MovDisordV3, PascalFrancis, Corpus, bibRecord, 002338

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Identifieur interne : 002338 ( PascalFrancis/Corpus ); précédent : 002337; suivant : 002339

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Auteurs : Bechir Jarraya ; Anne-Marie Bonnet ; Charles Duyckaerts ; Jean-Luc Houetc ; Philippe Cornu ; Jean-Jacques Hauw ; Yves Agid

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0129063

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Stimulus électrique, Noyau sousthalamique, Critère sélection, Pronostic, Etude cas, Traitement instrumental, Indication, Personne âgée, Femelle.

English descriptors

KwdEn :
- Case study, Elderly, Electrical stimulus, Female, Indication, Instrumentation therapy, Parkinson disease, Prognosis, Selection criterion, Subthalamic nucleus.

Abstract

We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`01`	`1`		`@1 JARRAYA (Bechir)`
A11	`02`	`1`		`@1 BONNET (Anne-Marie)`
A11	`03`	`1`		`@1 DUYCKAERTS (Charles)`
A11	`04`	`1`		`@1 HOUETC (Jean-Luc)`
A11	`05`	`1`		`@1 CORNU (Philippe)`
A11	`06`	`1`		`@1 HAUW (Jean-Jacques)`
A11	`07`	`1`		`@1 AGID (Yves)`
A14	`01`			`@1 Fédération de Neurologie, Centre d'Investigation Clinique and Institut National de la Santé et de la Recherche Médicale (INSERM) U289, Hôpital de la Salpêtrière @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 7 aut.`
A14	`02`			`@1 Laboratoire de Neuropathologie Escourolle and INSERM U106 and U360, Hôpital de la Salpêtrière @2 Paris @3 FRA @Z 3 aut. @Z 6 aut.`
A14	`03`			`@1 Service de Neurochirurgie, Hôpital de la Salpêtrière @2 Paris @3 FRA @Z 5 aut.`
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A21				`@1 2003`
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A44				`@0 0000 @1 © 2004 INIST-CNRS. All rights reserved.`
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C01	`01`		`ENG`	@0 We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.
C02	`01`	`X`		`@0 002B26I`
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C03	`02`	`X`	`ENG`	`@0 Electrical stimulus @5 04`
C03	`02`	`X`	`SPA`	`@0 Estímulo eléctrico @5 04`
C03	`03`	`X`	`FRE`	`@0 Noyau sousthalamique @5 05`
C03	`03`	`X`	`ENG`	`@0 Subthalamic nucleus @5 05`
C03	`03`	`X`	`SPA`	`@0 Núcleo subtalámico @5 05`
C03	`04`	`X`	`FRE`	`@0 Critère sélection @5 07`
C03	`04`	`X`	`ENG`	`@0 Selection criterion @5 07`
C03	`04`	`X`	`SPA`	`@0 Criterio selección @5 07`
C03	`05`	`X`	`FRE`	`@0 Pronostic @5 16`
C03	`05`	`X`	`ENG`	`@0 Prognosis @5 16`
C03	`05`	`X`	`SPA`	`@0 Pronóstico @5 16`
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C03	`07`	`X`	`FRE`	`@0 Traitement instrumental @5 18`
C03	`07`	`X`	`ENG`	`@0 Instrumentation therapy @5 18`
C03	`07`	`X`	`SPA`	`@0 Tratamiento instrumental @5 18`
C03	`08`	`X`	`FRE`	`@0 Indication @5 19`
C03	`08`	`X`	`ENG`	`@0 Indication @5 19`
C03	`08`	`X`	`SPA`	`@0 Indicación @5 19`
C03	`09`	`X`	`FRE`	`@0 Personne âgée @5 20`
C03	`09`	`X`	`ENG`	`@0 Elderly @5 20`
C03	`09`	`X`	`SPA`	`@0 Anciano @5 20`
C03	`10`	`X`	`FRE`	`@0 Femelle @5 21`
C03	`10`	`X`	`ENG`	`@0 Female @5 21`
C03	`10`	`X`	`SPA`	`@0 Hembra @5 21`
C07	`01`	`X`	`FRE`	`@0 Homme`
C07	`01`	`X`	`ENG`	`@0 Human`
C07	`01`	`X`	`SPA`	`@0 Hombre`
C07	`02`	`X`	`FRE`	`@0 Système nerveux pathologie @5 37`
C07	`02`	`X`	`ENG`	`@0 Nervous system diseases @5 37`
C07	`02`	`X`	`SPA`	`@0 Sistema nervioso patología @5 37`
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C07	`05`	`X`	`FRE`	`@0 Extrapyramidal syndrome @5 40`
C07	`05`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
C07	`05`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 40`
C07	`06`	`X`	`FRE`	`@0 Maladie dégénérative @5 41`
C07	`06`	`X`	`ENG`	`@0 Degenerative disease @5 41`
C07	`06`	`X`	`SPA`	`@0 Enfermedad degenerativa @5 41`
C07	`07`	`X`	`FRE`	`@0 Stimulation instrumentale @5 45`
C07	`07`	`X`	`ENG`	`@0 Instrumental stimulation @5 45`
C07	`07`	`X`	`SPA`	`@0 Estimulación instrumental @5 45`
N21				`@1 082`
N82				`@1 PSI`

