imaging</s0><s5>07</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Imaginería RMN</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Enregistrement vidéo</s0><s5>10</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Video recording</s0><s5>10</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Registro vídeo</s0><s5>10</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Traitement instrumental</s0><s5>17</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Instrumentation therapy</s0><s5>17</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Tratamiento instrumental</s0><s5>17</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Pronostic</s0><s5>18</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Prognosis</s0><s5>18</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Pronóstico</s0><s5>18</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Etude cas</s0><s5>19</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Case study</s0><s5>19</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Estudio caso</s0><s5>19</s5></fC03><fC03 i1="11" i2="X" l="FRE"><s0>Adulte</s0><s5>20</s5></fC03><fC03 i1="11" i2="X" l="ENG"><s0>Adult</s0><s5>20</s5></fC03><fC03 i1="11" i2="X" l="SPA"><s0>Adulto</s0><s5>20</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Human</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Stimulation instrumentale</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Instrumental stimulation</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Estimulación instrumental</s0><s5>37</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Muscle strié pathologie</s0><s5>45</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Striated muscle disease</s0><s5>45</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Músculo estriado patología</s0><s5>45</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>46</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>46</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>46</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Trouble neurologique</s0><s5>47</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Neurological disorder</s0><s5>47</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Trastorno neurológico</s0><s5>47</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Mouvement involontaire</s0><s5>48</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Involuntary movement</s0><s5>48</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Movimiento involuntario</s0><s5>48</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0><s5>49</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>49</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>49</s5></fC07><fC07 i1="08" i2="X" l="FRE"><s0>Imagerie médicale</s0><s5>53</s5></fC07><fC07 i1="08" i2="X" l="ENG"><s0>Medical imagery</s0><s5>53</s5></fC07><fC07 i1="08" i2="X" l="SPA"><s0>Imaginería médica</s0><s5>53</s5></fC07><fN21><s1>119</s1></fN21><fN82><s1>PSI</s1></fN82></pA></standard></inist><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Bereznai, Benjamin" sort="Bereznai, Benjamin" uniqKey="Bereznai B" first="Benjamin" last="Bereznai">Benjamin Bereznai</name></region><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name><name sortKey="Seelos, Klaus" sort="Seelos, Klaus" uniqKey="Seelos K" first="Klaus" last="Seelos">Klaus Seelos</name><name sortKey="Steude, Ulrich" sort="Steude, Ulrich" uniqKey="Steude U" first="Ulrich" last="Steude">Ulrich Steude</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/PascalFrancis/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002832 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Checkpoint/biblio.hfd -nk 002832 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= PascalFrancis
|étape= Checkpoint
|type= RBID
|clé= Pascal:02-0204912
|texte= Chronic high-frequency globus pallidus internus stimulation in different types of dystonia: A clinical, video, and MRI report of six patients presenting with segmental, cervical, and generalized dystonia
}}
| This area was generated with Dilib version V0.6.23. |  |