MovDisordV3, PascalFrancis, Corpus, bibRecord, 001B03

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Identifieur interne : 001B03 ( PascalFrancis/Corpus ); précédent : 001B02; suivant : 001B04

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Auteurs : Andre Machado ; Ali R. Rezai ; Brian H. Kopell ; Robert E. Gross ; Ashwini D. Sharan ; Alim-Louis Benabid

Source :

Movement disorders [ 0885-3185 ] ; 2006.

RBID : Pascal:06-0363506

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Parkinson maladie, Chirurgie, Technique, Périopératoire, Conduite à tenir, Neuromodulation, Stimulation cérébrale profonde.

English descriptors

KwdEn :
- Clinical management, Deep brain stimulation, Nervous system diseases, Neuromodulation, Parkinson disease, Perioperative, Surgery, Technique.

Abstract

Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A09	`01`	`1`	`ENG`	`@1 Deep brain stimulation for Parkinson's disease`
A11	`01`	`1`		`@1 MACHADO (Andre)`
A11	`02`	`1`		`@1 REZAI (Ali R.)`
A11	`03`	`1`		`@1 KOPELL (Brian H.)`
A11	`04`	`1`		`@1 GROSS (Robert E.)`
A11	`05`	`1`		`@1 SHARAN (Ashwini D.)`
A11	`06`	`1`		`@1 BENABID (Alim-Louis)`
A12	`01`	`1`		`@1 LANG (Anthony E.) @9 ed.`
A12	`02`	`1`		`@1 DEUSCHL (Günther) @9 ed.`
A12	`03`	`1`		`@1 REZAI (Ali R.) @9 ed.`
A14	`01`			`@1 Center for Neurological Restoration, Department of Neurosurgery, Cleveland Clinic Foundation @2 Cleveland, Ohio @3 USA @Z 1 aut. @Z 2 aut.`
A14	`02`			`@1 Department of Neurosurgery, Medical College of Wisconsin and Clement J. Zablocki VA Medical Center @2 Milwaukee, Wisconsin @3 USA @Z 3 aut.`
A14	`03`			`@1 Department of Neurology, Emory University @2 Atlanta, Georgia @3 USA @Z 4 aut.`
A14	`04`			`@1 Department of Neurosurgery, Thomas Jefferson University @2 Philadelphia, Pennsylvania @3 USA @Z 5 aut.`
A14	`05`			`@1 Functional and Stereotactic Neurosurgery, Joseph Fourier University @2 Grenoble @3 FRA @Z 6 aut.`
A15	`01`			`@1 Division of Neurology, Department of Medicine, University of Toronto, and Toronto Western Hospital @2 Toronto, Ontario @3 CAN @Z 1 aut.`
A15	`02`			`@1 Neurology Department, Christian-Albrechts-Universität Kiel @2 Kiel @3 DEU @Z 2 aut.`
A15	`03`			`@1 Department of Neurosurgery, Cleveland Clinic Foundation @2 Cleveland, Ohio @3 USA @Z 3 aut.`
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C01	`01`		`ENG`	@0 Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.
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C03	`01`	`X`	`FRE`	`@0 Système nerveux pathologie @5 01`
C03	`01`	`X`	`ENG`	`@0 Nervous system diseases @5 01`
C03	`01`	`X`	`SPA`	`@0 Sistema nervioso patología @5 01`
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C03	`02`	`X`	`ENG`	`@0 Parkinson disease @5 02`
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C03	`03`	`X`	`ENG`	`@0 Surgery @5 09`
C03	`03`	`X`	`SPA`	`@0 Cirugía @5 09`
C03	`04`	`X`	`FRE`	`@0 Technique @5 10`
C03	`04`	`X`	`ENG`	`@0 Technique @5 10`
C03	`04`	`X`	`SPA`	`@0 Técnica @5 10`
C03	`05`	`X`	`FRE`	`@0 Périopératoire @5 11`
C03	`05`	`X`	`ENG`	`@0 Perioperative @5 11`
C03	`05`	`X`	`SPA`	`@0 Perioperatorio @5 11`
C03	`06`	`X`	`FRE`	`@0 Conduite à tenir @5 12`
C03	`06`	`X`	`ENG`	`@0 Clinical management @5 12`
C03	`06`	`X`	`SPA`	`@0 Actitud médica @5 12`
C03	`07`	`X`	`FRE`	`@0 Neuromodulation @5 13`
C03	`07`	`X`	`ENG`	`@0 Neuromodulation @5 13`
C03	`07`	`X`	`SPA`	`@0 Neuromodulación @5 13`
C03	`08`	`X`	`FRE`	`@0 Stimulation cérébrale profonde @4 CD @5 96`
C03	`08`	`X`	`ENG`	`@0 Deep brain stimulation @4 CD @5 96`
C07	`01`	`X`	`FRE`	`@0 Encéphale pathologie @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 Extrapyramidal syndrome @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 Système nerveux central pathologie @5 40`
C07	`04`	`X`	`ENG`	`@0 Central nervous system disease @5 40`
C07	`04`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 40`
N21				`@1 240`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 06-0363506 INIST
ET :	Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management
AU :	MACHADO (Andre); REZAI (Ali R.); KOPELL (Brian H.); GROSS (Robert E.); SHARAN (Ashwini D.); BENABID (Alim-Louis); LANG (Anthony E.); DEUSCHL (Günther); REZAI (Ali R.)
AF :	Center for Neurological Restoration, Department of Neurosurgery, Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis (1 aut., 2 aut.); Department of Neurosurgery, Medical College of Wisconsin and Clement J. Zablocki VA Medical Center/Milwaukee, Wisconsin/Etats-Unis (3 aut.); Department of Neurology, Emory University/Atlanta, Georgia/Etats-Unis (4 aut.); Department of Neurosurgery, Thomas Jefferson University/Philadelphia, Pennsylvania/Etats-Unis (5 aut.); Functional and Stereotactic Neurosurgery, Joseph Fourier University/Grenoble/France (6 aut.); Division of Neurology, Department of Medicine, University of Toronto, and Toronto Western Hospital/Toronto, Ontario/Canada (1 aut.); Neurology Department, Christian-Albrechts-Universität Kiel/Kiel/Allemagne (2 aut.); Department of Neurosurgery, Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis (3 aut.)
DT :	Publication en série; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. SUP14; S247-S258; Bibl. 47 ref.
LA :	Anglais
EA :	Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.
CC :	002B17; 002B17G; 002B17A03
FD :	Système nerveux pathologie; Parkinson maladie; Chirurgie; Technique; Périopératoire; Conduite à tenir; Neuromodulation; Stimulation cérébrale profonde
FG :	Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED :	Nervous system diseases; Parkinson disease; Surgery; Technique; Perioperative; Clinical management; Neuromodulation; Deep brain stimulation
EG :	Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD :	Sistema nervioso patología; Parkinson enfermedad; Cirugía; Técnica; Perioperatorio; Actitud médica; Neuromodulación
LO :	INIST-20953.354000138860730050
ID :	06-0363506

