Subthalamic nucleus stimulation in tremor dominant parkinsonian patients with previous thalamic surgery
Identifieur interne : 002C14 ( Main/Exploration ); précédent : 002C13; suivant : 002C15Subthalamic nucleus stimulation in tremor dominant parkinsonian patients with previous thalamic surgery
Auteurs : V. Fraix [France] ; P. Pollak [France] ; E. Moro [France] ; S. Chabardes [France] ; J. Xie [France] ; C. Ardouin [France] ; A L Benabid [France]Source :
- Journal of Neurology, Neurosurgery & Psychiatry [ 0022-3050 ] ; 2005-02.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adult, DBS, deep brain stimulation, Deep Brain Stimulation, Dementia (classification), Depression, Electrodes, Implanted, Female, Human, Humans, LEDD, levodopa equivalent daily dose, Male, Middle Aged, Motor Skills, Motor control, Nervous system diseases, Neuropsychological Tests, Neurosurgical Procedures, PD, Parkinson’s disease, PDQL-37, Parkinson’s Disease Quality of Life 37 point scale, Parkinson Disease (therapy), Parkinson disease, STN, subthalamic nucleus, Subthalamic Nucleus (physiology), Subthalamic nucleus, Surgery, Thalamus (surgery), Treatment, Treatment Outcome, Tremor, Tremor (etiology), Tremor (therapy), UPDRS, Unified Parkinson’s Disease Rating Scale, VIM, ventral intermediate nucleus, parkinsonian tremor, subthalamic nucleus stimulation, ventral intermediate nucleus.
- MESH :
- classification : Dementia.
- etiology : Tremor.
- physiology : Subthalamic Nucleus.
- surgery : Thalamus.
- therapy : Parkinson Disease, Tremor.
- Adult, Deep Brain Stimulation, Depression, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Motor Skills, Neuropsychological Tests, Neurosurgical Procedures, Treatment Outcome.
Abstract
Before the introduction of high frequency stimulation of the subthalamic nucleus (STN), many disabled tremor dominant parkinsonian patients underwent lesioning or chronic electrical stimulation of the thalamus. We studied the effects of STN stimulation in patients with previous ventral intermediate nucleus (VIM) surgery whose motor state worsened. Fifteen parkinsonian patients were included in this study: nine with unilateral and two with bilateral VIM stimulation, three with unilateral thalamotomy, and one with both unilateral thalamotomy and contralateral VIM stimulation. The clinical evaluation consisted of a formal motor assessment using the Unified Parkinson’s Disease Rating Scale (UPDRS) and neuropsychological tests encompassing a 50 point frontal scale, the Mattis Dementia Rating Scale, and the Beck Depression Inventory. The first surgical procedure was performed a mean (SD) of 8 (5) years after the onset of disease. STN implantation was carried out 10 (4) years later, and duration of follow up after beginning STN stimulation was 24 (20) months. The UPDRS motor score, tremor score, difficulties in performance of activities of daily living, and levodopa equivalent daily dose significantly decreased after STN stimulation. Neither axial symptoms nor neuropsychological status significantly worsened after the implantation of the STN electrodes. The parkinsonian motor state is greatly improved by bilateral STN stimulation even in patients with previous thalamic surgery, and STN stimulation is more effective than VIM stimulation in tremor dominant parkinsonian patients.
Url:
- https://api.istex.fr/document/6B7594CA4D07BCB601E96C5EC4B4683FF2E7344F/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739504
DOI: 10.1136/jnnp.2003.022707
Affiliations:
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Fraix</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, University Hospital of Grenoble</wicri:regionArea><wicri:noRegion>University Hospital of Grenoble</wicri:noRegion><wicri:noRegion>University Hospital of Grenoble</wicri:noRegion></affiliation><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>INSERM U318, Joseph Fourier University, Grenoble</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author><author><name sortKey="Pollak, P" sort="Pollak, P" uniqKey="Pollak P" first="P" last="Pollak">P. Pollak</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, University Hospital of Grenoble</wicri:regionArea><wicri:noRegion>University Hospital of Grenoble</wicri:noRegion><wicri:noRegion>University Hospital of Grenoble</wicri:noRegion></affiliation><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>INSERM U318, Joseph Fourier University, Grenoble</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author><author><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. 