ParkinsonFranceV1, Main, Exploration, bibRecordById, pubmed:14673889

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Identifieur interne : 003237 ( Main/Exploration ); précédent : 003236; suivant : 003238

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Auteurs : Bechir Jarraya [France] ; Anne-Marie Bonnet [France] ; Charles Duyckaerts [France] ; Jean-Luc Houetc [France] ; Philippe Cornu [France] ; Jean-Jacques Hauw [France] ; Yves Agid [France]

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0129063

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Stimulus électrique, Noyau sousthalamique, Critère sélection, Pronostic, Etude cas, Traitement instrumental, Indication, Personne âgée, Femelle.
Wicri :
- topic : Personne âgée.

English descriptors

KwdEn :
- Aged, Antiparkinson Agents (adverse effects), Case study, Cognition Disorders (diagnosis), Disease Progression, Dyskinesia, Drug-Induced (etiology), Elderly, Electric Stimulation Therapy (instrumentation), Electrical stimulus, Fatal Outcome, Female, Humans, Indication, Instrumentation therapy, Levodopa (adverse effects), Neuropsychological Tests, Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Parkinson disease, Prognosis, Selection criterion, Subthalamic Nucleus (physiology), Subthalamic nucleus, Tremor (physiopathology).
MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- diagnosis : Cognition Disorders.
- drug therapy : Parkinson Disease.
- etiology : Dyskinesia, Drug-Induced.
- instrumentation : Electric Stimulation Therapy.
- physiology : Subthalamic Nucleus.
- physiopathology : Parkinson Disease, Tremor.
- therapy : Parkinson Disease.
- Aged, Disease Progression, Fatal Outcome, Female, Humans, Neuropsychological Tests.

Abstract

We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.

Affiliations:

Le document en format XML

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<term>Antiparkinson Agents (adverse effects)</term>
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<term>Disease Progression</term>
<term>Dyskinesia, Drug-Induced (etiology)</term>
<term>Elderly</term>
<term>Electric Stimulation Therapy (instrumentation)</term>
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<term>Fatal Outcome</term>
<term>Female</term>
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<term>Instrumentation therapy</term>
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<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Parkinson disease</term>
<term>Prognosis</term>
<term>Selection criterion</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Subthalamic nucleus</term>
<term>Tremor (physiopathology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
<term>Tremor</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<term>Disease Progression</term>
<term>Fatal Outcome</term>
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<term>Humans</term>
<term>Neuropsychological Tests</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term>
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<term>Noyau sousthalamique</term>
<term>Critère sélection</term>
<term>Pronostic</term>
<term>Etude cas</term>
<term>Traitement instrumental</term>
<term>Indication</term>
<term>Personne âgée</term>
<term>Femelle</term>
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<front><div type="abstract" xml:lang="en">We report on a patient with Parkinson's disease (PD) who was moderately improved by stimulation of the subthalamic nucleus (STN) and died 2 years after electrode implantation. After neurosurgery, symptoms that had responded to levodopa treatment preoperatively continued to improve. Postural instability, dysarthria, and cognitive impairment continued to worsen, despite STN stimulation and levodopa treatment. Postmortem examination of the brain confirmed the diagnosis of PD and showed that the electrodes had been correctly positioned within the STN. The failure of STN stimulation in this patient confirms the importance of screening and excluding patients from surgery with evolving parkinsonian axial symptoms or cognitive impairment.</div>
</front>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Île-de-France</li>
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<settlement><li>Paris</li>
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<tree><country name="France"><region name="Île-de-France"><name sortKey="Jarraya, Bechir" sort="Jarraya, Bechir" uniqKey="Jarraya B" first="Bechir" last="Jarraya">Bechir Jarraya</name>
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<name sortKey="Agid, Yves" sort="Agid, Yves" uniqKey="Agid Y" first="Yves" last="Agid">Yves Agid</name>
<name sortKey="Bonnet, Anne Marie" sort="Bonnet, Anne Marie" uniqKey="Bonnet A" first="Anne-Marie" last="Bonnet">Anne-Marie Bonnet</name>
<name sortKey="Cornu, Philippe" sort="Cornu, Philippe" uniqKey="Cornu P" first="Philippe" last="Cornu">Philippe Cornu</name>
<name sortKey="Duyckaerts, Charles" sort="Duyckaerts, Charles" uniqKey="Duyckaerts C" first="Charles" last="Duyckaerts">Charles Duyckaerts</name>
<name sortKey="Hauw, Jean Jacques" sort="Hauw, Jean Jacques" uniqKey="Hauw J" first="Jean-Jacques" last="Hauw">Jean-Jacques Hauw</name>
<name sortKey="Houetc, Jean Luc" sort="Houetc, Jean Luc" uniqKey="Houetc J" first="Jean-Luc" last="Houetc">Jean-Luc Houetc</name>
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</record>

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

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

Parkinson's disease, subthalamic stimulation, and selection of candidates: A pathologic study

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English descriptors

Abstract

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