Improvement of severe trunk spasms by bilateral high-frequency stimulation of the motor thalamus in a patient with chorea-acanthocytosis.
Identifieur interne : 003B70 ( PubMed/Corpus ); précédent : 003B69; suivant : 003B71Improvement of severe trunk spasms by bilateral high-frequency stimulation of the motor thalamus in a patient with chorea-acanthocytosis.
Auteurs : Pierre Burbaud ; Alain Rougier ; Xavier Ferrer ; Dominique Guehl ; E. Cuny ; Pierre Arne ; Ch Gross ; B. BioulacSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- complications : Chorea.
- diagnosis : Spasm.
- etiology : Spasm.
- methods : Electric Stimulation Therapy.
- physiopathology : Muscle, Skeletal.
- surgery : Thalamus.
- therapy : Spasm.
- Adult, Electrodes, Implanted, Electromyography, Humans, Male, Severity of Illness Index, Videotape Recording.
Abstract
We report on a patient with a severe form of chorea-acanthocytosis, intractable to medical treatment, who benefited from bilateral high-frequency stimulation (HFS) of the posterior ventral oral nucleus of the thalamus. The frequency of trunk spasms dramatically decreased after surgery and the clinical benefit remained stable 1 year later. However, no clear effect was observed on dysarthria nor on hypotonia, which always impaired gait. We propose that HFS of the motor thalamus is a potential treatment for choreic or truncal dystonic symptoms whenever hypotonia is not the main feature of the syndrome.
PubMed: 11835468
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pubmed:11835468Le document en format XML
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<author><name sortKey="Burbaud, Pierre" sort="Burbaud, Pierre" uniqKey="Burbaud P" first="Pierre" last="Burbaud">Pierre Burbaud</name>
<affiliation><nlm:affiliation>Service de Neurophysiologie Clinique, Centre Hospitalier Universitaire, Bordeaux, France. Pierre.Burbaud@umr5543.u-bordeaux2.fr</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rougier, Alain" sort="Rougier, Alain" uniqKey="Rougier A" first="Alain" last="Rougier">Alain Rougier</name>
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<author><name sortKey="Ferrer, Xavier" sort="Ferrer, Xavier" uniqKey="Ferrer X" first="Xavier" last="Ferrer">Xavier Ferrer</name>
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<author><name sortKey="Guehl, Dominique" sort="Guehl, Dominique" uniqKey="Guehl D" first="Dominique" last="Guehl">Dominique Guehl</name>
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<author><name sortKey="Cuny, E" sort="Cuny, E" uniqKey="Cuny E" first="E" last="Cuny">E. Cuny</name>
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<author><name sortKey="Arne, Pierre" sort="Arne, Pierre" uniqKey="Arne P" first="Pierre" last="Arne">Pierre Arne</name>
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<author><name sortKey="Gross, Ch" sort="Gross, Ch" uniqKey="Gross C" first="Ch" last="Gross">Ch Gross</name>
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<author><name sortKey="Bioulac, B" sort="Bioulac, B" uniqKey="Bioulac B" first="B" last="Bioulac">B. Bioulac</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Improvement of severe trunk spasms by bilateral high-frequency stimulation of the motor thalamus in a patient with chorea-acanthocytosis.</title>
<author><name sortKey="Burbaud, Pierre" sort="Burbaud, Pierre" uniqKey="Burbaud P" first="Pierre" last="Burbaud">Pierre Burbaud</name>
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<author><name sortKey="Rougier, Alain" sort="Rougier, Alain" uniqKey="Rougier A" first="Alain" last="Rougier">Alain Rougier</name>
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<author><name sortKey="Ferrer, Xavier" sort="Ferrer, Xavier" uniqKey="Ferrer X" first="Xavier" last="Ferrer">Xavier Ferrer</name>
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<author><name sortKey="Guehl, Dominique" sort="Guehl, Dominique" uniqKey="Guehl D" first="Dominique" last="Guehl">Dominique Guehl</name>
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<author><name sortKey="Cuny, E" sort="Cuny, E" uniqKey="Cuny E" first="E" last="Cuny">E. Cuny</name>
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<author><name sortKey="Arne, Pierre" sort="Arne, Pierre" uniqKey="Arne P" first="Pierre" last="Arne">Pierre Arne</name>
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<author><name sortKey="Gross, Ch" sort="Gross, Ch" uniqKey="Gross C" first="Ch" last="Gross">Ch Gross</name>
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<author><name sortKey="Bioulac, B" sort="Bioulac, B" uniqKey="Bioulac B" first="B" last="Bioulac">B. Bioulac</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Chorea (complications)</term>
<term>Electric Stimulation Therapy (methods)</term>
<term>Electrodes, Implanted</term>
<term>Electromyography</term>
<term>Humans</term>
<term>Male</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Severity of Illness Index</term>
<term>Spasm (diagnosis)</term>
<term>Spasm (etiology)</term>
<term>Spasm (therapy)</term>
<term>Thalamus (surgery)</term>
<term>Videotape Recording</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chorea</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Spasm</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Spasm</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle, Skeletal</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Thalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Spasm</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Electrodes, Implanted</term>
<term>Electromyography</term>
<term>Humans</term>
<term>Male</term>
<term>Severity of Illness Index</term>
<term>Videotape Recording</term>
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<front><div type="abstract" xml:lang="en">We report on a patient with a severe form of chorea-acanthocytosis, intractable to medical treatment, who benefited from bilateral high-frequency stimulation (HFS) of the posterior ventral oral nucleus of the thalamus. The frequency of trunk spasms dramatically decreased after surgery and the clinical benefit remained stable 1 year later. However, no clear effect was observed on dysarthria nor on hypotonia, which always impaired gait. We propose that HFS of the motor thalamus is a potential treatment for choreic or truncal dystonic symptoms whenever hypotonia is not the main feature of the syndrome.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">11835468</PMID>
<DateCreated><Year>2002</Year>
<Month>02</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2002</Year>
<Month>05</Month>
<Day>24</Day>
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<DateRevised><Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print"><Volume>17</Volume>
<Issue>1</Issue>
<PubDate><Year>2002</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Improvement of severe trunk spasms by bilateral high-frequency stimulation of the motor thalamus in a patient with chorea-acanthocytosis.</ArticleTitle>
<Pagination><MedlinePgn>204-7</MedlinePgn>
</Pagination>
<Abstract><AbstractText>We report on a patient with a severe form of chorea-acanthocytosis, intractable to medical treatment, who benefited from bilateral high-frequency stimulation (HFS) of the posterior ventral oral nucleus of the thalamus. The frequency of trunk spasms dramatically decreased after surgery and the clinical benefit remained stable 1 year later. However, no clear effect was observed on dysarthria nor on hypotonia, which always impaired gait. We propose that HFS of the motor thalamus is a potential treatment for choreic or truncal dystonic symptoms whenever hypotonia is not the main feature of the syndrome.</AbstractText>
<CopyrightInformation>Copyright 2001 Movement Disorder Society</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Burbaud</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Service de Neurophysiologie Clinique, Centre Hospitalier Universitaire, Bordeaux, France. Pierre.Burbaud@umr5543.u-bordeaux2.fr</Affiliation>
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<Author ValidYN="Y"><LastName>Ferrer</LastName>
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<Author ValidYN="Y"><LastName>Guehl</LastName>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000150">complications</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004599">Electric Stimulation Therapy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004567">Electrodes, Implanted</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004576">Electromyography</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012720">Severity of Illness Index</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013035">Spasm</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013788">Thalamus</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014743">Videotape Recording</DescriptorName>
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