Movement Disorders (revue)

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Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson's Disease

Identifieur interne : 000090 ( PascalFrancis/Corpus ); précédent : 000089; suivant : 000091

Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson's Disease

Auteurs : Monika Pötter-Nerger ; Martin M. Reich ; James G. Colebatch ; G. Deuschl ; Jens Volkmann

Source :

RBID : Pascal:12-0369636

Descripteurs français

English descriptors

Abstract

Postural disturbances in advanced Parkinson's disease are less responsive to therapy than other cardinal motor signs. The vestibulocollic reflex represents one brain-stem neuronal circuit involved in postural adjustments. The objective of this study was to investigate the vestibulocollic reflex in parkinsonian patients and the effects of subthalamic stimulation and dopa by recording vestibular-evoked myogenic potentials. After overnight withdrawal of medication, 20 patients with Parkinson's disease with (6 men, 4 women; mean age, 64.4 ± 2.2 years) or without (8 men, 2 women; mean age, 62.7 ± 3.9 years) implanted subthalamic electrodes in different treatment conditions were compared with 10 age-matched controls (5 men, 5 women; mean age, 59.6 ± 2.4 years). Vestibular-evoked myogenic potentials were recorded by electromyographic surface electrodes applied to both sternocleidomastoid muscles (band-pass filter, 8-1600 Hz; sampling rate, 5 kHz) and averaged in response to bilateral auditory tone bursts (120 dB SPL; sine waves, 7 ms; 1000 Hz) applied through earphones. Adjusted vestibular-evoked myogenic potential amplitudes were significantly smaller in parkinsonian patients than in controls, in particular in patients without surgery. Administration of dopa, but not subthalamic stimulation, significantly increased amplitudes. Onset latencies were similar for all groups and treatment conditions. Decreased vestibular-evoked myogenic potential amplitudes in parkinsonian patients suggest reduced vestibular nuclei excitability within the brain stem, which is modulated by dopa but not by subthalamic stimulation. This suggests different pathways for the action of both treatment modalities in Parkinson's disease and may explain clinical differences in terms of postural disturbances.

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Pour connaître la documentation sur le format Inist Standard.

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A05       @2 27
A06       @2 10
A08 01  1  ENG  @1 Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson's Disease
A11 01  1    @1 PÖTTER-NERGER (Monika)
A11 02  1    @1 REICH (Martin M.)
A11 03  1    @1 COLEBATCH (James G.)
A11 04  1    @1 DEUSCHL (G.)
A11 05  1    @1 VOLKMANN (Jens)
A14 01      @1 Department of Neurology, Christian-Albrecht-University @2 Kiel @3 DEU @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Prince of Wales Clinical School and Medical Research Institute, University New South Wales @2 Sydney @3 AUS @Z 3 aut.
A14 03      @1 Department of Neurology, Julius-Maximilian- University @2 Würzburg @3 DEU @Z 5 aut.
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A21       @1 2012
A23 01      @0 ENG
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A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 36 ref.
A47 01  1    @0 12-0369636
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 Postural disturbances in advanced Parkinson's disease are less responsive to therapy than other cardinal motor signs. The vestibulocollic reflex represents one brain-stem neuronal circuit involved in postural adjustments. The objective of this study was to investigate the vestibulocollic reflex in parkinsonian patients and the effects of subthalamic stimulation and dopa by recording vestibular-evoked myogenic potentials. After overnight withdrawal of medication, 20 patients with Parkinson's disease with (6 men, 4 women; mean age, 64.4 ± 2.2 years) or without (8 men, 2 women; mean age, 62.7 ± 3.9 years) implanted subthalamic electrodes in different treatment conditions were compared with 10 age-matched controls (5 men, 5 women; mean age, 59.6 ± 2.4 years). Vestibular-evoked myogenic potentials were recorded by electromyographic surface electrodes applied to both sternocleidomastoid muscles (band-pass filter, 8-1600 Hz; sampling rate, 5 kHz) and averaged in response to bilateral auditory tone bursts (120 dB SPL; sine waves, 7 ms; 1000 Hz) applied through earphones. Adjusted vestibular-evoked myogenic potential amplitudes were significantly smaller in parkinsonian patients than in controls, in particular in patients without surgery. Administration of dopa, but not subthalamic stimulation, significantly increased amplitudes. Onset latencies were similar for all groups and treatment conditions. Decreased vestibular-evoked myogenic potential amplitudes in parkinsonian patients suggest reduced vestibular nuclei excitability within the brain stem, which is modulated by dopa but not by subthalamic stimulation. This suggests different pathways for the action of both treatment modalities in Parkinson's disease and may explain clinical differences in terms of postural disturbances.
C02 01  X    @0 002B17
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C03 01  X  ENG  @0 Vestibular syndrome @5 01
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C07 02  X  SPA  @0 Oido interno patología @5 39
C07 03  X  FRE  @0 Pathologie de l'encéphale @5 40
C07 03  X  ENG  @0 Cerebral disorder @5 40
C07 03  X  SPA  @0 Encéfalo patología @5 40
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Format Inist (serveur)

