Movement Disorders (revue)

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Deep Brain Stimulation of the Subthalamic Nucleus Improves Intrinsic Alertness in Parkinson's Disease

Identifieur interne : 001F27 ( PascalFrancis/Curation ); précédent : 001F26; suivant : 001F28

Deep Brain Stimulation of the Subthalamic Nucleus Improves Intrinsic Alertness in Parkinson's Disease

Auteurs : Bruno Fimm [Allemagne] ; Ines A. Heber [Allemagne] ; Volker A. Coenen [Allemagne] ; Christoph Fromm [Allemagne] ; Johannes Noth [Allemagne] ; Martin Kronenbuerger [Allemagne]

Source :

RBID : Pascal:09-0386504

Descripteurs français

English descriptors

Abstract

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a treatment option for patients with Parkinson's disease (PD) in the advanced stage. Besides motor improvement, DBS of the STN may also modulate cognitive and attentional functions of the basal ganglia. In our study, 13 patients with PD and bilateral DBS of the STN were assessed with DBS switched on and off by the use of a wide range of neuropsychological tasks. This included reasoning, cognitive flexibility, phonemic and semantic word fluency, verbal and nonverbal short-term memory, learning, delayed verbal memory recall, and stimulus-response incompatibility. Special emphasis was put on basic attentional functions, in particular intrinsic and phasic alertness as well as visual search. DBS significantly improved intrinsic alertness, whereas phasic alertness and other neuropsychological domains were not affected. Additionally, the effects on intrinsic alertness were independent of motor improvements by DBS. The findings suggest that DBS modulates the fronto-parietal network of alertness.
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A08 01  1  ENG  @1 Deep Brain Stimulation of the Subthalamic Nucleus Improves Intrinsic Alertness in Parkinson's Disease
A11 01  1    @1 FIMM (Bruno)
A11 02  1    @1 HEBER (Ines A.)
A11 03  1    @1 COENEN (Volker A.)
A11 04  1    @1 FROMM (Christoph)
A11 05  1    @1 NOTH (Johannes)
A11 06  1    @1 KRONENBUERGER (Martin)
A14 01      @1 Department of Neurology, Section of Neuropsychology, University Hospital RWTH Aachen @2 Aachen @3 DEU @Z 1 aut. @Z 2 aut.
A14 02      @1 Department of Neurosurgery, University Hospital RWTH Aachen @2 Aachen @3 DEU @Z 3 aut.
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A21       @1 2009
A23 01      @0 ENG
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A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
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A47 01  1    @0 09-0386504
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C01 01    ENG  @0 Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a treatment option for patients with Parkinson's disease (PD) in the advanced stage. Besides motor improvement, DBS of the STN may also modulate cognitive and attentional functions of the basal ganglia. In our study, 13 patients with PD and bilateral DBS of the STN were assessed with DBS switched on and off by the use of a wide range of neuropsychological tasks. This included reasoning, cognitive flexibility, phonemic and semantic word fluency, verbal and nonverbal short-term memory, learning, delayed verbal memory recall, and stimulus-response incompatibility. Special emphasis was put on basic attentional functions, in particular intrinsic and phasic alertness as well as visual search. DBS significantly improved intrinsic alertness, whereas phasic alertness and other neuropsychological domains were not affected. Additionally, the effects on intrinsic alertness were independent of motor improvements by DBS. The findings suggest that DBS modulates the fronto-parietal network of alertness.
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C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Noyau sousthalamique @5 09
C03 03  X  ENG  @0 Subthalamic nucleus @5 09
C03 03  X  SPA  @0 Núcleo subtalámico @5 09
C03 04  X  FRE  @0 Pariétal @5 10
C03 04  X  ENG  @0 Parietal @5 10
C03 04  X  SPA  @0 Parietal @5 10
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C03 05  X  ENG  @0 Attention @5 11
C03 05  X  SPA  @0 Atención @5 11
C03 06  X  FRE  @0 Cognition @5 12
C03 06  X  ENG  @0 Cognition @5 12
C03 06  X  SPA  @0 Cognición @5 12
C03 07  X  FRE  @0 Noyau gris central @5 13
C03 07  X  ENG  @0 Basal ganglion @5 13
C03 07  X  SPA  @0 Núcleo basal @5 13
C03 08  X  FRE  @0 Stimulation cérébrale profonde @4 CD @5 96
C03 08  X  ENG  @0 Deep brain stimulation @4 CD @5 96
C07 01  X  FRE  @0 Encéphale @5 37
C07 01  X  ENG  @0 Encephalon @5 37
C07 01  X  SPA  @0 Encéfalo @5 37
C07 02  X  FRE  @0 Système nerveux central @5 38
C07 02  X  ENG  @0 Central nervous system @5 38
C07 02  X  SPA  @0 Sistema nervioso central @5 38
C07 03  X  FRE  @0 Pathologie de l'encéphale @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 Syndrome extrapyramidal @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 Pathologie du système nerveux central @5 42
C07 06  X  ENG  @0 Central nervous system disease @5 42
C07 06  X  SPA  @0 Sistema nervosio central patología @5 42
N21       @1 278
N44 01      @1 OTO
N82       @1 OTO

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Pascal:09-0386504

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<div type="abstract" xml:lang="en">Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a treatment option for patients with Parkinson's disease (PD) in the advanced stage. Besides motor improvement, DBS of the STN may also modulate cognitive and attentional functions of the basal ganglia. In our study, 13 patients with PD and bilateral DBS of the STN were assessed with DBS switched on and off by the use of a wide range of neuropsychological tasks. This included reasoning, cognitive flexibility, phonemic and semantic word fluency, verbal and nonverbal short-term memory, learning, delayed verbal memory recall, and stimulus-response incompatibility. Special emphasis was put on basic attentional functions, in particular intrinsic and phasic alertness as well as visual search. DBS significantly improved intrinsic alertness, whereas phasic alertness and other neuropsychological domains were not affected. Additionally, the effects on intrinsic alertness were independent of motor improvements by DBS. The findings suggest that DBS modulates the fronto-parietal network of alertness.</div>
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<s0>Stimulation cérébrale profonde</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Deep brain stimulation</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Encephalon</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Système nerveux central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Central nervous system</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Sistema nervioso central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>42</s5>
</fC07>
<fN21>
<s1>278</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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