Multicentre European study of thalamic stimulation in parkinsonian and essential tremor
Identifieur interne : 000008 ( Ncbi/Curation ); précédent : 000007; suivant : 000009Multicentre European study of thalamic stimulation in parkinsonian and essential tremor
Auteurs : P. Limousin ; J. Speelman ; F. Gielen ; M. Janssens ; C. StudySource :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 1999.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Parkinson Disease, Thalamic Nuclei.
- Activities of Daily Living, Aged, Electric Stimulation Therapy, Female, Follow-Up Studies, Functional Laterality, Humans, Male, Middle Aged.
Abstract
Url:
PubMed: 10084526
PubMed Central: 1736277
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PMC:1736277Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Multicentre European study of thalamic stimulation in
parkinsonian and essential tremor</title>
<author><name sortKey="Limousin, P" sort="Limousin, P" uniqKey="Limousin P" first="P" last="Limousin">P. Limousin</name>
</author>
<author><name sortKey="Speelman, J" sort="Speelman, J" uniqKey="Speelman J" first="J" last="Speelman">J. Speelman</name>
</author>
<author><name sortKey="Gielen, F" sort="Gielen, F" uniqKey="Gielen F" first="F" last="Gielen">F. Gielen</name>
</author>
<author><name sortKey="Janssens, M" sort="Janssens, M" uniqKey="Janssens M" first="M" last="Janssens">M. Janssens</name>
</author>
<author><name sortKey="Study, C" sort="Study, C" uniqKey="Study C" first="C" last="Study">C. Study</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Multicentre European study of thalamic stimulation in
parkinsonian and essential tremor</title>
<author><name sortKey="Limousin, P" sort="Limousin, P" uniqKey="Limousin P" first="P" last="Limousin">P. Limousin</name>
</author>
<author><name sortKey="Speelman, J" sort="Speelman, J" uniqKey="Speelman J" first="J" last="Speelman">J. Speelman</name>
</author>
<author><name sortKey="Gielen, F" sort="Gielen, F" uniqKey="Gielen F" first="F" last="Gielen">F. Gielen</name>
</author>
<author><name sortKey="Janssens, M" sort="Janssens, M" uniqKey="Janssens M" first="M" last="Janssens">M. Janssens</name>
</author>
<author><name sortKey="Study, C" sort="Study, C" uniqKey="Study C" first="C" last="Study">C. Study</name>
</author>
</analytic>
<series><title level="j">Journal of Neurology, Neurosurgery, and Psychiatry</title>
<idno type="ISSN">0022-3050</idno>
<idno type="eISSN">1468-330X</idno>
<imprint><date when="1999">1999</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term>
<term>Aged</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Thalamic Nuclei (physiopathology)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
<term>Thalamic Nuclei</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Aged</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><italic>OBJECTIVES</italic>
—Thalamic
stimulation has been proposed to treat disabling tremor. The aims of
this multicentre study were to evaluate the efficacy and the morbidity
of thalamic stimulation in a large number of patients with parkinsonian
or essential tremor.
<italic>METHODS</italic>
—One hundred
and eleven patients were included in the study and 110 were
implanted either unilaterally or bilaterally. Patients were evaluated
with clinical scales, before and up to 12 months after surgery.
<italic>RESULTS</italic>
—Upper
and lower limb tremor scores were reduced in both groups. Eighty five
per cent of the electrodes satisfied the arbitrary criteria of two
point reduction in rest tremor reduction in the parkinsonian tremor
group and 89% for postural tremor reduction in the essential tremor
group. In the parkinsonian tremor group, limb akinesia and limb
rigidity scores were moderately but significantly reduced. Axial scores
were unchanged. In the essential tremor group, head tremor was
significantly reduced only at 3 months and voice tremor was
non-significantly reduced. Activities of daily living were improved in
both groups. Changes in medication were moderate. Adverse effects
related to the surgery were mild and reversible.
<italic>CONCLUSIONS</italic>
—Thalamic
stimulation was shown to be an effective and relatively safe treatment
for disabling tremor. This procedure initially applied in a very
limited number of centres has been successfully used in 13 participating centres.
</p>
</div>
</front>
</TEI>
</record>
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