MovDisordV3, PascalFrancis, Corpus, bibRecord, 000232

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

Identifieur interne : 000232 ( PascalFrancis/Corpus ); précédent : 000231; suivant : 000233

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

Auteurs : René Reese ; Markus O. Pinsker ; Jan Herzog ; Fritz Wodarg ; Frank Steigerwald ; Monika Potter-Nerger ; Daniela Falk ; Gunther Deuschl ; H. Maximilian Mehdorn ; Jens Volkmann

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:12-0183711

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Noyau sousthalamique, Stéréotaxie, Ciblage, Imagerie RMN, Atlas.

English descriptors

KwdEn :
- Atlas, Nervous system diseases, Nuclear magnetic resonance imaging, Parkinson disease, Stereotaxia, Subthalamic nucleus, Targeting.

Abstract

Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08	`01`	`1`	`ENG`	`@1 The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting`
A11	`01`	`1`		`@1 REESE (René)`
A11	`02`	`1`		`@1 PINSKER (Markus O.)`
A11	`03`	`1`		`@1 HERZOG (Jan)`
A11	`04`	`1`		`@1 WODARG (Fritz)`
A11	`05`	`1`		`@1 STEIGERWALD (Frank)`
A11	`06`	`1`		`@1 POTTER-NERGER (Monika)`
A11	`07`	`1`		`@1 FALK (Daniela)`
A11	`08`	`1`		`@1 DEUSCHL (Gunther)`
A11	`09`	`1`		`@1 MAXIMILIAN MEHDORN (H.)`
A11	`10`	`1`		`@1 VOLKMANN (Jens)`
A14	`01`			`@1 Department of Neurology, Christian-Albrechts-University @2 Kiel @3 DEU @Z 1 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 8 aut. @Z 10 aut.`
A14	`02`			`@1 Department of Neurosurgery, Christian-Albrechts-University @2 Kiel @3 DEU @Z 2 aut. @Z 7 aut. @Z 9 aut.`
A14	`03`			`@1 Department of Neurology, Julius-Maximilians-University @2 Würzburg @3 DEU @Z 1 aut. @Z 5 aut. @Z 10 aut.`
A20				`@1 544-548`
A21				`@1 2012`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20953 @5 354000194678450170`
A44				`@0 0000 @1 © 2012 INIST-CNRS. All rights reserved.`
A45				`@0 23 ref.`
A47	`01`	`1`		`@0 12-0183711`
A60				`@1 P @3 CC`
A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.
C02	`01`	`X`		`@0 002B17`
C02	`02`	`X`		`@0 002B25J01`
C03	`01`	`X`	`FRE`	`@0 Maladie de Parkinson @2 NM @5 01`
C03	`01`	`X`	`ENG`	`@0 Parkinson disease @2 NM @5 01`
C03	`01`	`X`	`SPA`	`@0 Parkinson enfermedad @2 NM @5 01`
C03	`02`	`X`	`FRE`	`@0 Pathologie du système nerveux @5 02`
C03	`02`	`X`	`ENG`	`@0 Nervous system diseases @5 02`
C03	`02`	`X`	`SPA`	`@0 Sistema nervioso patología @5 02`
C03	`03`	`X`	`FRE`	`@0 Noyau sousthalamique @5 09`
C03	`03`	`X`	`ENG`	`@0 Subthalamic nucleus @5 09`
C03	`03`	`X`	`SPA`	`@0 Núcleo subtalámico @5 09`
C03	`04`	`X`	`FRE`	`@0 Stéréotaxie @5 10`
C03	`04`	`X`	`ENG`	`@0 Stereotaxia @5 10`
C03	`04`	`X`	`SPA`	`@0 Estereotaxia @5 10`
C03	`05`	`X`	`FRE`	`@0 Ciblage @5 11`
C03	`05`	`X`	`ENG`	`@0 Targeting @5 11`
C03	`05`	`X`	`SPA`	`@0 Blancado @5 11`
