MovDisordV3, PascalFrancis, Curation, bibRecord, 000906

Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias

Identifieur interne : 000906 ( PascalFrancis/Curation ); précédent : 000905; suivant : 000907

Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias

Auteurs : Sylvie Raoul [France] ; Mirella Faighel [France] ; Isabelle Rivier [France] ; Marc Verin [France] ; Youenn Lajat [France] ; Philippe Damier [France]

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0010825

Descripteurs français

Pascal (Inist)
- Tremblement, Dyskinésie, Thalamotomie, Pallidum, Radiolésion, Radiofréquence, Electrode, Stimulus électrique, Pronostic, Etude cas, Traitement, Technique associée, Personne âgée, Mâle.
Wicri :
- topic : Personne âgée.

English descriptors

KwdEn :
- Associated technique, Case study, Dyskinesia, Elderly, Electrical stimulus, Electrodes, Male, Pallidum, Prognosis, Radiation injury, Radiofrequency, Thalamotomy, Treatment, Tremor.

Abstract

Thalamotomy and pallidotomy have been shown to have some efficacy for treating some movement disorders such as disabling tremor or parkinsonian levodopa-induced dyskinesias (LID). Compared to continuous deep brain stimulation (DBS), this surgical procedure has the disadvantage of irreversibility and a lack of adaptability. Making a lesion involves a risk of inducing permanent side effects, especially if the lesion is large, or of observing a resurgence of the symptoms if the lesion is too small. We performed unilateral pallidotomy in one patient suffering from LID and unilateral thalamotomy in two patients suffering from tremor through the lead classically used for DBS. The technique of lead implantation was similar to that used for DBS treatment but, instead of connecting the lead to a pulse generator, it was left in place and used to make a radiofrequency lesion. This technique allowed the lesion to be kept as small as possible, thereby minimizing the risk of permanent side effects and made possible to extend the lesion if the symptoms reappeared. One lesioning session was enough to relieve tremor in the two patients treated by thalamotomy; three lesioning sessions over a 7-month period were required to relieve drug-induced dyskinesias in the patient treated by pallidotomy. In all 3 patients, disabling symptoms were still relieved without any permanent side effects 6 months after the last lesion was performed.

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A08	`01`	`1`	`ENG`	`@1 Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias`
A11	`01`	`1`		`@1 RAOUL (Sylvie)`
A11	`02`	`1`		`@1 FAIGHEL (Mirella)`
A11	`03`	`1`		`@1 RIVIER (Isabelle)`
A11	`04`	`1`		`@1 VERIN (Marc)`
A11	`05`	`1`		`@1 LAJAT (Youenn)`
A11	`06`	`1`		`@1 DAMIER (Philippe)`
A14	`01`			`@1 Clinique Neurochirurgicale, Centre Hospitalier Universitaire (CHU) @2 Nantes @3 FRA @Z 1 aut. @Z 5 aut.`
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C01	`01`		`ENG`	@0 Thalamotomy and pallidotomy have been shown to have some efficacy for treating some movement disorders such as disabling tremor or parkinsonian levodopa-induced dyskinesias (LID). Compared to continuous deep brain stimulation (DBS), this surgical procedure has the disadvantage of irreversibility and a lack of adaptability. Making a lesion involves a risk of inducing permanent side effects, especially if the lesion is large, or of observing a resurgence of the symptoms if the lesion is too small. We performed unilateral pallidotomy in one patient suffering from LID and unilateral thalamotomy in two patients suffering from tremor through the lead classically used for DBS. The technique of lead implantation was similar to that used for DBS treatment but, instead of connecting the lead to a pulse generator, it was left in place and used to make a radiofrequency lesion. This technique allowed the lesion to be kept as small as possible, thereby minimizing the risk of permanent side effects and made possible to extend the lesion if the symptoms reappeared. One lesioning session was enough to relieve tremor in the two patients treated by thalamotomy; three lesioning sessions over a 7-month period were required to relieve drug-induced dyskinesias in the patient treated by pallidotomy. In all 3 patients, disabling symptoms were still relieved without any permanent side effects 6 months after the last lesion was performed.
C02	`01`	`X`		`@0 002B25J01`
C03	`01`	`X`	`FRE`	`@0 Tremblement @5 01`
C03	`01`	`X`	`ENG`	`@0 Tremor @5 01`
C03	`01`	`X`	`SPA`	`@0 Temblor @5 01`
C03	`02`	`X`	`FRE`	`@0 Dyskinésie @5 02`
C03	`02`	`X`	`ENG`	`@0 Dyskinesia @5 02`
C03	`02`	`X`	`SPA`	`@0 Disquinesia @5 02`
C03	`03`	`X`	`FRE`	`@0 Thalamotomie @5 04`
C03	`03`	`X`	`ENG`	`@0 Thalamotomy @5 04`
C03	`03`	`X`	`SPA`	`@0 Talamotomía @5 04`
C03	`04`	`X`	`FRE`	`@0 Pallidum @5 05`
C03	`04`	`X`	`ENG`	`@0 Pallidum @5 05`
C03	`04`	`X`	`SPA`	`@0 Pallidum @5 05`
C03	`05`	`X`	`FRE`	`@0 Radiolésion @5 07`
C03	`05`	`X`	`ENG`	`@0 Radiation injury @5 07`
C03	`05`	`X`	`SPA`	`@0 Lesión por radiación @5 07`
C03	`06`	`X`	`FRE`	`@0 Radiofréquence @5 08`
C03	`06`	`X`	`ENG`	`@0 Radiofrequency @5 08`
C03	`06`	`X`	`SPA`	`@0 Radiofrecuencia @5 08`
C03	`07`	`X`	`FRE`	`@0 Electrode @5 10`
C03	`07`	`X`	`ENG`	`@0 Electrodes @5 10`
C03	`07`	`X`	`SPA`	`@0 Electrodo @5 10`
C03	`08`	`X`	`FRE`	`@0 Stimulus électrique @5 11`
C03	`08`	`X`	`ENG`	`@0 Electrical stimulus @5 11`
C03	`08`	`X`	`SPA`	`@0 Estímulo eléctrico @5 11`
C03	`09`	`X`	`FRE`	`@0 Pronostic @5 16`
C03	`09`	`X`	`ENG`	`@0 Prognosis @5 16`
C03	`09`	`X`	`SPA`	`@0 Pronóstico @5 16`
C03	`10`	`X`	`FRE`	`@0 Etude cas @5 17`
C03	`10`	`X`	`ENG`	`@0 Case study @5 17`
C03	`10`	`X`	`SPA`	`@0 Estudio caso @5 17`
C03	`11`	`X`	`FRE`	`@0 Traitement @5 18`
C03	`11`	`X`	`ENG`	`@0 Treatment @5 18`
C03	`11`	`X`	`SPA`	`@0 Tratamiento @5 18`
C03	`12`	`X`	`FRE`	`@0 Technique associée @5 19`
C03	`12`	`X`	`ENG`	`@0 Associated technique @5 19`
C03	`12`	`X`	`SPA`	`@0 Técnica asociada @5 19`
C03	`13`	`X`	`FRE`	`@0 Personne âgée @5 20`
C03	`13`	`X`	`ENG`	`@0 Elderly @5 20`
C03	`13`	`X`	`SPA`	`@0 Anciano @5 20`
C03	`14`	`X`	`FRE`	`@0 Mâle @5 21`
C03	`14`	`X`	`ENG`	`@0 Male @5 21`
C03	`14`	`X`	`SPA`	`@0 Macho @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`
C07	`03`	`X`	`FRE`	`@0 Trouble neurologique @5 38`
C07	`03`	`X`	`ENG`	`@0 Neurological disorder @5 38`
C07	`03`	`X`	`SPA`	`@0 Trastorno neurológico @5 38`
C07	`04`	`X`	`FRE`	`@0 Mouvement involontaire @5 39`
C07	`04`	`X`	`ENG`	`@0 Involuntary movement @5 39`
C07	`04`	`X`	`SPA`	`@0 Movimiento involuntario @5 39`
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 Stimulation instrumentale @5 61`
C07	`06`	`X`	`ENG`	`@0 Instrumental stimulation @5 61`
C07	`06`	`X`	`SPA`	`@0 Estimulación instrumental @5 61`
N21				`@1 006`
N82				`@1 PSI`

