Postoperative management of Vim DBS for tremor
Identifieur interne :
000522 ( PascalFrancis/Curation );
précédent :
000521;
suivant :
000523
Postoperative management of Vim DBS for tremor
Auteurs : Patricia Dowsey-Limousin [
Royaume-Uni]
Source :
-
Movement disorders [ 0885-3185 ] ; 2002.
RBID : Pascal:02-0309298
Descripteurs français
English descriptors
Abstract
Stimulation of the ventralis intermedius (Vim) is a treatment of severe tremor from various origins. The adjustment of electrical parameters is done when the lesion-like effects of the implant disappear. Each contact is assessed successively, by using a constant pulse width of 60 μsec and a frequency of 130 Hz or above and progressively increasing the voltage. At the same time, the tremor and possible side effects are monitored. The most frequent side effects are paresthesias, dysarthria, muscle contractions related to stimulation of the pyramidal tract, and cerebellar syndrome. Medications have to be adjusted slowly, and often, particularly in case of Parkinson's disease, it is difficult to decrease the dosage. It is important to teach the patient to switch the stimulator on or off and check that it is working. Patients need to be seen within the 3 months after implant, then occasionally according to the effect. In the long-term, some patients will develop some rebound of tremor when they switch off and/or some tolerance to the effect of the stimulator, which can be difficult to manage, In case of Parkinson's disease, motor fluctuations and dyskinesias, that does not respond to Vim stimulation, can occur.
| pA |
| A01 | 01 | 1 | | @0 0885-3185 |
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| A03 | | 1 | | @0 Mov. disord. |
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| A05 | | | | @2 17 |
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| A06 | | | | @3 SUP3 |
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| A08 | 01 | 1 | ENG | @1 Postoperative management of Vim DBS for tremor |
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| A09 | 01 | 1 | ENG | @1 Deep Brain Stimulation for Movement Disorders |
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| A11 | 01 | 1 | | @1 DOWSEY-LIMOUSIN (Patricia) |
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| A12 | 01 | 1 | | @1 DEUSCHL (Günther) @9 ed. |
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| A12 | 02 | 1 | | @1 KRACK (Paul) @9 ed. |
|---|
| A12 | 03 | 1 | | @1 VOLKMANN (Jens) @9 ed. |
|---|
| A14 | 01 | | | @1 Sobell Department of Neurophysiology, Institute of Neurology @2 London @3 GBR @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 S208-S211 |
|---|
| A21 | | | | @1 2002 |
|---|
| A23 | 01 | | | @0 ENG |
|---|
| A43 | 01 | | | @1 INIST @2 20953 @5 354000100905390300 |
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| A44 | | | | @0 0000 @1 © 2002 INIST-CNRS. All rights reserved. |
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| A45 | | | | @0 10 ref. |
|---|
| A47 | 01 | 1 | | @0 02-0309298 |
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| A60 | | | | @1 P @2 C |
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| A61 | | | | @0 A |
|---|
| A64 | 01 | 1 | | @0 Movement disorders |
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| A66 | 01 | | | @0 USA |
