Most effective stimulation site in subthalamic deep brain stimulation for Parkinson's disease.
Identifieur interne : 003357 ( PubMed/Corpus ); précédent : 003356; suivant : 003358Most effective stimulation site in subthalamic deep brain stimulation for Parkinson's disease.
Auteurs : Jan Herzog ; Urban Fietzek ; Wolfgang Hamel ; Andre Morsnowski ; Frank Steigerwald ; Bettina Schrader ; Dieter Weinert ; Gerd Pfister ; Dieter Müller ; Hubertus M. Mehdorn ; Günther Deuschl ; Jens VolkmannSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2004.
English descriptors
- KwdEn :
- Electric Stimulation Therapy (instrumentation), Electrodes, Implanted, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Parkinson Disease (pathology), Parkinson Disease (therapy), Retrospective Studies, Substantia Nigra (pathology), Subthalamic Nucleus (pathology), Subthalamic Nucleus (physiology).
- MESH :
- instrumentation : Electric Stimulation Therapy.
- pathology : Parkinson Disease, Substantia Nigra, Subthalamic Nucleus.
- physiology : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Electrodes, Implanted, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Middle Aged, Retrospective Studies.
Abstract
The optimal stimulation site in subthalamic deep brain stimulation (STN-DBS) was evaluated by correlation of the stereotactic position of the stimulation electrode with the electrophysiologically specified dorsal STN border. In a series of 25 electrodes, best clinical results with least energy consumption were found in contacts located in the dorsolateral border zone, whereas contacts within the subthalamic white matter, e.g., zona incerta, were significantly less effective. We suggest that the dorsolateral STN border should be covered by STN-DBS.
DOI: 10.1002/mds.20056
PubMed: 15372594
Links to Exploration step
pubmed:15372594Le document en format XML
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<author><name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<affiliation><nlm:affiliation>Department of Neurology, Christian-Albrechts-Universität Kiel, Germany.</nlm:affiliation>
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<author><name sortKey="Fietzek, Urban" sort="Fietzek, Urban" uniqKey="Fietzek U" first="Urban" last="Fietzek">Urban Fietzek</name>
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<author><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name>
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<author><name sortKey="Morsnowski, Andre" sort="Morsnowski, Andre" uniqKey="Morsnowski A" first="Andre" last="Morsnowski">Andre Morsnowski</name>
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<author><name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name>
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<author><name sortKey="Schrader, Bettina" sort="Schrader, Bettina" uniqKey="Schrader B" first="Bettina" last="Schrader">Bettina Schrader</name>
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<author><name sortKey="Weinert, Dieter" sort="Weinert, Dieter" uniqKey="Weinert D" first="Dieter" last="Weinert">Dieter Weinert</name>
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<author><name sortKey="Pfister, Gerd" sort="Pfister, Gerd" uniqKey="Pfister G" first="Gerd" last="Pfister">Gerd Pfister</name>
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<author><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name>
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<author><name sortKey="Mehdorn, Hubertus M" sort="Mehdorn, Hubertus M" uniqKey="Mehdorn H" first="Hubertus M" last="Mehdorn">Hubertus M. Mehdorn</name>
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<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name>
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<author><name sortKey="Herzog, Jan" sort="Herzog, Jan" uniqKey="Herzog J" first="Jan" last="Herzog">Jan Herzog</name>
<affiliation><nlm:affiliation>Department of Neurology, Christian-Albrechts-Universität Kiel, Germany.</nlm:affiliation>
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<author><name sortKey="Fietzek, Urban" sort="Fietzek, Urban" uniqKey="Fietzek U" first="Urban" last="Fietzek">Urban Fietzek</name>
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<author><name sortKey="Hamel, Wolfgang" sort="Hamel, Wolfgang" uniqKey="Hamel W" first="Wolfgang" last="Hamel">Wolfgang Hamel</name>
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<author><name sortKey="Morsnowski, Andre" sort="Morsnowski, Andre" uniqKey="Morsnowski A" first="Andre" last="Morsnowski">Andre Morsnowski</name>
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<author><name sortKey="Steigerwald, Frank" sort="Steigerwald, Frank" uniqKey="Steigerwald F" first="Frank" last="Steigerwald">Frank Steigerwald</name>
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<author><name sortKey="Schrader, Bettina" sort="Schrader, Bettina" uniqKey="Schrader B" first="Bettina" last="Schrader">Bettina Schrader</name>
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<author><name sortKey="Weinert, Dieter" sort="Weinert, Dieter" uniqKey="Weinert D" first="Dieter" last="Weinert">Dieter Weinert</name>
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<author><name sortKey="Pfister, Gerd" sort="Pfister, Gerd" uniqKey="Pfister G" first="Gerd" last="Pfister">Gerd Pfister</name>
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<author><name sortKey="Muller, Dieter" sort="Muller, Dieter" uniqKey="Muller D" first="Dieter" last="Müller">Dieter Müller</name>
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<author><name sortKey="Mehdorn, Hubertus M" sort="Mehdorn, Hubertus M" uniqKey="Mehdorn H" first="Hubertus M" last="Mehdorn">Hubertus M. Mehdorn</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Middle Aged</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Retrospective Studies</term>
<term>Substantia Nigra (pathology)</term>
<term>Subthalamic Nucleus (pathology)</term>
<term>Subthalamic Nucleus (physiology)</term>
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<term>Substantia Nigra</term>
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<keywords scheme="MESH" xml:lang="en"><term>Electrodes, Implanted</term>
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<front><div type="abstract" xml:lang="en">The optimal stimulation site in subthalamic deep brain stimulation (STN-DBS) was evaluated by correlation of the stereotactic position of the stimulation electrode with the electrophysiologically specified dorsal STN border. In a series of 25 electrodes, best clinical results with least energy consumption were found in contacts located in the dorsolateral border zone, whereas contacts within the subthalamic white matter, e.g., zona incerta, were significantly less effective. We suggest that the dorsolateral STN border should be covered by STN-DBS.</div>
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<Abstract><AbstractText>The optimal stimulation site in subthalamic deep brain stimulation (STN-DBS) was evaluated by correlation of the stereotactic position of the stimulation electrode with the electrophysiologically specified dorsal STN border. In a series of 25 electrodes, best clinical results with least energy consumption were found in contacts located in the dorsolateral border zone, whereas contacts within the subthalamic white matter, e.g., zona incerta, were significantly less effective. We suggest that the dorsolateral STN border should be covered by STN-DBS.</AbstractText>
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