MovDisordV3, PubMed, Corpus, bibRecord, 001111

Inclusion and exclusion criteria for DBS in dystonia.

Identifieur interne : 001111 ( PubMed/Corpus ); précédent : 001110; suivant : 001112

Inclusion and exclusion criteria for DBS in dystonia.

Auteurs : Helen Bronte-Stewart ; Takaomi Taira ; Francesc Valldeoriola ; Marcello Merello ; William J. Marks ; Alberto Albanese ; Susan Bressman ; Elena Moro

Source :

Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.

RBID : pubmed:21692112

English descriptors

KwdEn :
- Age Factors, Brain (pathology), Brain (physiology), Databases, Factual (statistics & numerical data), Deep Brain Stimulation (methods), Deep Brain Stimulation (standards), Dementia, Dystonia (diagnosis), Dystonia (epidemiology), Dystonia (therapy), Guidelines as Topic, Humans, Mental Disorders.
MESH :
- diagnosis : Dystonia.
- epidemiology : Dystonia.
- methods : Deep Brain Stimulation.
- pathology : Brain.
- physiology : Brain.
- standards : Deep Brain Stimulation.
- statistics & numerical data : Databases, Factual.
- therapy : Dystonia.
- Age Factors, Dementia, Guidelines as Topic, Humans, Mental Disorders.

Abstract

When considering a patient with dystonia for deep brain stimulation (DBS) surgery several factors need to be considered. Level B evidence has shown that all motor features and associated pain in primary generalized and segmental dystonia are potentially responsive to globus pallidus internus (GPi) DBS. However, improvements in clinical series of ≥ 90% may reflect methods that need improvement, and larger prospective studies are needed to address these factors. Nevertheless, to date the selection criteria for DBS-specifically in terms of patient features (severity and nature of symptoms, age, time of evolution, or any other demographic or disease aspects)--have not been assessed in a systematic fashion. In general, dystonia patients are not considered for DBS unless medical therapies have been previously and extensively tested. The vast majority of reported patients have had DBS surgery when the disease was provoking important disability, with loss of independence and impaired quality of life. There does not appear to be an upper age limit or a minimum age limit, although there are no published data regarding the outcome of GPi DBS for dystonia in children younger than 7 years of age. There is currently no enough evidence to prove that subjects with primary--generalized dystonia who undergo DBS at an early age and sooner rather than later after disease onset may gain more benefit from DBS than those undergoing DBS after the development of fixed skeletal deformities. There is no enough evidence to refuse or support consideration of DBS in patients with previous ablative procedures.

DOI: 10.1002/mds.23482
PubMed: 21692112

Links to Exploration step

pubmed:21692112

Le document en format XML

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<author><name sortKey="Bronte Stewart, Helen" sort="Bronte Stewart, Helen" uniqKey="Bronte Stewart H" first="Helen" last="Bronte-Stewart">Helen Bronte-Stewart</name>
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<author><name sortKey="Taira, Takaomi" sort="Taira, Takaomi" uniqKey="Taira T" first="Takaomi" last="Taira">Takaomi Taira</name>
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<author><name sortKey="Valldeoriola, Francesc" sort="Valldeoriola, Francesc" uniqKey="Valldeoriola F" first="Francesc" last="Valldeoriola">Francesc Valldeoriola</name>
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<front><div type="abstract" xml:lang="en">When considering a patient with dystonia for deep brain stimulation (DBS) surgery several factors need to be considered. Level B evidence has shown that all motor features and associated pain in primary generalized and segmental dystonia are potentially responsive to globus pallidus internus (GPi) DBS. However, improvements in clinical series of ≥ 90% may reflect methods that need improvement, and larger prospective studies are needed to address these factors. Nevertheless, to date the selection criteria for DBS-specifically in terms of patient features (severity and nature of symptoms, age, time of evolution, or any other demographic or disease aspects)--have not been assessed in a systematic fashion. In general, dystonia patients are not considered for DBS unless medical therapies have been previously and extensively tested. The vast majority of reported patients have had DBS surgery when the disease was provoking important disability, with loss of independence and impaired quality of life. There does not appear to be an upper age limit or a minimum age limit, although there are no published data regarding the outcome of GPi DBS for dystonia in children younger than 7 years of age. There is currently no enough evidence to prove that subjects with primary--generalized dystonia who undergo DBS at an early age and sooner rather than later after disease onset may gain more benefit from DBS than those undergoing DBS after the development of fixed skeletal deformities. There is no enough evidence to refuse or support consideration of DBS in patients with previous ablative procedures.</div>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Inclusion and exclusion criteria for DBS in dystonia.

Inclusion and exclusion criteria for DBS in dystonia.

Source :

English descriptors

Abstract

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