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| C01 | 01 | | ENG | @0 Stimulation of the ventralis intermedius (Vim) is a treatment of severe tremor from various origins. The adjustment of electrical parameters is done when the lesion-like effects of the implant disappear. Each contact is assessed successively, by using a constant pulse width of 60 μsec and a frequency of 130 Hz or above and progressively increasing the voltage. At the same time, the tremor and possible side effects are monitored. The most frequent side effects are paresthesias, dysarthria, muscle contractions related to stimulation of the pyramidal tract, and cerebellar syndrome. Medications have to be adjusted slowly, and often, particularly in case of Parkinson's disease, it is difficult to decrease the dosage. It is important to teach the patient to switch the stimulator on or off and check that it is working. Patients need to be seen within the 3 months after implant, then occasionally according to the effect. In the long-term, some patients will develop some rebound of tremor when they switch off and/or some tolerance to the effect of the stimulator, which can be difficult to manage, In case of Parkinson's disease, motor fluctuations and dyskinesias, that does not respond to Vim stimulation, can occur. |
|---|
| C02 | 01 | X | | @0 002B17A01 |
|---|
| C03 | 01 | X | FRE | @0 Tremblement @5 01 |
|---|
| C03 | 01 | X | ENG | @0 Tremor @5 01 |
|---|
| C03 | 01 | X | SPA | @0 Temblor @5 01 |
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| C03 | 02 | X | FRE | @0 Essentiel @5 02 |
|---|
| C03 | 02 | X | ENG | @0 Essential @5 02 |
|---|
| C03 | 02 | X | SPA | @0 Esencial @5 02 |
|---|
| C03 | 03 | X | FRE | @0 Stimulation instrumentale @5 04 |
|---|
| C03 | 03 | X | ENG | @0 Instrumental stimulation @5 04 |
|---|
| C03 | 03 | X | SPA | @0 Estimulación instrumental @5 04 |
|---|
| C03 | 04 | X | FRE | @0 Noyau ventromédial @5 07 |
|---|
| C03 | 04 | X | ENG | @0 Ventromedial nucleus @5 07 |
|---|
| C03 | 04 | X | SPA | @0 Núcleo ventromedial @5 07 |
|---|
| C03 | 05 | X | FRE | @0 Thalamus @5 08 |
|---|
| C03 | 05 | X | ENG | @0 Thalamus @5 08 |
|---|
| C03 | 05 | X | SPA | @0 Tálamo @5 08 |
|---|
| 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 Postopératoire @5 18 |
|---|
| C03 | 07 | X | ENG | @0 Postoperative @5 18 |
|---|
| C03 | 07 | X | SPA | @0 Postoperatorio @5 18 |
|---|
| C03 | 08 | X | FRE | @0 Homme @5 20 |
|---|
| C03 | 08 | X | ENG | @0 Human @5 20 |
|---|
| C03 | 08 | 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 Trouble neurologique @5 38 |
|---|
| C07 | 02 | X | ENG | @0 Neurological disorder @5 38 |
|---|
| C07 | 02 | X | SPA | @0 Trastorno neurológico @5 38 |
|---|
| C07 | 03 | X | FRE | @0 Mouvement involontaire @5 39 |
|---|
| C07 | 03 | X | ENG | @0 Involuntary movement @5 39 |
|---|
| C07 | 03 | X | SPA | @0 Movimiento involuntario @5 39 |
|---|
| C07 | 04 | X | FRE | @0 Traitement instrumental @5 45 |
|---|
| C07 | 04 | X | ENG | @0 Instrumentation therapy @5 45 |
|---|
| C07 | 04 | X | SPA | @0 Tratamiento instrumental @5 45 |
|---|
| C07 | 05 | X | FRE | @0 Encéphale @5 53 |
|---|
| C07 | 05 | X | ENG | @0 Brain (vertebrata) @5 53 |
|---|
| C07 | 05 | X | SPA | @0 Encéfalo @5 53 |
|---|
| 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 |
|---|
|
|---|
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Pascal:02-0309298
Le document en format XML
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<author><name sortKey="Dowsey Limousin, Patricia" sort="Dowsey Limousin, Patricia" uniqKey="Dowsey Limousin P" first="Patricia" last="Dowsey-Limousin">Patricia Dowsey-Limousin</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sobell Department of Neurophysiology, Institute of Neurology</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
</inist:fA14><country>Royaume-Uni</country>
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</publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Postoperative management of Vim DBS for tremor</title>
<author><name sortKey="Dowsey Limousin, Patricia" sort="Dowsey Limousin, Patricia" uniqKey="Dowsey Limousin P" first="Patricia" last="Dowsey-Limousin">Patricia Dowsey-Limousin</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sobell Department of Neurophysiology, Institute of Neurology</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