NO : PASCAL 12-0369636 INIST
ET : Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson's Disease
AU : PÖTTER-NERGER (Monika); REICH (Martin M.); COLEBATCH (James G.); DEUSCHL (G.); VOLKMANN (Jens)
AF : Department of Neurology, Christian-Albrecht-University/Kiel/Allemagne (1 aut., 2 aut., 4 aut., 5 aut.); Prince of Wales Clinical School and Medical Research Institute, University New South Wales/Sydney/Australie (3 aut.); Department of Neurology, Julius-Maximilian- University/Würzburg/Allemagne (5 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 10; Pp. 1268-1275; Bibl. 36 ref.
LA : Anglais
EA : Postural disturbances in advanced Parkinson's disease are less responsive to therapy than other cardinal motor signs. The vestibulocollic reflex represents one brain-stem neuronal circuit involved in postural adjustments. The objective of this study was to investigate the vestibulocollic reflex in parkinsonian patients and the effects of subthalamic stimulation and dopa by recording vestibular-evoked myogenic potentials. After overnight withdrawal of medication, 20 patients with Parkinson's disease with (6 men, 4 women; mean age, 64.4 ± 2.2 years) or without (8 men, 2 women; mean age, 62.7 ± 3.9 years) implanted subthalamic electrodes in different treatment conditions were compared with 10 age-matched controls (5 men, 5 women; mean age, 59.6 ± 2.4 years). Vestibular-evoked myogenic potentials were recorded by electromyographic surface electrodes applied to both sternocleidomastoid muscles (band-pass filter, 8-1600 Hz; sampling rate, 5 kHz) and averaged in response to bilateral auditory tone bursts (120 dB SPL; sine waves, 7 ms; 1000 Hz) applied through earphones. Adjusted vestibular-evoked myogenic potential amplitudes were significantly smaller in parkinsonian patients than in controls, in particular in patients without surgery. Administration of dopa, but not subthalamic stimulation, significantly increased amplitudes. Onset latencies were similar for all groups and treatment conditions. Decreased vestibular-evoked myogenic potential amplitudes in parkinsonian patients suggest reduced vestibular nuclei excitability within the brain stem, which is modulated by dopa but not by subthalamic stimulation. This suggests different pathways for the action of both treatment modalities in Parkinson's disease and may explain clinical differences in terms of postural disturbances.
CC : 002B17; 002B17G
FD : Syndrome vestibulaire; Maladie de Parkinson; Pathologie du système nerveux; Dopa; Potentiel évoqué; Réflexe
FG : Pathologie ORL; Pathologie de l'oreille interne; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Electrophysiologie
ED : Vestibular syndrome; Parkinson disease; Nervous system diseases; Dopa; Evoked potential; Reflex
EG : ENT disease; Internal ear disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Electrophysiology
SD : Vestibular síndrome; Parkinson enfermedad; Sistema nervioso patología; Dopa; Potencial evocado; Reflejo
LO : INIST-20953.354000502011860140
ID : 12-0369636

