MovDisordV3, PascalFrancis, Corpus, bibRecord, 001107

Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome

Identifieur interne : 001107 ( PascalFrancis/Corpus ); précédent : 001106; suivant : 001108

Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome

Auteurs : Christian K. E. Moll ; Wolfgang Hamel ; Christoph B. Ostertag ; Dieter Müller ; Jiirgen Finsterbusch ; Andreas K. Engel ; Alexander Münchau

Source :

Movement disorders [ 0885-3185 ] ; 2008.

RBID : Pascal:08-0487390

Descripteurs français

Pascal (Inist)
- Dystonie, Pathologie du système nerveux, Etude cas, Pronostic, Noyau sousthalamique, Imagerie RMN.

English descriptors

KwdEn :
- Case study, Dystonia, Nervous system diseases, Nuclear magnetic resonance imaging, Prognosis, Subthalamic nucleus.

Abstract

Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03		`1`		`@0 Mov. disord.`
A05				`@2 23`
A06				`@2 12`
A08	`01`	`1`	`ENG`	`@1 Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome`
A11	`01`	`1`		`@1 MOLL (Christian K. E.)`
A11	`02`	`1`		`@1 HAMEL (Wolfgang)`
A11	`03`	`1`		`@1 OSTERTAG (Christoph B.)`
A11	`04`	`1`		`@1 MÜLLER (Dieter)`
A11	`05`	`1`		`@1 FINSTERBUSCH (Jiirgen)`
A11	`06`	`1`		`@1 ENGEL (Andreas K.)`
A11	`07`	`1`		`@1 MÜNCHAU (Alexander)`
A14	`01`			`@1 Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf @2 Hamburg @3 DEU @Z 1 aut. @Z 6 aut.`
A14	`02`			`@1 Department of Neurosurgery, University Medical Center Hamburg-Eppendorf @2 Hamburg @3 DEU @Z 2 aut. @Z 4 aut.`
A14	`03`			`@1 Department of Stereotactic and Functional Neurosurgery, University-Hospital Freiburg @2 Freiburg @3 DEU @Z 3 aut.`
A14	`04`			`@1 Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf @2 Hamburg @3 DEU @Z 5 aut.`
A14	`05`			`@1 Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lubeck @3 DEU @Z 5 aut.`
A14	`06`			`@1 Department of Neurology, University Medical Center Hamburg-Eppendorf @2 Hamburg @3 DEU @Z 7 aut.`
A20				`@1 1751-1756`
A21				`@1 2008`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20953 @5 354000196067980170`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
A45				`@0 27 ref.`
A47	`01`	`1`		`@0 08-0487390`
A60				`@1 P @3 CC`
A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.
C02	`01`	`X`		`@0 002B17`
C02	`02`	`X`		`@0 002B17H`
C03	`01`	`X`	`FRE`	`@0 Dystonie @5 01`
C03	`01`	`X`	`ENG`	`@0 Dystonia @5 01`
C03	`01`	`X`	`SPA`	`@0 Distonía @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 Etude cas @5 09`
C03	`03`	`X`	`ENG`	`@0 Case study @5 09`
C03	`03`	`X`	`SPA`	`@0 Estudio caso @5 09`
C03	`04`	`X`	`FRE`	`@0 Pronostic @5 10`
C03	`04`	`X`	`ENG`	`@0 Prognosis @5 10`
C03	`04`	`X`	`SPA`	`@0 Pronóstico @5 10`
C03	`05`	`X`	`FRE`	`@0 Noyau sousthalamique @5 11`
C03	`05`	`X`	`ENG`	`@0 Subthalamic nucleus @5 11`
C03	`05`	`X`	`SPA`	`@0 Núcleo subtalámico @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`
C07	`01`	`X`	`FRE`	`@0 Syndrome extrapyramidal @5 37`
C07	`01`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 37`
C07	`01`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 37`
C07	`02`	`X`	`FRE`	`@0 Mouvement involontaire @5 38`
C07	`02`	`X`	`ENG`	`@0 Involuntary movement @5 38`
C07	`02`	`X`	`SPA`	`@0 Movimiento involuntario @5 38`
C07	`03`	`X`	`FRE`	`@0 Pathologie du muscle strié @5 39`
C07	`03`	`X`	`ENG`	`@0 Striated muscle disease @5 39`
C07	`03`	`X`	`SPA`	`@0 Músculo estriado patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Trouble neurologique @5 41`
C07	`04`	`X`	`ENG`	`@0 Neurological disorder @5 41`
C07	`04`	`X`	`SPA`	`@0 Trastorno neurológico @5 41`
C07	`05`	`X`	`FRE`	`@0 Encéphale @5 42`
C07	`05`	`X`	`ENG`	`@0 Encephalon @5 42`
C07	`05`	`X`	`SPA`	`@0 Encéfalo @5 42`
C07	`06`	`X`	`FRE`	`@0 Système nerveux central @5 43`
C07	`06`	`X`	`ENG`	`@0 Central nervous system @5 43`
C07	`06`	`X`	`SPA`	`@0 Sistema nervioso central @5 43`
C07	`07`	`X`	`FRE`	`@0 Pathologie de l'encéphale @5 44`
C07	`07`	`X`	`ENG`	`@0 Cerebral disorder @5 44`
C07	`07`	`X`	`SPA`	`@0 Encéfalo patología @5 44`
C07	`08`	`X`	`FRE`	`@0 Pathologie du système nerveux central @5 45`
C07	`08`	`X`	`ENG`	`@0 Central nervous system disease @5 45`
C07	`08`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 45`
N21				`@1 316`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 08-0487390 INIST
ET :	Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome
AU :	MOLL (Christian K. E.); HAMEL (Wolfgang); OSTERTAG (Christoph B.); MÜLLER (Dieter); FINSTERBUSCH (Jiirgen); ENGEL (Andreas K.); MÜNCHAU (Alexander)
AF :	Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (1 aut., 6 aut.); Department of Neurosurgery, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (2 aut., 4 aut.); Department of Stereotactic and Functional Neurosurgery, University-Hospital Freiburg/Freiburg/Allemagne (3 aut.); Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (5 aut.); Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lubeck/Allemagne (5 aut.); Department of Neurology, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (7 aut.)
DT :	Publication en série; Courte communication, note brève; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 12; Pp. 1751-1756; Bibl. 27 ref.
LA :	Anglais
EA :	Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.
CC :	002B17; 002B17H
FD :	Dystonie; Pathologie du système nerveux; Etude cas; Pronostic; Noyau sousthalamique; Imagerie RMN
FG :	Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Encéphale; Système nerveux central; Pathologie de l'encéphale; Pathologie du système nerveux central
ED :	Dystonia; Nervous system diseases; Case study; Prognosis; Subthalamic nucleus; Nuclear magnetic resonance imaging
EG :	Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Encephalon; Central nervous system; Cerebral disorder; Central nervous system disease
SD :	Distonía; Sistema nervioso patología; Estudio caso; Pronóstico; Núcleo subtalámico; Imaginería RMN
LO :	INIST-20953.354000196067980170
ID :	08-0487390

