Movement Disorders (revue)

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Methods for programming and patient management with deep brain stimulation of the globus pallidus for the treatment of advanced Parkinson's disease and dystonia

Identifieur interne : 002775 ( PascalFrancis/Corpus ); précédent : 002774; suivant : 002776

Methods for programming and patient management with deep brain stimulation of the globus pallidus for the treatment of advanced Parkinson's disease and dystonia

Auteurs : Rajeev Kumar

Source :

RBID : Pascal:02-0313238

Descripteurs français

English descriptors

Abstract

Globus pallidus (GPi) deep brain stimulation can markedly improve severe medication-refractory Parkinson's disease (PD) and dystonia. Appropriate perioperative patient management can assist with electrode implantation. Optimizing stimulation settings and simultaneously adjusting medications (when appropriate) can substantially improve patient outcomes. Although there are a large number of possible stimulation settings, in clinical practice, a relatively narrow range of settings has been shown to be most efficacious. A systematic approach to determining those settings that maximally improve parkinsonism and suppress drug-induced dyskinesias is outlined following a clear algorithm that uses the observation that stimulation of the dorsal and ventral pallidum has been shown to have opposite motor effects in PD. Based on the available literature, recommendations are also made for the use of GPi deep brain stimulation in dystonia.

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 17
A06       @3 SUP3
A08 01  1  ENG  @1 Methods for programming and patient management with deep brain stimulation of the globus pallidus for the treatment of advanced Parkinson's disease and dystonia
A09 01  1  ENG  @1 Deep Brain Stimulation for Movement Disorders
A11 01  1    @1 KUMAR (Rajeev)
A12 01  1    @1 DEUSCHL (Günther) @9 ed.
A12 02  1    @1 KRACK (Paul) @9 ed.
A12 03  1    @1 VOLKMANN (Jens) @9 ed.
A14 01      @1 Colorado Neurological Institute @2 Englewood, Colorado @3 USA @Z 1 aut.
A15 01      @1 Christian-Albrechts-Universität @2 Kiel @3 DEU @Z 1 aut. @Z 3 aut.
A15 02      @1 Centre hospitalier universitaire de Grenoble @2 Grenoble @3 FRA @Z 2 aut.
A18 01  1    @1 Movement Disorder Society. European Section @3 INC @9 patr.
A20       @2 S198-S207
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000100905390290
A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 02-0313238
A60       @1 P @2 C
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Globus pallidus (GPi) deep brain stimulation can markedly improve severe medication-refractory Parkinson's disease (PD) and dystonia. Appropriate perioperative patient management can assist with electrode implantation. Optimizing stimulation settings and simultaneously adjusting medications (when appropriate) can substantially improve patient outcomes. Although there are a large number of possible stimulation settings, in clinical practice, a relatively narrow range of settings has been shown to be most efficacious. A systematic approach to determining those settings that maximally improve parkinsonism and suppress drug-induced dyskinesias is outlined following a clear algorithm that uses the observation that stimulation of the dorsal and ventral pallidum has been shown to have opposite motor effects in PD. Based on the available literature, recommendations are also made for the use of GPi deep brain stimulation in dystonia.
C02 01  X    @0 002B17G
C03 01  X  FRE  @0 Parkinson maladie @5 01
C03 01  X  ENG  @0 Parkinson disease @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @5 01
C03 02  X  FRE  @0 Dystonie @5 04
C03 02  X  ENG  @0 Dystonia @5 04
C03 02  X  SPA  @0 Distonía @5 04
C03 03  X  FRE  @0 Pallidum @5 07
C03 03  X  ENG  @0 Pallidum @5 07
C03 03  X  SPA  @0 Pallidum @5 07
C03 04  X  FRE  @0 Stimulation instrumentale @5 10
C03 04  X  ENG  @0 Instrumental stimulation @5 10
C03 04  X  SPA  @0 Estimulación instrumental @5 10
C03 05  X  FRE  @0 Programmation @5 16
C03 05  X  ENG  @0 Programming @5 16
C03 05  X  SPA  @0 Programación @5 16
C03 06  X  FRE  @0 Traitement @5 17
C03 06  X  ENG  @0 Treatment @5 17
C03 06  X  SPA  @0 Tratamiento @5 17
C03 07  X  FRE  @0 Homme @5 20
C03 07  X  ENG  @0 Human @5 20
C03 07  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Système nerveux pathologie @5 37
C07 01  X  ENG  @0 Nervous system diseases @5 37
C07 01  X  SPA  @0 Sistema nervioso patología @5 37
C07 02  X  FRE  @0 Système nerveux central pathologie @5 38
C07 02  X  ENG  @0 Central nervous system disease @5 38
C07 02  X  SPA  @0 Sistema nervosio central patología @5 38
C07 03  X  FRE  @0 Encéphale pathologie @5 39
C07 03  X  ENG  @0 Cerebral disorder @5 39
C07 03  X  SPA  @0 Encéfalo patología @5 39
C07 04  X  FRE  @0 Extrapyramidal syndrome @5 40
C07 04  X  ENG  @0 Extrapyramidal syndrome @5 40
C07 04  X  SPA  @0 Extrapiramidal síndrome @5 40
C07 05  X  FRE  @0 Maladie dégénérative @5 41
C07 05  X  ENG  @0 Degenerative disease @5 41
C07 05  X  SPA  @0 Enfermedad degenerativa @5 41
C07 06  X  FRE  @0 Muscle strié pathologie @5 45
C07 06  X  ENG  @0 Striated muscle disease @5 45
C07 06  X  SPA  @0 Músculo estriado patología @5 45
C07 07  X  FRE  @0 Trouble neurologique @5 47
C07 07  X  ENG  @0 Neurological disorder @5 47
C07 07  X  SPA  @0 Trastorno neurológico @5 47
C07 08  X  FRE  @0 Mouvement involontaire @5 48
C07 08  X  ENG  @0 Involuntary movement @5 48
C07 08  X  SPA  @0 Movimiento involuntario @5 48
C07 09  X  FRE  @0 Encéphale @5 53
C07 09  X  ENG  @0 Brain (vertebrata) @5 53
C07 09  X  SPA  @0 Encéfalo @5 53
C07 10  X  FRE  @0 Traitement instrumental @5 61
C07 10  X  ENG  @0 Instrumentation therapy @5 61
C07 10  X  SPA  @0 Tratamiento instrumental @5 61
N21       @1 175
N82       @1 PSI
pR  
A30 01  1  ENG  @1 Management of Patients with Deep Brain Stimulators. Meeting @3 Kiel DEU @4 2001-06-03

