Movement Disorders (revue)

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Deep Brain Stimulation in Parkinson's Disease Following Fetal Nigral Transplantation

Identifieur interne : 001196 ( PascalFrancis/Corpus ); précédent : 001195; suivant : 001197

Deep Brain Stimulation in Parkinson's Disease Following Fetal Nigral Transplantation

Auteurs : Jan Herzog ; Oliver Pogarell ; Marcus O. Pinsker ; Andreas Kupsch ; Wolfgang H. Oertel ; Olle Lindvall ; Günther Deuschl ; Jens Volkmann

Source :

RBID : Pascal:08-0396188

Descripteurs français

English descriptors

Abstract

OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 23
A06       @2 9
A08 01  1  ENG  @1 Deep Brain Stimulation in Parkinson's Disease Following Fetal Nigral Transplantation
A11 01  1    @1 HERZOG (Jan)
A11 02  1    @1 POGARELL (Oliver)
A11 03  1    @1 PINSKER (Marcus O.)
A11 04  1    @1 KUPSCH (Andreas)
A11 05  1    @1 OERTEL (Wolfgang H.)
A11 06  1    @1 LINDVALL (Olle)
A11 07  1    @1 DEUSCHL (Günther)
A11 08  1    @1 VOLKMANN (Jens)
A14 01      @1 Department of Neurology, Christian-Albrechts-University @2 Kiel @3 DEU @Z 1 aut. @Z 7 aut. @Z 8 aut.
A14 02      @1 Department of Psychiatry, Ludwig-Maximilians-University @2 Munich @3 DEU @Z 2 aut.
A14 03      @1 Department of Neurosurgery, Christian-Albrechts-University @2 Kiel @3 DEU @Z 3 aut.
A14 04      @1 Department of Neurology, Charité Humboldt University @2 Berlin @3 DEU @Z 4 aut.
A14 05      @1 Department of Neurology, Philipps-University @2 Marburg @3 DEU @Z 5 aut.
A14 06      @1 Section of Restorative Neurology, Wallenberg Neuroscience Centre @2 Lund @3 SWE @Z 6 aut.
A20       @1 1293-1296
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000196264160160
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 15 ref.
A47 01  1    @0 08-0396188
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
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 Dyskinésie @5 02
C03 02  X  ENG  @0 Dyskinesia @5 02
C03 02  X  SPA  @0 Disquinesia @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Transplantation @5 09
C03 04  X  ENG  @0 Transplantation @5 09
C03 04  X  SPA  @0 Trasplantación @5 09
C03 05  X  FRE  @0 Stimulation cérébrale profonde @4 CD @5 96
C03 05  X  ENG  @0 Deep brain stimulation @4 CD @5 96
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Mouvement involontaire @5 42
C07 05  X  ENG  @0 Involuntary movement @5 42
C07 05  X  SPA  @0 Movimiento involuntario @5 42
C07 06  X  FRE  @0 Trouble neurologique @5 43
C07 06  X  ENG  @0 Neurological disorder @5 43
C07 06  X  SPA  @0 Trastorno neurológico @5 43
N21       @1 259
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0396188 INIST
ET : Deep Brain Stimulation in Parkinson's Disease Following Fetal Nigral Transplantation
AU : HERZOG (Jan); POGARELL (Oliver); PINSKER (Marcus O.); KUPSCH (Andreas); OERTEL (Wolfgang H.); LINDVALL (Olle); DEUSCHL (Günther); VOLKMANN (Jens)
AF : Department of Neurology, Christian-Albrechts-University/Kiel/Allemagne (1 aut., 7 aut., 8 aut.); Department of Psychiatry, Ludwig-Maximilians-University/Munich/Allemagne (2 aut.); Department of Neurosurgery, Christian-Albrechts-University/Kiel/Allemagne (3 aut.); Department of Neurology, Charité Humboldt University/Berlin/Allemagne (4 aut.); Department of Neurology, Philipps-University/Marburg/Allemagne (5 aut.); Section of Restorative Neurology, Wallenberg Neuroscience Centre/Lund/Suède (6 aut.)
DT : Publication en série; Courte communication, note brève; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 9; Pp. 1293-1296; Bibl. 15 ref.
LA : Anglais
EA : OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.
CC : 002B17; 002B17G
FD : Maladie de Parkinson; Dyskinésie; Pathologie du système nerveux; Transplantation; Stimulation cérébrale profonde
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Mouvement involontaire; Trouble neurologique
ED : Parkinson disease; Dyskinesia; Nervous system diseases; Transplantation; Deep brain stimulation
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder
SD : Parkinson enfermedad; Disquinesia; Sistema nervioso patología; Trasplantación
LO : INIST-20953.354000196264160160
ID : 08-0396188