Links to Exploration step

Pascal:08-0487390

Le document en format XML

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<author><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name>
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<front><div type="abstract" xml:lang="en">Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.</div>
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<fA14 i1="01"><s1>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
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<fA14 i1="02"><s1>Department of Neurosurgery, University Medical Center Hamburg-Eppendorf</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
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<fA14 i1="03"><s1>Department of Stereotactic and Functional Neurosurgery, University-Hospital Freiburg</s1>
<s2>Freiburg</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lubeck</s1>
<s3>DEU</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Department of Neurology, University Medical Center Hamburg-Eppendorf</s1>
<s2>Hamburg</s2>
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<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B17H</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Dystonie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Dystonia</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Distonía</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Pathologie du   système nerveux</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Case study</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Pronostic</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Prognosis</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Pronóstico</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Noyau sousthalamique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Subthalamic nucleus</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Núcleo subtalámico</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Imagerie RMN</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Nuclear magnetic resonance imaging</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Imaginería RMN</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie du muscle strié</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Striated muscle disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Músculo estriado patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Encéphale</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Encephalon</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Encéfalo</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Central nervous system</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Sistema nervioso central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Pathologie du   système nerveux central</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>45</s5>
</fC07>
<fN21><s1>316</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 08-0487390 INIST</NO>
<ET>Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome</ET>
<AU>MOLL (Christian K. E.); HAMEL (Wolfgang); OSTERTAG (Christoph B.); MÜLLER (Dieter); FINSTERBUSCH (Jiirgen); ENGEL (Andreas K.); MÜNCHAU (Alexander)</AU>
<AF>Department of Neurophysiology and Pathophysiology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (1 aut., 6 aut.); Department of Neurosurgery, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (2 aut., 4 aut.); Department of Stereotactic and Functional Neurosurgery, University-Hospital Freiburg/Freiburg/Allemagne (3 aut.); Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (5 aut.); Neuroimage Nord, University Medical Centers Hamburg-Kiel-Lubeck/Allemagne (5 aut.); Department of Neurology, University Medical Center Hamburg-Eppendorf/Hamburg/Allemagne (7 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 12; Pp. 1751-1756; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>Here we report a 63-year-old woman with primary cervical dystonia (CD) whose symptoms subsided for more than 30 years following a unilateral stereotactic subthalamotomy contralateral to the overactive left sternocleidomastoid muscle but then gradually recurred over a period of several months. The aim of the present study was to correlate the topography of the stereotactic lesion with the long lasting therapeutic effect. High-resolution magnetic resonance imaging and subsequent stereotactic analysis were performed to determine the anatomical localization of the lesion. The primary coagulation focus comprised the posterior subthalamic white matter in the prelemniscal radiation and field H of Forel. Neighboring structures were implicated to various extents. It is suggested that the posterior subthalamic area, with its abundance of interconnecting fibers and related nuclei, represents an effective target for the neurosurgical treatment of CD that may be explored further with deep brain stimulation.</EA>
<CC>002B17; 002B17H</CC>
<FD>Dystonie; Pathologie du   système nerveux; Etude cas; Pronostic; Noyau sousthalamique; Imagerie RMN</FD>
<FG>Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Encéphale; Système nerveux central; Pathologie de l'encéphale; Pathologie du système nerveux central</FG>
<ED>Dystonia; Nervous system diseases; Case study; Prognosis; Subthalamic nucleus; Nuclear magnetic resonance imaging</ED>
<EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Encephalon; Central nervous system; Cerebral disorder; Central nervous system disease</EG>
<SD>Distonía; Sistema nervioso patología; Estudio caso; Pronóstico; Núcleo subtalámico; Imaginería RMN</SD>
<LO>INIST-20953.354000196067980170</LO>
<ID>08-0487390</ID>
</server>
</inist>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome

Subthalamotomy in Cervical Dystonia : A Case Study of Lesion Location and Clinical Outcome

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