Format Inist (serveur)

NO : PASCAL 02-0313238 INIST
ET : Methods for programming and patient management with deep brain stimulation of the globus pallidus for the treatment of advanced Parkinson's disease and dystonia
AU : KUMAR (Rajeev); DEUSCHL (Günther); KRACK (Paul); VOLKMANN (Jens)
AF : Colorado Neurological Institute/Englewood, Colorado/Etats-Unis (1 aut.); Christian-Albrechts-Universität/Kiel/Allemagne (1 aut., 3 aut.); Centre hospitalier universitaire de Grenoble/Grenoble/France (2 aut.)
DT : Publication en série; Congrès; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. SUP3; S198-S207; Bibl. 21 ref.
LA : Anglais
EA : Globus pallidus (GPi) deep brain stimulation can markedly improve severe medication-refractory Parkinson's disease (PD) and dystonia. Appropriate perioperative patient management can assist with electrode implantation. Optimizing stimulation settings and simultaneously adjusting medications (when appropriate) can substantially improve patient outcomes. Although there are a large number of possible stimulation settings, in clinical practice, a relatively narrow range of settings has been shown to be most efficacious. A systematic approach to determining those settings that maximally improve parkinsonism and suppress drug-induced dyskinesias is outlined following a clear algorithm that uses the observation that stimulation of the dorsal and ventral pallidum has been shown to have opposite motor effects in PD. Based on the available literature, recommendations are also made for the use of GPi deep brain stimulation in dystonia.
CC : 002B17G
FD : Parkinson maladie; Dystonie; Pallidum; Stimulation instrumentale; Programmation; Traitement; Homme
FG : Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Muscle strié pathologie; Trouble neurologique; Mouvement involontaire; Encéphale; Traitement instrumental
ED : Parkinson disease; Dystonia; Pallidum; Instrumental stimulation; Programming; Treatment; Human
EG : Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Striated muscle disease; Neurological disorder; Involuntary movement; Brain (vertebrata); Instrumentation therapy
SD : Parkinson enfermedad; Distonía; Pallidum; Estimulación instrumental; Programación; Tratamiento; Hombre
LO : INIST-20953.354000100905390290
ID : 02-0313238

Links to Exploration step

Pascal:02-0313238

Le document en format XML

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<s0>Traitement instrumental</s0>
<s5>61</s5>
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<s0>Instrumentation therapy</s0>
<s5>61</s5>
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<s0>Tratamiento instrumental</s0>
<s5>61</s5>
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<s1>PSI</s1>
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<s1>Management of Patients with Deep Brain Stimulators. Meeting</s1>
<s3>Kiel DEU</s3>
<s4>2001-06-03</s4>
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<NO>PASCAL 02-0313238 INIST</NO>
<ET>Methods for programming and patient management with deep brain stimulation of the globus pallidus for the treatment of advanced Parkinson's disease and dystonia</ET>
<AU>KUMAR (Rajeev); DEUSCHL (Günther); KRACK (Paul); VOLKMANN (Jens)</AU>
<AF>Colorado Neurological Institute/Englewood, Colorado/Etats-Unis (1 aut.); Christian-Albrechts-Universität/Kiel/Allemagne (1 aut., 3 aut.); Centre hospitalier universitaire de Grenoble/Grenoble/France (2 aut.)</AF>
<DT>Publication en série; Congrès; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. SUP3; S198-S207; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>Globus pallidus (GPi) deep brain stimulation can markedly improve severe medication-refractory Parkinson's disease (PD) and dystonia. Appropriate perioperative patient management can assist with electrode implantation. Optimizing stimulation settings and simultaneously adjusting medications (when appropriate) can substantially improve patient outcomes. Although there are a large number of possible stimulation settings, in clinical practice, a relatively narrow range of settings has been shown to be most efficacious. A systematic approach to determining those settings that maximally improve parkinsonism and suppress drug-induced dyskinesias is outlined following a clear algorithm that uses the observation that stimulation of the dorsal and ventral pallidum has been shown to have opposite motor effects in PD. Based on the available literature, recommendations are also made for the use of GPi deep brain stimulation in dystonia.</EA>
<CC>002B17G</CC>
<FD>Parkinson maladie; Dystonie; Pallidum; Stimulation instrumentale; Programmation; Traitement; Homme</FD>
<FG>Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Muscle strié pathologie; Trouble neurologique; Mouvement involontaire; Encéphale; Traitement instrumental</FG>
<ED>Parkinson disease; Dystonia; Pallidum; Instrumental stimulation; Programming; Treatment; Human</ED>
<EG>Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Striated muscle disease; Neurological disorder; Involuntary movement; Brain (vertebrata); Instrumentation therapy</EG>
<SD>Parkinson enfermedad; Distonía; Pallidum; Estimulación instrumental; Programación; Tratamiento; Hombre</SD>
<LO>INIST-20953.354000100905390290</LO>
<ID>02-0313238</ID>
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