Contraversive eye deviation during stimulation of the subthalamic region.
Identifieur interne : 002519 ( PubMed/Corpus ); précédent : 002518; suivant : 002520Contraversive eye deviation during stimulation of the subthalamic region.
Auteurs : Paul Sauleau ; Pierre Pollak ; Paul Krack ; Denis Pélisson ; Alain Vighetto ; Alim-Louis Benabid ; Caroline TiliketeSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Adult, Electric Stimulation Therapy (adverse effects), Electrodes, Implanted (adverse effects), Female, Functional Laterality, Humans, Magnetic Resonance Imaging, Ocular Motility Disorders (etiology), Ocular Motility Disorders (pathology), Parkinson Disease (pathology), Parkinson Disease (therapy), Subthalamic Nucleus (physiopathology).
- MESH :
- adverse effects : Electric Stimulation Therapy, Electrodes, Implanted.
- etiology : Ocular Motility Disorders.
- pathology : Ocular Motility Disorders, Parkinson Disease.
- physiopathology : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Adult, Female, Functional Laterality, Humans, Magnetic Resonance Imaging.
Abstract
Contraversive eye deviation (CED) is most often observed intraoperatively during subthalamic nucleus implantation for Parkinson's disease and considered to result from wrong electrode positioning. We report on a woman, bilaterally implanted in the subthalamic nucleus for severe Parkinson's disease disclosing long-lasting CED only when the stimulators were activated separately. Clinical examination and eye movements recording in this patient showed that CED occurred when stimulation was applied at the site and at similar intensity used for the best antiparkinsonian effect. These results suggest that the subthalamic area may be involved in orienting movements, either through the subthalamic nucleus itself or the fibers from the Frontal Eye Fields. Interestingly, this report shows that CED may be corrected by bilateral stimulation and that CED may not necessarily implicate electrode repositioning.
DOI: 10.1002/mds.21650
PubMed: 17887119
Links to Exploration step
pubmed:17887119Le document en format XML
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<author><name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name>
<affiliation><nlm:affiliation>Department of Neurophysiology, Université de Rennes 1, CHU de Rennes, France. paul.sauleau@univ-rennes1.fr</nlm:affiliation>
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<author><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<author><name sortKey="Pelisson, Denis" sort="Pelisson, Denis" uniqKey="Pelisson D" first="Denis" last="Pélisson">Denis Pélisson</name>
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<author><name sortKey="Vighetto, Alain" sort="Vighetto, Alain" uniqKey="Vighetto A" first="Alain" last="Vighetto">Alain Vighetto</name>
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<author><name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<author><name sortKey="Tilikete, Caroline" sort="Tilikete, Caroline" uniqKey="Tilikete C" first="Caroline" last="Tilikete">Caroline Tilikete</name>
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<author><name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name>
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<author><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<author><name sortKey="Pelisson, Denis" sort="Pelisson, Denis" uniqKey="Pelisson D" first="Denis" last="Pélisson">Denis Pélisson</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Female</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Ocular Motility Disorders (etiology)</term>
<term>Ocular Motility Disorders (pathology)</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (physiopathology)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electric Stimulation Therapy</term>
<term>Electrodes, Implanted</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ocular Motility Disorders</term>
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<front><div type="abstract" xml:lang="en">Contraversive eye deviation (CED) is most often observed intraoperatively during subthalamic nucleus implantation for Parkinson's disease and considered to result from wrong electrode positioning. We report on a woman, bilaterally implanted in the subthalamic nucleus for severe Parkinson's disease disclosing long-lasting CED only when the stimulators were activated separately. Clinical examination and eye movements recording in this patient showed that CED occurred when stimulation was applied at the site and at similar intensity used for the best antiparkinsonian effect. These results suggest that the subthalamic area may be involved in orienting movements, either through the subthalamic nucleus itself or the fibers from the Frontal Eye Fields. Interestingly, this report shows that CED may be corrected by bilateral stimulation and that CED may not necessarily implicate electrode repositioning.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Contraversive eye deviation during stimulation of the subthalamic region.</ArticleTitle>
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<Abstract><AbstractText>Contraversive eye deviation (CED) is most often observed intraoperatively during subthalamic nucleus implantation for Parkinson's disease and considered to result from wrong electrode positioning. We report on a woman, bilaterally implanted in the subthalamic nucleus for severe Parkinson's disease disclosing long-lasting CED only when the stimulators were activated separately. Clinical examination and eye movements recording in this patient showed that CED occurred when stimulation was applied at the site and at similar intensity used for the best antiparkinsonian effect. These results suggest that the subthalamic area may be involved in orienting movements, either through the subthalamic nucleus itself or the fibers from the Frontal Eye Fields. Interestingly, this report shows that CED may be corrected by bilateral stimulation and that CED may not necessarily implicate electrode repositioning.</AbstractText>
<CopyrightInformation>(c) 2007 Movement Disorder Society.</CopyrightInformation>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020531">Subthalamic Nucleus</DescriptorName>
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