Movement Disorders (revue)

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Pre-operative Evaluations for DBS in Dystonia

Identifieur interne : 002816 ( PascalFrancis/Curation ); précédent : 002815; suivant : 002817

Pre-operative Evaluations for DBS in Dystonia

Auteurs : Stephane Thobois [France] ; Takaomi Taira [Japon] ; Cynthia Comella [États-Unis] ; Elena Moro [Canada] ; Susan Bressman [États-Unis] ; Alberto Albanese [Italie]

Source :

RBID : Pascal:11-0356316

Descripteurs français

English descriptors

Abstract

Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke-Fahn-Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short-Form Health Survey (SF-36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open-label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes.
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A09 01  1  ENG  @1 Deep Brain Stimulation for Dystonia: The State of the Art
A11 01  1    @1 THOBOIS (Stephane)
A11 02  1    @1 TAIRA (Takaomi)
A11 03  1    @1 COMELLA (Cynthia)
A11 04  1    @1 MORO (Elena)
A11 05  1    @1 BRESSMAN (Susan)
A11 06  1    @1 ALBANESE (Alberto)
A12 01  1    @1 MORO (Elena) @9 ed.
A12 02  1    @1 ALBANESE (Alberto) @9 ed.
A12 03  1    @1 HARIZ (Marwan I.) @9 ed.
A12 04  1    @1 KRAUSS (Joachim K.) @9 ed.
A12 05  1    @1 VERHAGEN METMAN (Leo) @9 ed.
A12 06  1    @1 VIDAILHET (Marie) @9 ed.
A14 01      @1 Université Lyon I, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer and CNRS, UMR 5229 @2 Lyon @3 FRA @Z 1 aut.
A14 02      @1 Department of Neurosurgery, Tokyo Women's Medical University @2 Tokyo @3 JPN @Z 2 aut.
A14 03      @1 Department of Neurological Sciences, Rush University Medical Center @2 Chicago, Illinois @3 USA @Z 3 aut.
A14 04      @1 Movement Disorders Center, TWH, UHN, Division of Neurology, University of Toronto @2 Toronto, Ontario @3 CAN @Z 4 aut.
A14 05      @1 Department of Neurology, Beth Israel Medical Center @2 New York, New York @3 USA @Z 5 aut.
A14 06      @1 Fondazione IRCCS Istituto Neurologico Carlo Besta and Università Cattolica del Sacro Cuore @2 Milan @3 ITA @Z 6 aut.
A15 01      @1 Movement Disorders Center, Division of Neurology, Toronto Western hospital, University of Toronto, UHN @2 Toronto, Ontario @3 CAN @Z 1 aut.
A15 02      @1 Istituto Neurologico Carlo Besta and Università Cattolica @2 Milano @3 ITA @Z 2 aut.
A15 03      @1 Department of Neurological Sciences, Rush University Medical Center @2 Chicago, Illinois @3 USA
A15 04      @1 Hôpital de la Salpetrière, Fédération de Neurologie, CRICM UPMC/INSERM UMR-S 975, UPMC/CNRS UMR 7225 @2 Paris @3 FRA @Z 5 aut. @Z 6 aut.
A15 05      @1 Unit of Functional Neurosurgery, UCL Institute of Neurology, Queen Square @2 London @3 GBR @Z 3 aut.
A15 06      @1 Department of Neurosurgery, Medical University, MHH @2 Hannover @3 DEU @Z 4 aut.
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C01 01    ENG  @0 Background: The preoperative evaluation in dystonia aims at characterizing the severity and topography of motor symptoms in patients, who have previously been selected for deep brain stimulation (DBS). Methods: The literature search was performed using PubMed, CINAHL, and the Cochrane Collaborative databases. Results: Commonly used scales for clinical assessment are the Burke-Fahn-Marsden dystonia rating scale for generalized dystonia and the Toronto Western Spasmodic Torticollis Scale for cervical dystonia. Motor assessment is completed by quality of life and functional scales, such as the Short-Form Health Survey (SF-36) or the Parkinson's Disease Questionnaire 39. Validated rating scales for cranial or upper limb dystonia are lacking. Discussion: In common clinical practice, these outcome measures can be administered in an open-label fashion because double blind assessment is only required for ascertaining new treatment indications or research purposes. The same measures are to be used postoperatively to revaluate outcome after DBS. Brain MRI is required to confirm diagnosis and assess structural abnormalities. Other imaging techniques, particularly functional imaging, are used for research purposes.
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C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Dystonie @5 01
C03 01  X  ENG  @0 Dystonia @5 01
C03 01  X  SPA  @0 Distonía @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 Evaluation @5 09
C03 03  X  ENG  @0 Evaluation @5 09
C03 03  X  SPA  @0 Evaluación @5 09
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 Pathologie de l'encéphale @5 42
C07 05  X  ENG  @0 Cerebral disorder @5 42
C07 05  X  SPA  @0 Encéfalo patología @5 42
C07 06  X  FRE  @0 Pathologie du système nerveux central @5 43
C07 06  X  ENG  @0 Central nervous system disease @5 43
C07 06  X  SPA  @0 Sistema nervosio central patología @5 43
N21       @1 241
N44 01      @1 OTO
N82       @1 OTO

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<s0>Pathologie du système nerveux</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Evaluation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Evaluation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Evaluación</s0>
<s5>09</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du muscle strié</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Striated muscle disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Músculo estriado patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>241</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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