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Pascal:12-0369636

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<s0>Vestibular síndrome</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>02</s5>
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<s0>Parkinson enfermedad</s0>
<s2>NM</s2>
<s5>02</s5>
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<s0>Pathologie du système nerveux</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Dopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>09</s5>
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<fC03 i1="04" i2="X" l="ENG">
<s0>Dopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Dopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Potentiel évoqué</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Evoked potential</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Potencial evocado</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Réflexe</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Reflex</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Reflejo</s0>
<s5>11</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie ORL</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>ENT disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>ORL patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie de l'oreille interne</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Internal ear disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Oido interno patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Electrophysiologie</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Electrophysiology</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Electrofisiología</s0>
<s5>44</s5>
</fC07>
<fN21>
<s1>289</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<NO>PASCAL 12-0369636 INIST</NO>
<ET>Differential Effect of Dopa and Subthalamic Stimulation on Vestibular Activity in Parkinson's Disease</ET>
<AU>PÖTTER-NERGER (Monika); REICH (Martin M.); COLEBATCH (James G.); DEUSCHL (G.); VOLKMANN (Jens)</AU>
<AF>Department of Neurology, Christian-Albrecht-University/Kiel/Allemagne (1 aut., 2 aut., 4 aut., 5 aut.); Prince of Wales Clinical School and Medical Research Institute, University New South Wales/Sydney/Australie (3 aut.); Department of Neurology, Julius-Maximilian- University/Würzburg/Allemagne (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 10; Pp. 1268-1275; Bibl. 36 ref.</SO>
<LA>Anglais</LA>
<EA>Postural disturbances in advanced Parkinson's disease are less responsive to therapy than other cardinal motor signs. The vestibulocollic reflex represents one brain-stem neuronal circuit involved in postural adjustments. The objective of this study was to investigate the vestibulocollic reflex in parkinsonian patients and the effects of subthalamic stimulation and dopa by recording vestibular-evoked myogenic potentials. After overnight withdrawal of medication, 20 patients with Parkinson's disease with (6 men, 4 women; mean age, 64.4 ± 2.2 years) or without (8 men, 2 women; mean age, 62.7 ± 3.9 years) implanted subthalamic electrodes in different treatment conditions were compared with 10 age-matched controls (5 men, 5 women; mean age, 59.6 ± 2.4 years). Vestibular-evoked myogenic potentials were recorded by electromyographic surface electrodes applied to both sternocleidomastoid muscles (band-pass filter, 8-1600 Hz; sampling rate, 5 kHz) and averaged in response to bilateral auditory tone bursts (120 dB SPL; sine waves, 7 ms; 1000 Hz) applied through earphones. Adjusted vestibular-evoked myogenic potential amplitudes were significantly smaller in parkinsonian patients than in controls, in particular in patients without surgery. Administration of dopa, but not subthalamic stimulation, significantly increased amplitudes. Onset latencies were similar for all groups and treatment conditions. Decreased vestibular-evoked myogenic potential amplitudes in parkinsonian patients suggest reduced vestibular nuclei excitability within the brain stem, which is modulated by dopa but not by subthalamic stimulation. This suggests different pathways for the action of both treatment modalities in Parkinson's disease and may explain clinical differences in terms of postural disturbances.</EA>
<CC>002B17; 002B17G</CC>
<FD>Syndrome vestibulaire; Maladie de Parkinson; Pathologie du système nerveux; Dopa; Potentiel évoqué; Réflexe</FD>
<FG>Pathologie ORL; Pathologie de l'oreille interne; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Electrophysiologie</FG>
<ED>Vestibular syndrome; Parkinson disease; Nervous system diseases; Dopa; Evoked potential; Reflex</ED>
<EG>ENT disease; Internal ear disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Electrophysiology</EG>
<SD>Vestibular síndrome; Parkinson enfermedad; Sistema nervioso patología; Dopa; Potencial evocado; Reflejo</SD>
<LO>INIST-20953.354000502011860140</LO>
<ID>12-0369636</ID>
</server>
</inist>
</record>

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