Links to Exploration step

Pascal:08-0396188

Le document en format XML

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<div type="abstract" xml:lang="en">OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.</div>
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<s0>OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.</s0>
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<s5>01</s5>
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<fC03 i1="01" i2="X" l="ENG">
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<s5>02</s5>
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<s5>02</s5>
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<s5>02</s5>
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<s5>09</s5>
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<s5>96</s5>
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<s4>CD</s4>
<s5>96</s5>
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<s5>38</s5>
</fC07>
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<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
</fC07>
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<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>42</s5>
</fC07>
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<s0>Movimiento involuntario</s0>
<s5>42</s5>
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<s5>43</s5>
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<s0>Neurological disorder</s0>
<s5>43</s5>
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<s0>Trastorno neurológico</s0>
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<s1>259</s1>
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<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<NO>PASCAL 08-0396188 INIST</NO>
<ET>Deep Brain Stimulation in Parkinson's Disease Following Fetal Nigral Transplantation</ET>
<AU>HERZOG (Jan); POGARELL (Oliver); PINSKER (Marcus O.); KUPSCH (Andreas); OERTEL (Wolfgang H.); LINDVALL (Olle); DEUSCHL (Günther); VOLKMANN (Jens)</AU>
<AF>Department of Neurology, Christian-Albrechts-University/Kiel/Allemagne (1 aut., 7 aut., 8 aut.); Department of Psychiatry, Ludwig-Maximilians-University/Munich/Allemagne (2 aut.); Department of Neurosurgery, Christian-Albrechts-University/Kiel/Allemagne (3 aut.); Department of Neurology, Charité Humboldt University/Berlin/Allemagne (4 aut.); Department of Neurology, Philipps-University/Marburg/Allemagne (5 aut.); Section of Restorative Neurology, Wallenberg Neuroscience Centre/Lund/Suède (6 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. 9; Pp. 1293-1296; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>OFF-period dyskinesias have been reported as a consequence of fetal nigral transplantation for Parkinson disease. This type of dyskinesias may appear in patients even in the prolonged absence of antiparkinson medication and be aggravated by levodopa. Therefore, pharmacological therapeutic approaches in these patients are limited. Here we report two patients with bilateral fetal nigral grafts in the caudate and putamen subjected to deep brain stimulation (DBS) of the globus pallidus internus (GPi) or subthalamic nucleus (STN). Clinical assessment was performed according to UPDRS and the clinical dyskinesia rating scale. In both patients, we found significant improvement in OFF-period symptoms as well as levodopa-induced dyskinesias. However, only GPi-DBS led to a significant reduction of OFF-period dyskinesias whereas STN-DBS did not influence dyskinesias unrelated to external dopaminergic application. These findings, based on two case reports, highlight the pivotal role of the GPi in mediating dyskinesia-related neural activity within the basal ganglia loop.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Dyskinésie; Pathologie du système nerveux; Transplantation; Stimulation cérébrale profonde</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Mouvement involontaire; Trouble neurologique</FG>
<ED>Parkinson disease; Dyskinesia; Nervous system diseases; Transplantation; Deep brain stimulation</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder</EG>
<SD>Parkinson enfermedad; Disquinesia; Sistema nervioso patología; Trasplantación</SD>
<LO>INIST-20953.354000196264160160</LO>
<ID>08-0396188</ID>
</server>
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