</inist:fA14><country>Royaume-Uni</country>
</affiliation><series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2002">2002</date>
</imprint><seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
</seriesStmt><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Essential</term>
<term>Human</term>
<term>Instrumental stimulation</term>
<term>Postoperative</term>
<term>Thalamus</term>
<term>Treatment</term>
<term>Tremor</term>
<term>Ventromedial nucleus</term>
</keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tremblement</term>
<term>Essentiel</term>
<term>Stimulation instrumentale</term>
<term>Noyau ventromédial</term>
<term>Thalamus</term>
<term>Traitement</term>
<term>Postopératoire</term>
<term>Homme</term>
</keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords><front><div type="abstract" xml:lang="en">Stimulation of the ventralis intermedius (Vim) is a treatment of severe tremor from various origins. The adjustment of electrical parameters is done when the lesion-like effects of the implant disappear. Each contact is assessed successively, by using a constant pulse width of 60 μsec and a frequency of 130 Hz or above and progressively increasing the voltage. At the same time, the tremor and possible side effects are monitored. The most frequent side effects are paresthesias, dysarthria, muscle contractions related to stimulation of the pyramidal tract, and cerebellar syndrome. Medications have to be adjusted slowly, and often, particularly in case of Parkinson's disease, it is difficult to decrease the dosage. It is important to teach the patient to switch the stimulator on or off and check that it is working. Patients need to be seen within the 3 months after implant, then occasionally according to the effect. In the long-term, some patients will develop some rebound of tremor when they switch off and/or some tolerance to the effect of the stimulator, which can be difficult to manage, In case of Parkinson's disease, motor fluctuations and dyskinesias, that does not respond to Vim stimulation, can occur.</div>
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</fA09><fA11 i1="01" i2="1"><s1>DOWSEY-LIMOUSIN (Patricia)</s1>
</fA11><fA12 i1="01" i2="1"><s1>DEUSCHL (Günther)</s1>
<s9>ed.</s9>
</fA12><fA12 i1="02" i2="1"><s1>KRACK (Paul)</s1>
<s9>ed.</s9>
</fA12><fA12 i1="03" i2="1"><s1>VOLKMANN (Jens)</s1>
<s9>ed.</s9>
</fA12><fA14 i1="01"><s1>Sobell Department of Neurophysiology, Institute of Neurology</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
</fA14><fA15 i1="01"><s1>Christian-Albrechts-Universität</s1>
<s2>Kiel</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</fA15><fA15 i1="02"><s1>Centre hospitalier universitaire de Grenoble</s1>
<s2>Grenoble</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
</fA15><fA18 i1="01" i2="1"><s1>Movement Disorder Society. European Section</s1>
<s3>INC</s3>
<s9>patr.</s9>
</fA18><fA20><s2>S208-S211</s2>
</fA20><fA21><s1>2002</s1>
</fA21><fA23 i1="01"><s0>ENG</s0>
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<s2>20953</s2>
<s5>354000100905390300</s5>
</fA43><fA44><s0>0000</s0>
<s1>© 2002 INIST-CNRS. All rights reserved.</s1>
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</fA47><fA60><s1>P</s1>
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</fA66><fC01 i1="01" l="ENG"><s0>Stimulation of the ventralis intermedius (Vim) is a treatment of severe tremor from various origins. The adjustment of electrical parameters is done when the lesion-like effects of the implant disappear. Each contact is assessed successively, by using a constant pulse width of 60 μsec and a frequency of 130 Hz or above and progressively increasing the voltage. At the same time, the tremor and possible side effects are monitored. The most frequent side effects are paresthesias, dysarthria, muscle contractions