MovDisordV3, PubMed, Checkpoint, bibRecord, 004810

Improvement of severe postural cerebellar tremor in multiple sclerosis by chronic thalamic stimulation.

Identifieur interne : 004810 ( PubMed/Checkpoint ); précédent : 004809; suivant : 004811

Improvement of severe postural cerebellar tremor in multiple sclerosis by chronic thalamic stimulation.

Auteurs : C. Geny [France] ; J P Nguyen ; B. Pollin ; A. Feve ; F. Ricolfi ; P. Cesaro ; J D Degos

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1996.

RBID : pubmed:8866489

English descriptors

KwdEn :
- Adult, Cerebellum (physiopathology), Electric Stimulation, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Multiple Sclerosis (complications), Posture, Stereotaxic Techniques, Thalamus (surgery), Treatment Outcome, Tremor (complications), Tremor (physiopathology), Tremor (therapy).
MESH :
- complications : Multiple Sclerosis, Tremor.
- physiopathology : Cerebellum, Tremor.
- surgery : Thalamus.
- therapy : Tremor.
- Adult, Electric Stimulation, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Posture, Stereotaxic Techniques, Treatment Outcome.

Abstract

Tremor can be particularly disabling in patients with multiple sclerosis (MS) and is mildly improved by drug treatment. The efficiency of stereotactic thalamotomy has been reported in a small number of patients but was counterbalanced by severe postoperative complications. Stimulation of the thalamic ventral intermediate nucleus, which is a less aggressive surgical method, is efficient in essential and in parkinsonian tremors. We report here the results of thalamic stimulation in 13 patients with MS with tremor. All patients were subjected to clinical examination, videorecording, and quantification of the functional disability before surgery and 3 months postoperatively. The surgical intervention was well tolerated in all cases. A clear improvement of the tremor was observed in 69.2% of the patients. Functional improvement was more varied and depended on the severity of tremor and coexistence of other neurological symptoms. Of the eight most severely affected patients, seven recovered the possibility to easily catch an object and use it. The results indicate that thalamic stimulation may be useful in the treatment of severe postural cerebellar tremor in MS.

DOI: 10.1002/mds.870110503
PubMed: 8866489

Affiliations:

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Le document en format XML

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<author><name sortKey="Geny, C" sort="Geny, C" uniqKey="Geny C" first="C" last="Geny">C. Geny</name>
<affiliation wicri:level="1"><nlm:affiliation>Département des Neurosciences, Hôpital Henri Mondor, Créteil, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<placeName><settlement type="city">Créteil</settlement>
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<author><name sortKey="Nguyen, J P" sort="Nguyen, J P" uniqKey="Nguyen J" first="J P" last="Nguyen">J P Nguyen</name>
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<author><name sortKey="Pollin, B" sort="Pollin, B" uniqKey="Pollin B" first="B" last="Pollin">B. Pollin</name>
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<author><name sortKey="Feve, A" sort="Feve, A" uniqKey="Feve A" first="A" last="Feve">A. Feve</name>
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<author><name sortKey="Ricolfi, F" sort="Ricolfi, F" uniqKey="Ricolfi F" first="F" last="Ricolfi">F. Ricolfi</name>
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<author><name sortKey="Cesaro, P" sort="Cesaro, P" uniqKey="Cesaro P" first="P" last="Cesaro">P. Cesaro</name>
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<author><name sortKey="Degos, J D" sort="Degos, J D" uniqKey="Degos J" first="J D" last="Degos">J D Degos</name>
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<term>Electric Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple Sclerosis (complications)</term>
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<term>Stereotaxic Techniques</term>
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<term>Tremor (complications)</term>
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<front><div type="abstract" xml:lang="en">Tremor can be particularly disabling in patients with multiple sclerosis (MS) and is mildly improved by drug treatment. The efficiency of stereotactic thalamotomy has been reported in a small number of patients but was counterbalanced by severe postoperative complications. Stimulation of the thalamic ventral intermediate nucleus, which is a less aggressive surgical method, is efficient in essential and in parkinsonian tremors. We report here the results of thalamic stimulation in 13 patients with MS with tremor. All patients were subjected to clinical examination, videorecording, and quantification of the functional disability before surgery and 3 months postoperatively. The surgical intervention was well tolerated in all cases. A clear improvement of the tremor was observed in 69.2% of the patients. Functional improvement was more varied and depended on the severity of tremor and coexistence of other neurological symptoms. Of the eight most severely affected patients, seven recovered the possibility to easily catch an object and use it. The results indicate that thalamic stimulation may be useful in the treatment of severe postural cerebellar tremor in MS.</div>
</front>
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<Abstract><AbstractText>Tremor can be particularly disabling in patients with multiple sclerosis (MS) and is mildly improved by drug treatment. The efficiency of stereotactic thalamotomy has been reported in a small number of patients but was counterbalanced by severe postoperative complications. Stimulation of the thalamic ventral intermediate nucleus, which is a less aggressive surgical method, is efficient in essential and in parkinsonian tremors. We report here the results of thalamic stimulation in 13 patients with MS with tremor. All patients were subjected to clinical examination, videorecording, and quantification of the functional disability before surgery and 3 months postoperatively. The surgical intervention was well tolerated in all cases. A clear improvement of the tremor was observed in 69.2% of the patients. Functional improvement was more varied and depended on the severity of tremor and coexistence of other neurological symptoms. Of the eight most severely affected patients, seven recovered the possibility to easily catch an object and use it. The results indicate that thalamic stimulation may be useful in the treatment of severe postural cerebellar tremor in MS.</AbstractText>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Improvement of severe postural cerebellar tremor in multiple sclerosis by chronic thalamic stimulation.

Improvement of severe postural cerebellar tremor in multiple sclerosis by chronic thalamic stimulation.

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki