Movement Disorders (revue)

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Subthalamic neuronal responses to cortical stimulation.

Identifieur interne : 000F10 ( PubMed/Curation ); précédent : 000F09; suivant : 000F11

Subthalamic neuronal responses to cortical stimulation.

Auteurs : Marcus L F. Janssen [Pays-Bas] ; Daphne G M. Zwartjes ; Yasin Temel ; Vivianne Van Kranen-Mastenbroek ; Annelien Duits ; Lo J. Bour ; Peter H. Veltink ; Tjitske Heida ; Veerle Visser-Vandewalle

Source :

RBID : pubmed:22213381

English descriptors

Abstract

Deep brain stimulation of the subthalamic nucleus alleviates motor symptoms in Parkinson's disease patients. However, some patients suffer from cognitive and emotional changes. These side effects are most likely caused by current spread to the cognitive and limbic territories in the subthalamic nucleus. The aim of this study was to identify the motor part of the subthalamic nucleus to reduce stimulation-induced behavioral side effects, by using motor cortex stimulation.

DOI: 10.1002/mds.24053
PubMed: 22213381

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pubmed:22213381

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<nlm:affiliation>Department of Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands. m.janssen@maastrichtuniversity.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
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<name sortKey="Zwartjes, Daphne G M" sort="Zwartjes, Daphne G M" uniqKey="Zwartjes D" first="Daphne G M" last="Zwartjes">Daphne G M. Zwartjes</name>
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<name sortKey="Duits, Annelien" sort="Duits, Annelien" uniqKey="Duits A" first="Annelien" last="Duits">Annelien Duits</name>
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<name sortKey="Bour, Lo J" sort="Bour, Lo J" uniqKey="Bour L" first="Lo J" last="Bour">Lo J. Bour</name>
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<name sortKey="Visser Vandewalle, Veerle" sort="Visser Vandewalle, Veerle" uniqKey="Visser Vandewalle V" first="Veerle" last="Visser-Vandewalle">Veerle Visser-Vandewalle</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Deep Brain Stimulation (methods)</term>
<term>Evoked Potentials, Motor (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurons (physiology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (pathology)</term>
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<term>Deep Brain Stimulation</term>
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<term>Cerebral Cortex</term>
<term>Evoked Potentials, Motor</term>
<term>Neurons</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Deep brain stimulation of the subthalamic nucleus alleviates motor symptoms in Parkinson's disease patients. However, some patients suffer from cognitive and emotional changes. These side effects are most likely caused by current spread to the cognitive and limbic territories in the subthalamic nucleus. The aim of this study was to identify the motor part of the subthalamic nucleus to reduce stimulation-induced behavioral side effects, by using motor cortex stimulation.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Subthalamic neuronal responses to cortical stimulation.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Deep brain stimulation of the subthalamic nucleus alleviates motor symptoms in Parkinson's disease patients. However, some patients suffer from cognitive and emotional changes. These side effects are most likely caused by current spread to the cognitive and limbic territories in the subthalamic nucleus. The aim of this study was to identify the motor part of the subthalamic nucleus to reduce stimulation-induced behavioral side effects, by using motor cortex stimulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We describe the results of subthalamic nucleus neuronal responses to stimulation of the hand area of the motor cortex and evaluate the safety of this novel technique.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Responses differed between regions within the subthalamic nucleus. In the anterior and lateral electrode at dorsal levels of the subthalamic nucleus, an early excitation (∼5-45 ms) and subsequent inhibition (45-105 ms) were seen. The lateral electrode also showed a late excitation (∼125-160 ms). Focal seizures were observed following motor cortex stimulation.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">To prevent seizures the current density should be lowered, so that motor cortex stimulation-evoked responses can be safely used during deep brain stimulation surgery.</AbstractText>
<CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation>
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