C03	`06`	`X`	`FRE`	`@0 Imagerie RMN @5 12`
C03	`06`	`X`	`ENG`	`@0 Nuclear magnetic resonance imaging @5 12`
C03	`06`	`X`	`SPA`	`@0 Imaginería RMN @5 12`
C03	`07`	`X`	`FRE`	`@0 Atlas @5 13`
C03	`07`	`X`	`ENG`	`@0 Atlas @5 13`
C03	`07`	`X`	`SPA`	`@0 Atlas @5 13`
C07	`01`	`X`	`FRE`	`@0 Encéphale @5 37`
C07	`01`	`X`	`ENG`	`@0 Encephalon @5 37`
C07	`01`	`X`	`SPA`	`@0 Encéfalo @5 37`
C07	`02`	`X`	`FRE`	`@0 Système nerveux central @5 38`
C07	`02`	`X`	`ENG`	`@0 Central nervous system @5 38`
C07	`02`	`X`	`SPA`	`@0 Sistema nervioso central @5 38`
C07	`03`	`X`	`FRE`	`@0 Pathologie de l'encéphale @5 39`
C07	`03`	`X`	`ENG`	`@0 Cerebral disorder @5 39`
C07	`03`	`X`	`SPA`	`@0 Encéfalo patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Syndrome extrapyramidal @5 40`
C07	`04`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
C07	`04`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 40`
C07	`05`	`X`	`FRE`	`@0 Maladie dégénérative @5 41`
C07	`05`	`X`	`ENG`	`@0 Degenerative disease @5 41`
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C07	`06`	`X`	`FRE`	`@0 Pathologie du système nerveux central @5 42`
C07	`06`	`X`	`ENG`	`@0 Central nervous system disease @5 42`
C07	`06`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 42`
N21				`@1 142`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 12-0183711 INIST
ET :	The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting
AU :	REESE (René); PINSKER (Markus O.); HERZOG (Jan); WODARG (Fritz); STEIGERWALD (Frank); POTTER-NERGER (Monika); FALK (Daniela); DEUSCHL (Gunther); MAXIMILIAN MEHDORN (H.); VOLKMANN (Jens)
AF :	Department of Neurology, Christian-Albrechts-University/Kiel/Allemagne (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 8 aut., 10 aut.); Department of Neurosurgery, Christian-Albrechts-University/Kiel/Allemagne (2 aut., 7 aut., 9 aut.); Department of Neurology, Julius-Maximilians-University/Würzburg/Allemagne (1 aut., 5 aut., 10 aut.)
DT :	Publication en série; Courte communication, note brève; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 4; Pp. 544-548; Bibl. 23 ref.
LA :	Anglais
EA :	Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.
CC :	002B17; 002B25J01
FD :	Maladie de Parkinson; Pathologie du système nerveux; Noyau sousthalamique; Stéréotaxie; Ciblage; Imagerie RMN; Atlas
FG :	Encéphale; Système nerveux central; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central
ED :	Parkinson disease; Nervous system diseases; Subthalamic nucleus; Stereotaxia; Targeting; Nuclear magnetic resonance imaging; Atlas
EG :	Encephalon; Central nervous system; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD :	Parkinson enfermedad; Sistema nervioso patología; Núcleo subtalámico; Estereotaxia; Blancado; Imaginería RMN; Atlas
LO :	INIST-20953.354000194678450170
ID :	12-0183711

