Movement Disorders (revue)

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GPi-DBS in Huntington's Disease : Results on Motor Function and Cognition in a 72-Year-Old Case

Identifieur interne : 001197 ( PascalFrancis/Corpus ); précédent : 001196; suivant : 001198

GPi-DBS in Huntington's Disease : Results on Motor Function and Cognition in a 72-Year-Old Case

Auteurs : Alfonso Fasano ; Paolo Mazzone ; Carla Piano ; Davide Quaranta ; Francesco Soleti ; Anna Rita Bentivoglio

Source :

RBID : Pascal:08-0396186

Descripteurs français

English descriptors

Abstract

Huntington's disease (HD) produces debilitating motor abnormalities that are poorly responsive to medical therapy. Deep brain stimulation (DBS) of the posteroventral globus pallidus internus (GPi) may offer a treatment option for patients with diskinetic phenotype and minimal cognitive impairment, but its role in the management of HD remains unclear and to date only two cases have been reported. We report the outcome of GPi-DBS in a 72-year-old man with HD. Stimulation at 130 Hz caused a rapid amelioration of chorea producing the worsening of bradykinesia, whereas 40 Hz stimulation (maintaining constant the total electrical energy delivered) improved chorea while preserving the ability to walk. At 1-year follow-up, chorea has completely disappeared; however, the patient was unable to stand and walk. The cognitive profile showed a progressive deterioration, with an extension of deficit from the mainly dysexecutive alterations at baseline to a more diffused cognitive deterioration.

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 GPi-DBS in Huntington's Disease : Results on Motor Function and Cognition in a 72-Year-Old Case
A11 01  1    @1 FASANO (Alfonso)
A11 02  1    @1 MAZZONE (Paolo)
A11 03  1    @1 PIANO (Carla)
A11 04  1    @1 QUARANTA (Davide)
A11 05  1    @1 SOLETI (Francesco)
A11 06  1    @1 BENTIVOGLIO (Anna Rita)
A14 01      @1 Istituto di Neurologia, Universitd Cattolica del Sacro Cuore @2 Roma @3 ITA @Z 1 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.
A14 02      @1 Neurochirurgia Funzionale e Stereotassica, CTO "Alesini" @2 Roma @3 ITA @Z 2 aut.
A20       @1 1289-1293
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000196264160150
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 15 ref.
A47 01  1    @0 08-0396186
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Huntington's disease (HD) produces debilitating motor abnormalities that are poorly responsive to medical therapy. Deep brain stimulation (DBS) of the posteroventral globus pallidus internus (GPi) may offer a treatment option for patients with diskinetic phenotype and minimal cognitive impairment, but its role in the management of HD remains unclear and to date only two cases have been reported. We report the outcome of GPi-DBS in a 72-year-old man with HD. Stimulation at 130 Hz caused a rapid amelioration of chorea producing the worsening of bradykinesia, whereas 40 Hz stimulation (maintaining constant the total electrical energy delivered) improved chorea while preserving the ability to walk. At 1-year follow-up, chorea has completely disappeared; however, the patient was unable to stand and walk. The cognitive profile showed a progressive deterioration, with an extension of deficit from the mainly dysexecutive alterations at baseline to a more diffused cognitive deterioration.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Chorée de Huntington @5 01
C03 01  X  ENG  @0 Huntington disease @5 01
C03 01  X  SPA  @0 Corea Huntington @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 Cognition @5 09
C03 03  X  ENG  @0 Cognition @5 09
C03 03  X  SPA  @0 Cognición @5 09
C03 04  X  FRE  @0 Chirurgie @5 10
C03 04  X  ENG  @0 Surgery @5 10
C03 04  X  SPA  @0 Cirugía @5 10
C03 05  X  FRE  @0 Traitement @5 11
C03 05  X  ENG  @0 Treatment @5 11
C03 05  X  SPA  @0 Tratamiento @5 11
C03 06  X  FRE  @0 Stimulation cérébrale profonde @4 CD @5 96
C03 06  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 Maladie héréditaire @5 40
C07 04  X  ENG  @0 Genetic disease @5 40
C07 04  X  SPA  @0 Enfermedad hereditaria @5 40
C07 05  X  FRE  @0 Pathologie du système nerveux central @5 41
C07 05  X  ENG  @0 Central nervous system disease @5 41
C07 05  X  SPA  @0 Sistema nervosio central patología @5 41
N21       @1 259
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0396186 INIST
ET : GPi-DBS in Huntington's Disease : Results on Motor Function and Cognition in a 72-Year-Old Case
AU : FASANO (Alfonso); MAZZONE (Paolo); PIANO (Carla); QUARANTA (Davide); SOLETI (Francesco); BENTIVOGLIO (Anna Rita)
AF : Istituto di Neurologia, Universitd Cattolica del Sacro Cuore/Roma/Italie (1 aut., 3 aut., 4 aut., 5 aut., 6 aut.); Neurochirurgia Funzionale e Stereotassica, CTO "Alesini"/Roma/Italie (2 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. 1289-1293; Bibl. 15 ref.
LA : Anglais
EA : Huntington's disease (HD) produces debilitating motor abnormalities that are poorly responsive to medical therapy. Deep brain stimulation (DBS) of the posteroventral globus pallidus internus (GPi) may offer a treatment option for patients with diskinetic phenotype and minimal cognitive impairment, but its role in the management of HD remains unclear and to date only two cases have been reported. We report the outcome of GPi-DBS in a 72-year-old man with HD. Stimulation at 130 Hz caused a rapid amelioration of chorea producing the worsening of bradykinesia, whereas 40 Hz stimulation (maintaining constant the total electrical energy delivered) improved chorea while preserving the ability to walk. At 1-year follow-up, chorea has completely disappeared; however, the patient was unable to stand and walk. The cognitive profile showed a progressive deterioration, with an extension of deficit from the mainly dysexecutive alterations at baseline to a more diffused cognitive deterioration.
CC : 002B17; 002B17G
FD : Chorée de Huntington; Pathologie du système nerveux; Cognition; Chirurgie; Traitement; Stimulation cérébrale profonde
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Maladie héréditaire; Pathologie du système nerveux central
ED : Huntington disease; Nervous system diseases; Cognition; Surgery; Treatment; Deep brain stimulation
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Genetic disease; Central nervous system disease
SD : Corea Huntington; Sistema nervioso patología; Cognición; Cirugía; Tratamiento
LO : INIST-20953.354000196264160150
ID : 08-0396186

