Movement Disorders (revue)

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Sustained relief of dystonia following cessation of deep brain stimulation

Identifieur interne : 001817 ( PascalFrancis/Curation ); précédent : 001816; suivant : 001818

Sustained relief of dystonia following cessation of deep brain stimulation

Auteurs : Matthew O. Hebb [Canada] ; Paula Chiasson [Canada] ; Anthony E. Lang [Canada] ; Robert M. Brownstone [Canada] ; Ivar Mendez [Canada]

Source :

RBID : Pascal:08-0015799

Descripteurs français

English descriptors

Abstract

We describe the unusual clinical course of a patient with cranial dystonia (i.e., Meige syndrome) and additional upper limb involvement, who developed sustained relief of motor symptoms following cessation of a prolonged course of bilateral pallidal deep brain stimulation (DBS). Early response to therapy proved titratable and reversible; however, the patient gained independence from DBS in the fifth postoperative year and has since been more than a year without treatment or exacerbation of motor symptoms. Among the potential explanations for these neurological benefits lies the intriguing possibility that DBS therapy may have the capacity to induce plastic change that lessens or obviates the need for further treatment in susceptible patients.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 13
A08 01  1  ENG  @1 Sustained relief of dystonia following cessation of deep brain stimulation
A11 01  1    @1 HEBB (Matthew O.)
A11 02  1    @1 CHIASSON (Paula)
A11 03  1    @1 LANG (Anthony E.)
A11 04  1    @1 BROWNSTONE (Robert M.)
A11 05  1    @1 MENDEZ (Ivar)
A14 01      @1 Division of Neurosurgery, Department of Surgery, Dalhousie University @2 Halifax, Nova Scotia @3 CAN @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Movement Disorders Centre, Toronto Western Hospital @2 Toronto, Ontario @3 CAN @Z 3 aut.
A14 03      @1 Department of Anatomy and Neurobiology, Dalhousie University @2 Halifax, Nova Scotia @3 CAN @Z 4 aut.
A20       @1 1958-1962
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000173554140180
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 42 ref.
A47 01  1    @0 08-0015799
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 We describe the unusual clinical course of a patient with cranial dystonia (i.e., Meige syndrome) and additional upper limb involvement, who developed sustained relief of motor symptoms following cessation of a prolonged course of bilateral pallidal deep brain stimulation (DBS). Early response to therapy proved titratable and reversible; however, the patient gained independence from DBS in the fifth postoperative year and has since been more than a year without treatment or exacerbation of motor symptoms. Among the potential explanations for these neurological benefits lies the intriguing possibility that DBS therapy may have the capacity to induce plastic change that lessens or obviates the need for further treatment in susceptible patients.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C02 03  X    @0 002B16B
C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Dystonie @5 02
C03 02  X  ENG  @0 Dystonia @5 02
C03 02  X  SPA  @0 Distonía @5 02
C03 03  X  FRE  @0 Syndrome de Meige @5 03
C03 03  X  ENG  @0 Meige syndrome @5 03
C03 03  X  SPA  @0 Meige síndrome @5 03
C03 04  X  FRE  @0 Noyau gris central @5 09
C03 04  X  ENG  @0 Basal ganglion @5 09
C03 04  X  SPA  @0 Núcleo basal @5 09
C03 05  X  FRE  @0 Plasticité @5 10
C03 05  X  ENG  @0 Plasticity @5 10
C03 05  X  SPA  @0 Plasticidad @5 10
C03 06  X  FRE  @0 Stimulation cérébrale profonde @4 CD @5 96
C03 06  X  ENG  @0 Deep brain stimulation @4 CD @5 96
C07 01  X  FRE  @0 Syndrome extrapyramidal @5 37
C07 01  X  ENG  @0 Extrapyramidal syndrome @5 37
C07 01  X  SPA  @0 Extrapiramidal síndrome @5 37
C07 02  X  FRE  @0 Mouvement involontaire @5 38
C07 02  X  ENG  @0 Involuntary movement @5 38
C07 02  X  SPA  @0 Movimiento involuntario @5 38
C07 03  X  FRE  @0 Pathologie du muscle strié @5 39
C07 03  X  ENG  @0 Striated muscle disease @5 39
C07 03  X  SPA  @0 Músculo estriado patología @5 39
C07 04  X  FRE  @0 Trouble neurologique @5 41
C07 04  X  ENG  @0 Neurological disorder @5 41
C07 04  X  SPA  @0 Trastorno neurológico @5 41
C07 05  X  FRE  @0 Encéphale @5 42
C07 05  X  ENG  @0 Encephalon @5 42
C07 05  X  SPA  @0 Encéfalo @5 42
C07 06  X  FRE  @0 Système nerveux central @5 43
C07 06  X  ENG  @0 Central nervous system @5 43
C07 06  X  SPA  @0 Sistema nervioso central @5 43
C07 07  X  FRE  @0 Pathologie de l'encéphale @5 44
C07 07  X  ENG  @0 Cerebral disorder @5 44
C07 07  X  SPA  @0 Encéfalo patología @5 44
C07 08  X  FRE  @0 Pathologie du système nerveux central @5 45
C07 08  X  ENG  @0 Central nervous system disease @5 45
C07 08  X  SPA  @0 Sistema nervosio central patología @5 45
N21       @1 009
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0015799

Le document en format XML

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<div type="abstract" xml:lang="en">We describe the unusual clinical course of a patient with cranial dystonia (i.e., Meige syndrome) and additional upper limb involvement, who developed sustained relief of motor symptoms following cessation of a prolonged course of bilateral pallidal deep brain stimulation (DBS). Early response to therapy proved titratable and reversible; however, the patient gained independence from DBS in the fifth postoperative year and has since been more than a year without treatment or exacerbation of motor symptoms. Among the potential explanations for these neurological benefits lies the intriguing possibility that DBS therapy may have the capacity to induce plastic change that lessens or obviates the need for further treatment in susceptible patients.</div>
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<s0>Encéfalo</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervioso central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>45</s5>
</fC07>
<fN21>
<s1>009</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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