Links to Exploration step

Pascal:06-0363506

Le document en format XML

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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</div>
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<fA14 i1="03"><s1>Department of Neurology, Emory University</s1>
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<fA14 i1="04"><s1>Department of Neurosurgery, Thomas Jefferson University</s1>
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<fA14 i1="05"><s1>Functional and Stereotactic Neurosurgery, Joseph Fourier University</s1>
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<fA15 i1="01"><s1>Division of Neurology, Department of Medicine, University of Toronto, and Toronto Western Hospital</s1>
<s2>Toronto, Ontario</s2>
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<fA15 i1="02"><s1>Neurology Department, Christian-Albrechts-Universität Kiel</s1>
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<fA15 i1="03"><s1>Department of Neurosurgery, Cleveland Clinic Foundation</s1>
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<fC01 i1="01" l="ENG"><s0>Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</s0>
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<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Parkinson disease</s0>
<s5>02</s5>
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<s5>02</s5>
</fC03>
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<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Surgery</s0>
<s5>09</s5>
</fC03>
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<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Technique</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Technique</s0>
<s5>10</s5>
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<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Périopératoire</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Perioperative</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Perioperatorio</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Conduite à tenir</s0>
<s5>12</s5>
</fC03>
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<s5>12</s5>
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<fC03 i1="07" i2="X" l="SPA"><s0>Neuromodulación</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Stimulation cérébrale profonde</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Deep brain stimulation</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Système nerveux central pathologie</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>
<fN21><s1>240</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
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<fN82><s1>OTO</s1>
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<ET>Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management</ET>
<AU>MACHADO (Andre); REZAI (Ali R.); KOPELL (Brian H.); GROSS (Robert E.); SHARAN (Ashwini D.); BENABID (Alim-Louis); LANG (Anthony E.); DEUSCHL (Günther); REZAI (Ali R.)</AU>
<AF>Center for Neurological Restoration, Department of Neurosurgery, Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis (1 aut., 2 aut.); Department of Neurosurgery, Medical College of Wisconsin and Clement J. Zablocki VA Medical Center/Milwaukee, Wisconsin/Etats-Unis (3 aut.); Department of Neurology, Emory University/Atlanta, Georgia/Etats-Unis (4 aut.); Department of Neurosurgery, Thomas Jefferson University/Philadelphia, Pennsylvania/Etats-Unis (5 aut.); Functional and Stereotactic Neurosurgery, Joseph Fourier University/Grenoble/France (6 aut.); Division of Neurology, Department of Medicine, University of Toronto, and Toronto Western Hospital/Toronto, Ontario/Canada (1 aut.); Neurology Department, Christian-Albrechts-Universität Kiel/Kiel/Allemagne (2 aut.); Department of Neurosurgery, Cleveland Clinic Foundation/Cleveland, Ohio/Etats-Unis (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. SUP14; S247-S258; Bibl. 47 ref.</SO>
<LA>Anglais</LA>
<EA>Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in achieving good outcomes. Differential diagnosis should be emphasized as well as neurological and nonneurological comorbidities. Good response to a levodopa challenge is an important predictor of favorable long-term outcomes. The DBS surgery is typically performed in an awake patient and involves stereotactic frame application, CT/MRI imaging, anatomical targeting, physiological confirmation, and implantation of the DBS lead and pulse generator. Anatomical targeting consists of direct visualization of the target in MR images, formula-derived coordinates based on the anterior and posterior commissures, and reformatted anatomical stereotactic atlases. Physiological verification is achieved most commonly via microelectrode recording followed by implantation of the DBS lead and intraoperative test stimulation to assess benefits and side effects. The various aspects of DBS surgery will be presented.</EA>
<CC>002B17; 002B17G; 002B17A03</CC>
<FD>Système nerveux pathologie; Parkinson maladie; Chirurgie; Technique; Périopératoire; Conduite à tenir; Neuromodulation; Stimulation cérébrale profonde</FD>
<FG>Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Parkinson disease; Surgery; Technique; Perioperative; Clinical management; Neuromodulation; Deep brain stimulation</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Cirugía; Técnica; Perioperatorio; Actitud médica; Neuromodulación</SD>
<LO>INIST-20953.354000138860730050</LO>
<ID>06-0363506</ID>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

Deep brain stimulation for Parkinson's disease : Surgical technique and perioperative management

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