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Pascal:08-0396186

Le document en format XML

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<div type="abstract" xml:lang="en">Huntington's disease (HD) produces debilitating motor abnormalities that are poorly responsive to medical therapy. Deep brain stimulation (DBS) of the posteroventral globus pallidus internus (GPi) may offer a treatment option for patients with diskinetic phenotype and minimal cognitive impairment, but its role in the management of HD remains unclear and to date only two cases have been reported. We report the outcome of GPi-DBS in a 72-year-old man with HD. Stimulation at 130 Hz caused a rapid amelioration of chorea producing the worsening of bradykinesia, whereas 40 Hz stimulation (maintaining constant the total electrical energy delivered) improved chorea while preserving the ability to walk. At 1-year follow-up, chorea has completely disappeared; however, the patient was unable to stand and walk. The cognitive profile showed a progressive deterioration, with an extension of deficit from the mainly dysexecutive alterations at baseline to a more diffused cognitive deterioration.</div>
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<s5>39</s5>
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<s5>40</s5>
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<NO>PASCAL 08-0396186 INIST</NO>
<ET>GPi-DBS in Huntington's Disease : Results on Motor Function and Cognition in a 72-Year-Old Case</ET>
<AU>FASANO (Alfonso); MAZZONE (Paolo); PIANO (Carla); QUARANTA (Davide); SOLETI (Francesco); BENTIVOGLIO (Anna Rita)</AU>
<AF>Istituto di Neurologia, Universitd Cattolica del Sacro Cuore/Roma/Italie (1 aut., 3 aut., 4 aut., 5 aut., 6 aut.); Neurochirurgia Funzionale e Stereotassica, CTO "Alesini"/Roma/Italie (2 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. 1289-1293; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>Huntington's disease (HD) produces debilitating motor abnormalities that are poorly responsive to medical therapy. Deep brain stimulation (DBS) of the posteroventral globus pallidus internus (GPi) may offer a treatment option for patients with diskinetic phenotype and minimal cognitive impairment, but its role in the management of HD remains unclear and to date only two cases have been reported. We report the outcome of GPi-DBS in a 72-year-old man with HD. Stimulation at 130 Hz caused a rapid amelioration of chorea producing the worsening of bradykinesia, whereas 40 Hz stimulation (maintaining constant the total electrical energy delivered) improved chorea while preserving the ability to walk. At 1-year follow-up, chorea has completely disappeared; however, the patient was unable to stand and walk. The cognitive profile showed a progressive deterioration, with an extension of deficit from the mainly dysexecutive alterations at baseline to a more diffused cognitive deterioration.</EA>
<CC>002B17; 002B17G</CC>
<FD>Chorée de Huntington; Pathologie du système nerveux; Cognition; Chirurgie; Traitement; Stimulation cérébrale profonde</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Maladie héréditaire; Pathologie du système nerveux central</FG>
<ED>Huntington disease; Nervous system diseases; Cognition; Surgery; Treatment; Deep brain stimulation</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Genetic disease; Central nervous system disease</EG>
<SD>Corea Huntington; Sistema nervioso patología; Cognición; Cirugía; Tratamiento</SD>
<LO>INIST-20953.354000196264160150</LO>
<ID>08-0396186</ID>
</server>
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