related to stimulation of the pyramidal tract, and cerebellar syndrome. Medications have to be adjusted slowly, and often, particularly in case of Parkinson's disease, it is difficult to decrease the dosage. It is important to teach the patient to switch the stimulator on or off and check that it is working. Patients need to be seen within the 3 months after implant, then occasionally according to the effect. In the long-term, some patients will develop some rebound of tremor when they switch off and/or some tolerance to the effect of the stimulator, which can be difficult to manage, In case of Parkinson's disease, motor fluctuations and dyskinesias, that does not respond to Vim stimulation, can occur.</s0>
</fC01><fC02 i1="01" i2="X"><s0>002B17A01</s0>
</fC02><fC03 i1="01" i2="X" l="FRE"><s0>Tremblement</s0>
<s5>01</s5>
</fC03><fC03 i1="01" i2="X" l="ENG"><s0>Tremor</s0>
<s5>01</s5>
</fC03><fC03 i1="01" i2="X" l="SPA"><s0>Temblor</s0>
<s5>01</s5>
</fC03><fC03 i1="02" i2="X" l="FRE"><s0>Essentiel</s0>
<s5>02</s5>
</fC03><fC03 i1="02" i2="X" l="ENG"><s0>Essential</s0>
<s5>02</s5>
</fC03><fC03 i1="02" i2="X" l="SPA"><s0>Esencial</s0>
<s5>02</s5>
</fC03><fC03 i1="03" i2="X" l="FRE"><s0>Stimulation instrumentale</s0>
<s5>04</s5>
</fC03><fC03 i1="03" i2="X" l="ENG"><s0>Instrumental stimulation</s0>
<s5>04</s5>
</fC03><fC03 i1="03" i2="X" l="SPA"><s0>Estimulación instrumental</s0>
<s5>04</s5>
</fC03><fC03 i1="04" i2="X" l="FRE"><s0>Noyau ventromédial</s0>
<s5>07</s5>
</fC03><fC03 i1="04" i2="X" l="ENG"><s0>Ventromedial nucleus</s0>
<s5>07</s5>
</fC03><fC03 i1="04" i2="X" l="SPA"><s0>Núcleo ventromedial</s0>
<s5>07</s5>
</fC03><fC03 i1="05" i2="X" l="FRE"><s0>Thalamus</s0>
<s5>08</s5>
</fC03><fC03 i1="05" i2="X" l="ENG"><s0>Thalamus</s0>
<s5>08</s5>
</fC03><fC03 i1="05" i2="X" l="SPA"><s0>Tálamo</s0>
<s5>08</s5>
</fC03><fC03 i1="06" i2="X" l="FRE"><s0>Traitement</s0>
<s5>17</s5>
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<s5>17</s5>
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<s5>17</s5>
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<s5>18</s5>
</fC03><fC03 i1="07" i2="X" l="ENG"><s0>Postoperative</s0>
<s5>18</s5>
</fC03><fC03 i1="07" i2="X" l="SPA"><s0>Postoperatorio</s0>
<s5>18</s5>
</fC03><fC03 i1="08" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
</fC03><fC03 i1="08" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03><fC03 i1="08" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
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<s5>37</s5>
</fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07><fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07><fC07 i1="02" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>38</s5>
</fC07><fC07 i1="02" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>38</s5>
</fC07><fC07 i1="02" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>38</s5>
</fC07><fC07 i1="03" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>39</s5>
</fC07><fC07 i1="03" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>39</s5>
</fC07><fC07 i1="03" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>39</s5>
</fC07><fC07 i1="04" i2="X" l="FRE"><s0>Traitement instrumental</s0>
<s5>45</s5>
</fC07><fC07 i1="04" i2="X" l="ENG"><s0>Instrumentation therapy</s0>
<s5>45</s5>
</fC07><fC07 i1="04" i2="X" l="SPA"><s0>Tratamiento instrumental</s0>
<s5>45</s5>
</fC07><fC07 i1="05" i2="X" l="FRE"><s0>Encéphale</s0>
<s5>53</s5>
</fC07><fC07 i1="05" i2="X" l="ENG"><s0>Brain (vertebrata)</s0>
<s5>53</s5>
</fC07><fC07 i1="05" i2="X" l="SPA"><s0>Encéfalo</s0>
<s5>53</s5>
</fC07><fN21><s1>175</s1>
</fN21><fN82><s1>PSI</s1>
</fN82><pR><fA30 i1="01" i2="1" l="ENG"><s1>Management of Patients with Deep Brain Stimulators. Meeting</s1>
<s3>Kiel DEU</s3>
<s4>2001-06-03</s4>
</fA30>
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