La maladie de Parkinson en France (serveur d'exploration)

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Coordinated reset neuromodulation for Parkinson's disease: Proof-of-concept study

Identifieur interne : 000A24 ( Main/Exploration ); précédent : 000A23; suivant : 000A25

Coordinated reset neuromodulation for Parkinson's disease: Proof-of-concept study

Auteurs : Ilya Adamchic [Allemagne] ; Christian Hauptmann [Allemagne] ; Utako Brigit Barnikol [Allemagne] ; Norbert Pawelczyk [Allemagne] ; Oleksandr Popovych [Allemagne] ; Thomas Theo Barnikol [Allemagne] ; Alexander Silchenko [Allemagne] ; Jens Volkmann [Allemagne] ; Günter Deuschl [Allemagne] ; Wassilios G. Meissner [France] ; Mohammad Maarouf [Allemagne] ; Volker Sturm [Allemagne] ; Hans-Joachim Freund [Allemagne] ; Peter Alexander Tass [Allemagne]

Source :

RBID : PMC:4282372

Abstract

Background

The discovery of abnormal synchronization of neuronal activity in the basal ganglia in Parkinson's disease (PD) has prompted the development of novel neuromodulation paradigms. Coordinated reset neuromodulation intends to specifically counteract excessive synchronization and to induce cumulative unlearning of pathological synaptic connectivity and neuronal synchrony.

Methods

In this prospective case series, six PD patients were evaluated before and after coordinated reset neuromodulation according to a standardized protocol that included both electrophysiological recordings and clinical assessments.

Results

Coordinated reset neuromodulation of the subthalamic nucleus (STN) applied to six PD patients in an externalized setting during three stimulation days induced a significant and cumulative reduction of beta band activity that correlated with a significant improvement of motor function.

Conclusions

These results highlight the potential effects of coordinated reset neuromodulation of the STN in PD patients and encourage further development of this approach as an alternative to conventional high-frequency deep brain stimulation in PD. © 2014 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.


Url:
DOI: 10.1002/mds.25923
PubMed: 24976001
PubMed Central: 4282372


Affiliations:


Links toward previous steps (curation, corpus...)


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<institution>Department of Neuromodulation, University of Cologne</institution>
<addr-line>Cologne, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Cologne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="au4">
<institution>Clinic for Stereotactic and Functional Neurosurgery, University of Cologne</institution>
<addr-line>Cologne, Germany</addr-line>
</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Cologne</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Movement Disorders</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>The discovery of abnormal synchronization of neuronal activity in the basal ganglia in Parkinson's disease (PD) has prompted the development of novel neuromodulation paradigms. Coordinated reset neuromodulation intends to specifically counteract excessive synchronization and to induce cumulative unlearning of pathological synaptic connectivity and neuronal synchrony.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this prospective case series, six PD patients were evaluated before and after coordinated reset neuromodulation according to a standardized protocol that included both electrophysiological recordings and clinical assessments.</p>
</sec>
<sec>
<title>Results</title>
<p>Coordinated reset neuromodulation of the subthalamic nucleus (STN) applied to six PD patients in an externalized setting during three stimulation days induced a significant and cumulative reduction of beta band activity that correlated with a significant improvement of motor function.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results highlight the potential effects of coordinated reset neuromodulation of the STN in PD patients and encourage further development of this approach as an alternative to conventional high-frequency deep brain stimulation in PD. © 2014 The Authors.
<italic>Movement</italic>
Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.</p>
</sec>
</div>
</front>
<back>
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</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>France</li>
</country>
</list>
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<country name="Allemagne">
<noRegion>
<name sortKey="Adamchic, Ilya" sort="Adamchic, Ilya" uniqKey="Adamchic I" first="Ilya" last="Adamchic">Ilya Adamchic</name>
</noRegion>
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<name sortKey="Barnikol, Utako Brigit" sort="Barnikol, Utako Brigit" uniqKey="Barnikol U" first="Utako Brigit" last="Barnikol">Utako Brigit Barnikol</name>
<name sortKey="Barnikol, Utako Brigit" sort="Barnikol, Utako Brigit" uniqKey="Barnikol U" first="Utako Brigit" last="Barnikol">Utako Brigit Barnikol</name>
<name sortKey="Barnikol, Utako Brigit" sort="Barnikol, Utako Brigit" uniqKey="Barnikol U" first="Utako Brigit" last="Barnikol">Utako Brigit Barnikol</name>
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<name sortKey="Pawelczyk, Norbert" sort="Pawelczyk, Norbert" uniqKey="Pawelczyk N" first="Norbert" last="Pawelczyk">Norbert Pawelczyk</name>
<name sortKey="Popovych, Oleksandr" sort="Popovych, Oleksandr" uniqKey="Popovych O" first="Oleksandr" last="Popovych">Oleksandr Popovych</name>
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<name sortKey="Sturm, Volker" sort="Sturm, Volker" uniqKey="Sturm V" first="Volker" last="Sturm">Volker Sturm</name>
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