Body weight gain and deep brain stimulation.
Identifieur interne : 001611 ( Main/Exploration ); précédent : 001610; suivant : 001612Body weight gain and deep brain stimulation.
Auteurs : Isabelle Rieu [France] ; Philippe Derost ; Miguel Ulla ; Ana Marques ; Bérangère Debilly ; Ingrid De Chazeron ; Isabelle Chéreau ; Jean Jacques Lemaire ; Yves Boirie ; Pierre Michel Llorca ; Franck DurifSource :
- Journal of the neurological sciences [ 1878-5883 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- methods : Deep Brain Stimulation.
- pathology : Brain.
- physiology : Body Weight, Brain.
- therapy : Parkinson Disease.
- Humans.
Abstract
Deep brain stimulation (DBS) is a neurosurgical technique that has now been available for some 25 years. It is used in the treatment of various motor disorders, e.g. Parkinson's disease (PD), essential tremor and dystonia, and neuropsychiatric illnesses, e.g. obsessive-compulsive disorder and Tourette syndrome. The surgical targets of DBS include the thalamic ventralis intermedius nucleus (Vim), the globus pallidus internus (GPi) and more recently the subthalamic nucleus (STN), currently considered as the reference target in the treatment of PD. In the last ten years, most studies in PD patients have described a rapid and marked weight gain in the months following DBS of the STN. This weight gain sometimes induces obesity and can have metabolic repercussions. The physiopathological mechanisms responsible for the weight gain are multifactorial (changes in energy metabolism and eating behaviour, reduction of motor complications, etc.). This review reports current knowledge concerning weight changes in patients treated by DBS with different surgical targets. It also describes the mechanisms responsible for weight gain and the health outcome for the patients.
DOI: 10.1016/j.jns.2011.06.055
PubMed: 21764406
Affiliations:
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It is used in the treatment of various motor disorders, e.g. Parkinson's disease (PD), essential tremor and dystonia, and neuropsychiatric illnesses, e.g. obsessive-compulsive disorder and Tourette syndrome. The surgical targets of DBS include the thalamic ventralis intermedius nucleus (Vim), the globus pallidus internus (GPi) and more recently the subthalamic nucleus (STN), currently considered as the reference target in the treatment of PD. In the last ten years, most studies in PD patients have described a rapid and marked weight gain in the months following DBS of the STN. This weight gain sometimes induces obesity and can have metabolic repercussions. The physiopathological mechanisms responsible for the weight gain are multifactorial (changes in energy metabolism and eating behaviour, reduction of motor complications, etc.). This review reports current knowledge concerning weight changes in patients treated by DBS with different surgical targets. It also describes the mechanisms responsible for weight gain and the health outcome for the patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li></region></list><tree><noCountry><name sortKey="Boirie, Yves" sort="Boirie, Yves" uniqKey="Boirie Y" first="Yves" last="Boirie">Yves Boirie</name><name sortKey="Chereau, Isabelle" sort="Chereau, Isabelle" uniqKey="Chereau I" first="Isabelle" last="Chéreau">Isabelle Chéreau</name><name sortKey="De Chazeron, Ingrid" sort="De Chazeron, Ingrid" uniqKey="De Chazeron I" first="Ingrid" last="De Chazeron">Ingrid De Chazeron</name><name sortKey="Debilly, Berangere" sort="Debilly, Berangere" uniqKey="Debilly B" first="Bérangère" last="Debilly">Bérangère Debilly</name><name sortKey="Derost, Philippe" sort="Derost, Philippe" uniqKey="Derost P" first="Philippe" last="Derost">Philippe Derost</name><name sortKey="Durif, Franck" sort="Durif, Franck" uniqKey="Durif F" first="Franck" last="Durif">Franck Durif</name><name sortKey="Lemaire, Jean Jacques" sort="Lemaire, Jean Jacques" uniqKey="Lemaire J" first="Jean Jacques" last="Lemaire">Jean Jacques Lemaire</name><name sortKey="Llorca, Pierre Michel" sort="Llorca, Pierre Michel" uniqKey="Llorca P" first="Pierre Michel" last="Llorca">Pierre Michel Llorca</name><name sortKey="Marques, Ana" sort="Marques, Ana" uniqKey="Marques A" first="Ana" last="Marques">Ana Marques</name><name sortKey="Ulla, Miguel" sort="Ulla, Miguel" uniqKey="Ulla M" first="Miguel" last="Ulla">Miguel Ulla</name></noCountry><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Rieu, Isabelle" sort="Rieu, Isabelle" uniqKey="Rieu I" first="Isabelle" last="Rieu">Isabelle Rieu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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