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Thalamotomy and pallidotomy have been shown to have some efficacy for treating some movement disorders such as disabling tremor or parkinsonian levodopa-induced dyskinesias (LID). Compared to continuous deep brain stimulation (DBS), this surgical procedure has the disadvantage of irreversibility and a lack of adaptability. Making a lesion involves a risk of inducing permanent side effects, especially if the lesion is large, or of observing a resurgence of the symptoms if the lesion is too small. We performed unilateral pallidotomy in one patient suffering from LID and unilateral thalamotomy in two patients suffering from tremor through the lead classically used for DBS. The technique of lead implantation was similar to that used for DBS treatment but, instead of connecting the lead to a pulse generator, it was left in place and used to make a radiofrequency lesion. This technique allowed the lesion to be kept as small as possible, thereby minimizing the risk of permanent side effects and made possible to extend the lesion if the symptoms reappeared. One lesioning session was enough to relieve tremor in the two patients treated by thalamotomy; three lesioning sessions over a 7-month period were required to relieve drug-induced dyskinesias in the patient treated by pallidotomy. In all 3 patients, disabling symptoms were still relieved without any permanent side effects 6 months after the last lesion was performed.</div>
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<fC03 i1="02" i2="X" l="ENG"><s0>Dyskinesia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Disquinesia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Thalamotomie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Thalamotomy</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Talamotomía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Pallidum</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Pallidum</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Pallidum</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Radiolésion</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Radiation injury</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Lesión por radiación</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Radiofréquence</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Radiofrequency</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Radiofrecuencia</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Electrode</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Electrodes</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Electrodo</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Stimulus électrique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Electrical stimulus</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Estímulo eléctrico</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Pronostic</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Prognosis</s0>
<s5>16</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Pronóstico</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Case study</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Traitement</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Treatment</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Technique associée</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Associated technique</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Técnica asociada</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Personne âgée</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Elderly</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Anciano</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Mâle</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG"><s0>Male</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA"><s0>Macho</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>Trouble neurologique</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Movimiento involuntario</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>Stimulation instrumentale</s0>
<s5>61</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Instrumental stimulation</s0>
<s5>61</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Estimulación instrumental</s0>
<s5>61</s5>
</fC07>
<fN21><s1>006</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |texte=   Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias
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	Movement Disorders (revue)
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Movement Disorders (revue)

Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias

Staged lesions through implanted deep brain stimulating electrodes: A new surgical procedure for treating tremor or dyskinesias

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