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 : 001198GPi-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 BentivoglioSource :
- Movement disorders [ 0885-3185 ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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 |
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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 |
Links to Exploration step
Pascal:08-0396186Le document en format XML
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<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>
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<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>
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