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type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurosurgery, University of Grenoble</wicri:regionArea><wicri:noRegion>University of Grenoble</wicri:noRegion><wicri:noRegion>University of Grenoble</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology, Neurosurgery & Psychiatry</title><title level="j" type="abbrev">J Neurol Neurosurg Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2005-02">2005-02</date><biblScope unit="volume">76</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="246">246</biblScope></imprint><idno type="ISSN">0022-3050</idno></series><idno type="istex">6B7594CA4D07BCB601E96C5EC4B4683FF2E7344F</idno><idno type="DOI">10.1136/jnnp.2003.022707</idno><idno type="href">jnnp-76-246.pdf</idno><idno type="PMID">15654041</idno><idno type="local">0760246</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>DBS, deep brain stimulation</term><term>Deep Brain Stimulation</term><term>Dementia (classification)</term><term>Depression</term><term>Electrodes, Implanted</term><term>Female</term><term>Human</term><term>Humans</term><term>LEDD, levodopa equivalent daily dose</term><term>Male</term><term>Middle Aged</term><term>Motor Skills</term><term>Motor control</term><term>Nervous system diseases</term><term>Neuropsychological Tests</term><term>Neurosurgical Procedures</term><term>PD, Parkinson’s disease</term><term>PDQL-37, Parkinson’s Disease Quality of Life 37 point scale</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>STN, subthalamic nucleus</term><term>Subthalamic Nucleus (physiology)</term><term>Subthalamic nucleus</term><term>Surgery</term><term>Thalamus (surgery)</term><term>Treatment</term><term>Treatment Outcome</term><term>Tremor</term><term>Tremor (etiology)</term><term>Tremor (therapy)</term><term>UPDRS, Unified Parkinson’s Disease Rating Scale</term><term>VIM, ventral intermediate nucleus</term><term>parkinsonian tremor</term><term>subthalamic nucleus stimulation</term><term>ventral intermediate nucleus</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Thalamus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Deep Brain Stimulation</term><term>Depression</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Skills</term><term>Neuropsychological Tests</term><term>Neurosurgical Procedures</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chirurgie</term><term>Contrôle moteur</term><term>Homme</term><term>Noyau sousthalamique</term><term>Parkinson maladie</term><term>Système nerveux pathologie</term><term>Traitement</term><term>Tremblement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Before the introduction of high frequency stimulation of the subthalamic nucleus (STN), many disabled tremor dominant parkinsonian patients underwent lesioning or chronic electrical stimulation of the thalamus. We studied the effects of STN stimulation in patients with previous ventral intermediate nucleus (VIM) surgery whose motor state worsened. Fifteen parkinsonian patients were included in this study: nine with unilateral and two with bilateral VIM stimulation, three with unilateral thalamotomy, and one with both unilateral thalamotomy and contralateral VIM stimulation. The clinical evaluation consisted of a formal motor assessment using the Unified Parkinson’s Disease Rating Scale (UPDRS) and neuropsychological tests encompassing a 50 point frontal scale, the Mattis Dementia Rating Scale, and the Beck Depression Inventory. The first surgical procedure was performed a mean (SD) of 8 (5) years after the onset of disease. STN implantation was carried out 10 (4) years later, and duration of follow up after beginning STN stimulation was 24 (20) months. The UPDRS motor score, tremor score, difficulties in performance of activities of daily living, and levodopa equivalent daily dose significantly decreased after STN stimulation. Neither axial symptoms nor neuropsychological status significantly worsened after the implantation of the STN electrodes. The parkinsonian motor state is greatly improved by bilateral STN stimulation even in patients with previous thalamic surgery, and STN stimulation is more effective than VIM stimulation in tremor dominant parkinsonian patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Grenoble</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Fraix, V" sort="Fraix, V" uniqKey="Fraix V" first="V" last="Fraix">V. Fraix</name></noRegion><name sortKey="Ardouin, C" sort="Ardouin, C" uniqKey="Ardouin C" first="C" last="Ardouin">C. Ardouin</name><name sortKey="Ardouin, C" sort="Ardouin, C" uniqKey="Ardouin C" first="C" last="Ardouin">C. Ardouin</name><name sortKey="Benabid, A L" sort="Benabid, A L" uniqKey="Benabid A" first="A L" last="Benabid">A L Benabid</name><name sortKey="Benabid, A L" sort="Benabid, A L" uniqKey="Benabid A" first="A L" last="Benabid">A L Benabid</name><name sortKey="Chabardes, S" sort="Chabardes, S" uniqKey="Chabardes S" first="S" last="Chabardes">S. Chabardes</name><name sortKey="Chabardes, S" sort="Chabardes, S" uniqKey="Chabardes S" first="S" last="Chabardes">S. Chabardes</name><name sortKey="Fraix, V" sort="Fraix, V" uniqKey="Fraix V" first="V" last="Fraix">V. Fraix</name><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name><name sortKey="Pollak, P" sort="Pollak, P" uniqKey="Pollak P" first="P" last="Pollak">P. Pollak</name><name sortKey="Pollak, P" sort="Pollak, P" uniqKey="Pollak P" first="P" last="Pollak">P. Pollak</name><name sortKey="Xie, J" sort="Xie, J" uniqKey="Xie J" first="J" last="Xie">J. Xie</name><name sortKey="Xie, J" sort="Xie, J" uniqKey="Xie J" first="J" last="Xie">J. Xie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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