Format Inist (serveur)

NO :	PASCAL 04-0129063 INIST
ET :	Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study
AU :	JARRAYA (Bechir); BONNET (Anne-Marie); DUYCKAERTS (Charles); HOUETC (Jean-Luc); CORNU (Philippe); HAUW (Jean-Jacques); AGID (Yves)
AF :	Fédération de Neurologie, Centre d'Investigation Clinique and Institut National de la Santé et de la Recherche Médicale (INSERM) U289, Hôpital de la Salpêtrière/Paris/France (1 aut., 2 aut., 4 aut., 7 aut.); Laboratoire de Neuropathologie Escourolle and INSERM U106 and U360, Hôpital de la Salpêtrière/Paris/France (3 aut., 6 aut.); Service de Neurochirurgie, Hôpital de la Salpêtrière/Paris/France (5 aut.)
DT :	Publication en série; Courte communication, note brève; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 12; Pp. 1517-1520; Bibl. 12 ref.
LA :	Anglais
EA :	We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.
CC :	002B26I
FD :	Parkinson maladie; Stimulus électrique; Noyau sousthalamique; Critère sélection; Pronostic; Etude cas; Traitement instrumental; Indication; Personne âgée; Femelle
FG :	Homme; Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Stimulation instrumentale
ED :	Parkinson disease; Electrical stimulus; Subthalamic nucleus; Selection criterion; Prognosis; Case study; Instrumentation therapy; Indication; Elderly; Female
EG :	Human; Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Instrumental stimulation
SD :	Parkinson enfermedad; Estímulo eléctrico; Núcleo subtalámico; Criterio selección; Pronóstico; Estudio caso; Tratamiento instrumental; Indicación; Anciano; Hembra
LO :	INIST-20953.354000119059740130
ID :	04-0129063

Links to Exploration step

Pascal:04-0129063

Le document en format XML

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<front><div type="abstract" xml:lang="en">We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.</div>
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</fA44>
<fA45><s0>12 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>04-0129063</s0>
</fA47>
<fA60><s1>P</s1>
<s3>CC</s3>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Movement disorders</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B26I</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Parkinson maladie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Parkinson disease</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Parkinson enfermedad</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Stimulus électrique</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Electrical stimulus</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Estímulo eléctrico</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Noyau sousthalamique</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Subthalamic nucleus</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Núcleo subtalámico</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Critère sélection</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Selection criterion</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Criterio selección</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Pronostic</s0>
<s5>16</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Prognosis</s0>
<s5>16</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Pronóstico</s0>
<s5>16</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>17</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Case study</s0>
<s5>17</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>17</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Traitement instrumental</s0>
<s5>18</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Instrumentation therapy</s0>
<s5>18</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Tratamiento instrumental</s0>
<s5>18</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Indication</s0>
<s5>19</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Indication</s0>
<s5>19</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Indicación</s0>
<s5>19</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Personne âgée</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Elderly</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Anciano</s0>
<s5>20</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Femelle</s0>
<s5>21</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Female</s0>
<s5>21</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Hembra</s0>
<s5>21</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Stimulation instrumentale</s0>
<s5>45</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Instrumental stimulation</s0>
<s5>45</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Estimulación instrumental</s0>
<s5>45</s5>
</fC07>
<fN21><s1>082</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 04-0129063 INIST</NO>
<ET>Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study</ET>
<AU>JARRAYA (Bechir); BONNET (Anne-Marie); DUYCKAERTS (Charles); HOUETC (Jean-Luc); CORNU (Philippe); HAUW (Jean-Jacques); AGID (Yves)</AU>
<AF>Fédération de Neurologie, Centre d'Investigation Clinique and Institut National de la Santé et de la Recherche Médicale (INSERM) U289, Hôpital de la Salpêtrière/Paris/France (1 aut., 2 aut., 4 aut., 7 aut.); Laboratoire de Neuropathologie Escourolle and INSERM U106 and U360, Hôpital de la Salpêtrière/Paris/France (3 aut., 6 aut.); Service de Neurochirurgie, Hôpital de la Salpêtrière/Paris/France (5 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 12; Pp. 1517-1520; Bibl. 12 ref.</SO>
<LA>Anglais</LA>
<EA>We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.</EA>
<CC>002B26I</CC>
<FD>Parkinson maladie; Stimulus électrique; Noyau sousthalamique; Critère sélection; Pronostic; Etude cas; Traitement instrumental; Indication; Personne âgée; Femelle</FD>
<FG>Homme; Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Stimulation instrumentale</FG>
<ED>Parkinson disease; Electrical stimulus; Subthalamic nucleus; Selection criterion; Prognosis; Case study; Instrumentation therapy; Indication; Elderly; Female</ED>
<EG>Human; Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Instrumental stimulation</EG>
<SD>Parkinson enfermedad; Estímulo eléctrico; Núcleo subtalámico; Criterio selección; Pronóstico; Estudio caso; Tratamiento instrumental; Indicación; Anciano; Hembra</SD>
<LO>INIST-20953.354000119059740130</LO>
<ID>04-0129063</ID>
</server>
</inist>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

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