Deep brain stimulation for parkinson's disease: correlation between intraoperative subthalamic nucleus neurophysiology and most effective contacts.
Identifieur interne : 000414 ( Ncbi/Checkpoint ); précédent : 000413; suivant : 000415Deep brain stimulation for parkinson's disease: correlation between intraoperative subthalamic nucleus neurophysiology and most effective contacts.
Auteurs : P. Cintas [France] ; M. Simonetta-Moreau ; F. Ory ; C. Brefel-Courbon ; N. Fabre ; P. Chaynes ; J. Sabatier ; J C Sol ; O. Rascol ; I. Berry ; Y. LazorthesSource :
- Stereotactic and functional neurosurgery [ 1011-6125 ] ; 2003.
English descriptors
- KwdEn :
- MESH :
- methods : Electric Stimulation Therapy.
- physiopathology : Parkinson Disease.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Adult, Aged, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Neurosurgical Procedures, Treatment Outcome.
Abstract
Though intraoperative neurophysiology is essential to precisely define the definitive target, little is known regarding its predictive value in defining the most effective contact for chronic deep brain stimulation. In this retrospective study, we reviewed the correlation between intraoperative neurophysiology and contacts selected for chronic stimulation. Twenty consecutive patients implanted for subthalamic nucleus (STN) stimulation were reviewed. There was no significant correlation between the electrophysiologically defined STN and the most effective contact for chronic stimulation at 3 months or at 6 months. Furthermore, there was a discrepancy between the most effective contact for rigidity versus akinesia or tremor at 3 months. Interestingly, at 3 months, the same electrode contact was maximally efficient for rigidity, akinesia and tremor in only 13 of the 39 cases. This lack of correlation did not affect the global improvement.
DOI: 75169
PubMed: 14745218
Affiliations:
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Cintas</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurosciences, CHU Toulouse, University Paul Sabatier, Toulouse, France. cintas.p@chu-toulouse.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurosciences, CHU Toulouse, University Paul Sabatier, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Simonetta Moreau, M" sort="Simonetta Moreau, M" uniqKey="Simonetta Moreau M" first="M" last="Simonetta-Moreau">M. Simonetta-Moreau</name></author><author><name sortKey="Ory, F" sort="Ory, F" uniqKey="Ory F" first="F" last="Ory">F. Ory</name></author><author><name sortKey="Brefel Courbon, C" sort="Brefel Courbon, C" uniqKey="Brefel Courbon C" first="C" last="Brefel-Courbon">C. Brefel-Courbon</name></author><author><name sortKey="Fabre, N" sort="Fabre, N" uniqKey="Fabre N" first="N" last="Fabre">N. Fabre</name></author><author><name sortKey="Chaynes, P" sort="Chaynes, P" uniqKey="Chaynes P" first="P" last="Chaynes">P. Chaynes</name></author><author><name sortKey="Sabatier, J" sort="Sabatier, J" uniqKey="Sabatier J" first="J" last="Sabatier">J. Sabatier</name></author><author><name sortKey="Sol, J C" sort="Sol, J C" uniqKey="Sol J" first="J C" last="Sol">J C Sol</name></author><author><name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name></author><author><name sortKey="Berry, I" sort="Berry, I" uniqKey="Berry I" first="I" last="Berry">I. Berry</name></author><author><name sortKey="Lazorthes, Y" sort="Lazorthes, Y" uniqKey="Lazorthes Y" first="Y" last="Lazorthes">Y. Lazorthes</name></author></analytic><series><title level="j">Stereotactic and functional neurosurgery</title><idno type="ISSN">1011-6125</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Electric Stimulation Therapy (methods)</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurosurgical Procedures</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (surgery)</term><term>Parkinson Disease (therapy)</term><term>Subthalamic Nucleus (surgery)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Parkinson Disease</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurosurgical Procedures</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Though intraoperative neurophysiology is essential to precisely define the definitive target, little is known regarding its predictive value in defining the most effective contact for chronic deep brain stimulation. In this retrospective study, we reviewed the correlation between intraoperative neurophysiology and contacts selected for chronic stimulation. Twenty consecutive patients implanted for subthalamic nucleus (STN) stimulation were reviewed. There was no significant correlation between the electrophysiologically defined STN and the most effective contact for chronic stimulation at 3 months or at 6 months. Furthermore, there was a discrepancy between the most effective contact for rigidity versus akinesia or tremor at 3 months. Interestingly, at 3 months, the same electrode contact was maximally efficient for rigidity, akinesia and tremor in only 13 of the 39 cases. This lack of correlation did not affect the global improvement.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Midi-Pyrénées</li><li>Occitanie (région administrative)</li></region><settlement><li>Toulouse</li></settlement></list><tree><noCountry><name sortKey="Berry, I" sort="Berry, I" uniqKey="Berry I" first="I" last="Berry">I. Berry</name><name sortKey="Brefel Courbon, C" sort="Brefel Courbon, C" uniqKey="Brefel Courbon C" first="C" last="Brefel-Courbon">C. Brefel-Courbon</name><name sortKey="Chaynes, P" sort="Chaynes, P" uniqKey="Chaynes P" first="P" last="Chaynes">P. Chaynes</name><name sortKey="Fabre, N" sort="Fabre, N" uniqKey="Fabre N" first="N" last="Fabre">N. Fabre</name><name sortKey="Lazorthes, Y" sort="Lazorthes, Y" uniqKey="Lazorthes Y" first="Y" last="Lazorthes">Y. Lazorthes</name><name sortKey="Ory, F" sort="Ory, F" uniqKey="Ory F" first="F" last="Ory">F. Ory</name><name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name><name sortKey="Sabatier, J" sort="Sabatier, J" uniqKey="Sabatier J" first="J" last="Sabatier">J. Sabatier</name><name sortKey="Simonetta Moreau, M" sort="Simonetta Moreau, M" uniqKey="Simonetta Moreau M" first="M" last="Simonetta-Moreau">M. Simonetta-Moreau</name><name sortKey="Sol, J C" sort="Sol, J C" uniqKey="Sol J" first="J C" last="Sol">J C Sol</name></noCountry><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Cintas, P" sort="Cintas, P" uniqKey="Cintas P" first="P" last="Cintas">P. Cintas</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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