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

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Deep brain stimulation of the subthalamic nucleus in Parkinson's disease: usefulness of intraoperative radiological guidance. The Stereoplan.

Identifieur interne : 002525 ( Main/Merge ); précédent : 002524; suivant : 002526

Deep brain stimulation of the subthalamic nucleus in Parkinson's disease: usefulness of intraoperative radiological guidance. The Stereoplan.

Auteurs : Stéphane Derrey [France] ; David Maltête ; Nathalie Chastan ; Bertrand Debono ; François Proust ; Emmanuel Gérardin ; Jacques Weber ; Bruno Mihout ; Pierre Fréger

Source :

RBID : pubmed:18854662

English descriptors

Abstract

In our stereotactic procedure, intraoperative radiological documentation of electrode localization is performed using the Stereoplan. The aim of the study was to evaluate its accuracy.

Url:
DOI: 10.1159/000163556
PubMed: 18854662

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pubmed:18854662

Le document en format XML

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<country>France</country>
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<name sortKey="Freger, Pierre" sort="Freger, Pierre" uniqKey="Freger P" first="Pierre" last="Fréger">Pierre Fréger</name>
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<orgName>Service de neurochirurgie</orgName>
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<idno type="DOI">10.1159/000163556</idno>
<series>
<title level="j">Stereotactic and Functional Neurosurgery</title>
<idno type="ISSN">1011-6125</idno>
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<date type="datePub">2008</date>
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<div type="abstract" xml:lang="en">BACKGROUND: In our stereotactic procedure, intraoperative radiological documentation of electrode localization is performed using the Stereoplan. The aim of the study was to evaluate its accuracy. PATIENTS AND METHODS: Data of 20 consecutive patients, treated for Parkinson's disease by implantation of deep brain stimulators into the subthalamic nucleus, were collected prospectively. During surgery, Stereoplan coordinates of the tip of the central macroelectrodes were compared with intended coordinates along the central trajectory at 4 levels: (1) 10 mm above the anatomical target, (2) in the target, (3) in the substantia nigra pars reticulata, and (4) at the depth of contact 1. Before the frame's removal, Stereoplan coordinates of the contacts of the definitive electrode were compared with postoperative MRI coordinates. The mean of the differences was calculated in the x-, y-, and z-axis. Clinical results at 6 months were recorded. RESULTS: The mean of the differences between Stereoplan coordinates and intended coordinates for the macroelectrodes was lower than 1 mm. A submillimeter difference was also found for the definitive contacts. At 6 months, the Unified Parkinson's Disease Rating Scale III score improved by 70.6% compared with the baseline score. Dyskinesia and motor fluctuations decreased by 85.7 and 87%, respectively (p < 0.0001). CONCLUSION: Stereoplan could be considered an accurate intraoperative radiological system which assures the correct position of the electrode in the anatomical target.</div>
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<name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Neurosurgery, Rouen University Hospital, Rouen, France. sderrey@gmail.com</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurosurgery, Rouen University Hospital, Rouen</wicri:regionArea>
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<region type="region">Région Normandie</region>
<region type="old region">Haute-Normandie</region>
<settlement type="city">Rouen</settlement>
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<name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name>
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<name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<name sortKey="Weber, Jacques" sort="Weber, Jacques" uniqKey="Weber J" first="Jacques" last="Weber">Jacques Weber</name>
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<name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name>
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<nlm:affiliation>Department of Neurosurgery, Rouen University Hospital, Rouen, France. sderrey@gmail.com</nlm:affiliation>
<country xml:lang="fr">France</country>
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<region type="region">Région Normandie</region>
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<name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name>
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<name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<name sortKey="Debono, Bertrand" sort="Debono, Bertrand" uniqKey="Debono B" first="Bertrand" last="Debono">Bertrand Debono</name>
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<name sortKey="Proust, Francois" sort="Proust, Francois" uniqKey="Proust F" first="François" last="Proust">François Proust</name>
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<name sortKey="Weber, Jacques" sort="Weber, Jacques" uniqKey="Weber J" first="Jacques" last="Weber">Jacques Weber</name>
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<idno type="eISSN">1423-0372</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Deep Brain Stimulation (instrumentation)</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Monitoring, Intraoperative (instrumentation)</term>
<term>Monitoring, Intraoperative (methods)</term>
<term>Parkinson Disease (diagnostic imaging)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Stereotaxic Techniques (instrumentation)</term>
<term>Stereotaxic Techniques (standards)</term>
<term>Subthalamic Nucleus (diagnostic imaging)</term>
<term>Subthalamic Nucleus (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
</keywords>
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<term>Deep Brain Stimulation</term>
<term>Monitoring, Intraoperative</term>
<term>Stereotaxic Techniques</term>
</keywords>
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<term>Deep Brain Stimulation</term>
<term>Monitoring, Intraoperative</term>
</keywords>
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<term>Subthalamic Nucleus</term>
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<term>Parkinson Disease</term>
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<term>Stereotaxic Techniques</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
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<div type="abstract" xml:lang="en">In our stereotactic procedure, intraoperative radiological documentation of electrode localization is performed using the Stereoplan. The aim of the study was to evaluate its accuracy.</div>
</front>
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