Effect of bilateral deep-brain stimulation on oral control of patients with parkinsonism
Identifieur interne : 004261 ( Main/Merge ); précédent : 004260; suivant : 004262Effect of bilateral deep-brain stimulation on oral control of patients with parkinsonism
Auteurs : Michèle Gentil [France] ; Pedro Garcia-Ruiz [Espagne] ; Pierre Pollak [France] ; Alim-Louis Benabid [France]Source :
- European neurology [ 0014-3022 ] ; 2000.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
We assessed the oral system of parkinsonian patients treated with bilateral chronic stimulation of the ventral intermediate nucleus of the thalamus (Vim), and of the subthalamic nucleus (STN) to compare the effects of these procedures on the articulatory organs. Force transducers were used to sample ramp-and-hold force contractions generated by the upper lip, lower lip and tongue at 1- and 2-newton target force levels, as well as maximal force. Fourteen healthy control subjects and 14 parkinsonian patients participated in this study. After an overnight fast the patients were evaluated under two conditions: during bilateral stimulation and 1 h after stopping stimulation. With Vim stimulation, dynamic and static control of the articulatory organs was worsened while with STN stimulation it was greatly improved. The target of stimulation differently influences the oral system and modulates neuronal structures involved in speech.
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Pascal:00-0478447Le document en format XML
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<term>Dysarthria</term>
<term>Electrical stimulus</term>
<term>Human</term>
<term>Instrumentation therapy</term>
<term>Lip</term>
<term>Motor control</term>
<term>Parkinson disease</term>
<term>Speech</term>
<term>Subthalamic nucleus</term>
<term>Thalamus</term>
<term>Tongue</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term>
<term>Dysarthrie</term>
<term>Stimulus électrique</term>
<term>Bilatéral</term>
<term>Thalamus</term>
<term>Noyau sousthalamique</term>
<term>Lèvre</term>
<term>Langue</term>
<term>Contrôle moteur</term>
<term>Parole</term>
<term>Traitement instrumental</term>
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<front><div type="abstract" xml:lang="en">We assessed the oral system of parkinsonian patients treated with bilateral chronic stimulation of the ventral intermediate nucleus of the thalamus (Vim), and of the subthalamic nucleus (STN) to compare the effects of these procedures on the articulatory organs. Force transducers were used to sample ramp-and-hold force contractions generated by the upper lip, lower lip and tongue at 1- and 2-newton target force levels, as well as maximal force. Fourteen healthy control subjects and 14 parkinsonian patients participated in this study. After an overnight fast the patients were evaluated under two conditions: during bilateral stimulation and 1 h after stopping stimulation. With Vim stimulation, dynamic and static control of the articulatory organs was worsened while with STN stimulation it was greatly improved. The target of stimulation differently influences the oral system and modulates neuronal structures involved in speech.</div>
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<country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Garcia Ruiz, Pedro" sort="Garcia Ruiz, Pedro" uniqKey="Garcia Ruiz P" first="Pedro" last="Garcia-Ruiz">Pedro Garcia-Ruiz</name>
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