Links to Exploration step

Pascal:12-0183711

Le document en format XML

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<author><name sortKey="Maximilian Mehdorn, H" sort="Maximilian Mehdorn, H" uniqKey="Maximilian Mehdorn H" first="H." last="Maximilian Mehdorn">H. Maximilian Mehdorn</name>
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<author><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting</title>
<author><name sortKey="Reese, Rene" sort="Reese, Rene" uniqKey="Reese R" first="René" last="Reese">René Reese</name>
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<author><name sortKey="Pinsker, Markus O" sort="Pinsker, Markus O" uniqKey="Pinsker M" first="Markus O." last="Pinsker">Markus O. Pinsker</name>
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<author><name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<affiliation><inist:fA14 i1="01"><s1>Department of Neurology, Christian-Albrechts-University</s1>
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<author><name sortKey="Wodarg, Fritz" sort="Wodarg, Fritz" uniqKey="Wodarg F" first="Fritz" last="Wodarg">Fritz Wodarg</name>
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<author><name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name>
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<author><name sortKey="Potter Nerger, Monika" sort="Potter Nerger, Monika" uniqKey="Potter Nerger M" first="Monika" last="Potter-Nerger">Monika Potter-Nerger</name>
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<author><name sortKey="Falk, Daniela" sort="Falk, Daniela" uniqKey="Falk D" first="Daniela" last="Falk">Daniela Falk</name>
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<s3>DEU</s3>
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<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Gunther" last="Deuschl">Gunther Deuschl</name>
<affiliation><inist:fA14 i1="01"><s1>Department of Neurology, Christian-Albrechts-University</s1>
<s2>Kiel</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
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<author><name sortKey="Maximilian Mehdorn, H" sort="Maximilian Mehdorn, H" uniqKey="Maximilian Mehdorn H" first="H." last="Maximilian Mehdorn">H. Maximilian Mehdorn</name>
<affiliation><inist:fA14 i1="02"><s1>Department of Neurosurgery, Christian-Albrechts-University</s1>
<s2>Kiel</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
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</author>
<author><name sortKey="Volkmann, Jens" sort="Volkmann, Jens" uniqKey="Volkmann J" first="Jens" last="Volkmann">Jens Volkmann</name>
<affiliation><inist:fA14 i1="01"><s1>Department of Neurology, Christian-Albrechts-University</s1>
<s2>Kiel</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>10 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation><inist:fA14 i1="03"><s1>Department of Neurology, Julius-Maximilians-University</s1>
<s2>Würzburg</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>10 aut.</sZ>
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</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="2012">2012</date>
</imprint>
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<seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atlas</term>
<term>Nervous system diseases</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Parkinson disease</term>
<term>Stereotaxia</term>
<term>Subthalamic nucleus</term>
<term>Targeting</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
<term>Noyau sousthalamique</term>
<term>Stéréotaxie</term>
<term>Ciblage</term>
<term>Imagerie RMN</term>
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<front><div type="abstract" xml:lang="en">Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.</div>
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<fA11 i1="02" i2="1"><s1>PINSKER (Markus O.)</s1>
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<fA11 i1="03" i2="1"><s1>HERZOG (Jan)</s1>
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<fA11 i1="04" i2="1"><s1>WODARG (Fritz)</s1>
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<fA11 i1="05" i2="1"><s1>STEIGERWALD (Frank)</s1>
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<fA11 i1="06" i2="1"><s1>POTTER-NERGER (Monika)</s1>
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<fA11 i1="07" i2="1"><s1>FALK (Daniela)</s1>
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<fA11 i1="08" i2="1"><s1>DEUSCHL (Gunther)</s1>
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<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
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<fA14 i1="02"><s1>Department of Neurosurgery, Christian-Albrechts-University</s1>
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<sZ>9 aut.</sZ>
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<fA14 i1="03"><s1>Department of Neurology, Julius-Maximilians-University</s1>
<s2>Würzburg</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>10 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.</s0>
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<server><NO>PASCAL 12-0183711 INIST</NO>
<ET>The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting</ET>
<AU>REESE (René); PINSKER (Markus O.); HERZOG (Jan); WODARG (Fritz); STEIGERWALD (Frank); POTTER-NERGER (Monika); FALK (Daniela); DEUSCHL (Gunther); MAXIMILIAN MEHDORN (H.); VOLKMANN (Jens)</AU>
<AF>Department of Neurology, Christian-Albrechts-University/Kiel/Allemagne (1 aut., 3 aut., 4 aut., 5 aut., 6 aut., 8 aut., 10 aut.); Department of Neurosurgery, Christian-Albrechts-University/Kiel/Allemagne (2 aut., 7 aut., 9 aut.); Department of Neurology, Julius-Maximilians-University/Würzburg/Allemagne (1 aut., 5 aut., 10 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 4; Pp. 544-548; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Background: The improvement of PD motor symptoms by DBS of the STN depends on exact targeting. Methods: A combination of MRI and multitrajectory microrecordings was used for localization of the STN in a group of 228 consecutive PD patients. Results: In 1 % of our cases, the STN was consistently shifted in the anterior (3.3 ± 0.8mm) and medial (3.0 ± 0.9mm) direction within the target plane, compared to controls. Adjustment of the original target coordinates after intraoperative reevaluation of the MRI and confirmation by typical subthalamic neuronal recordings along the deviant trajectory allowed the implantation of clinically effective electrodes in all cases. The relative improvement of the motor UPDRS at 6-months follow-up in patients with an atypical and typical STN was comparable. Conclusion: An atypical position of the STN does not need to complicate DBS surgery, if detected by a combination of MRI-based targeting and electrophysiological guidance.</EA>
<CC>002B17; 002B25J01</CC>
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<FG>Encéphale; Système nerveux central; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du   système nerveux central</FG>
<ED>Parkinson disease; Nervous system diseases; Subthalamic nucleus; Stereotaxia; Targeting; Nuclear magnetic resonance imaging; Atlas</ED>
<EG>Encephalon; Central nervous system; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Sistema nervioso patología; Núcleo subtalámico; Estereotaxia; Blancado; Imaginería RMN; Atlas</SD>
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	Movement Disorders (revue)
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Movement Disorders (revue)

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

The Atypical Subthalamic Nucleus-An Anatomical Variant Relevant for Stereotactic Targeting

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