Neurosurgery in Parkinson disease: a distressed mind in a repaired body?
Identifieur interne : 000628 ( Ncbi/Merge ); précédent : 000627; suivant : 000629Neurosurgery in Parkinson disease: a distressed mind in a repaired body?
Auteurs : M. Schüpbach [France] ; M. Gargiulo ; M L Welter ; L. Mallet ; C. Béhar ; J L Houeto ; D. Maltête ; V. Mesnage ; Yves Agid [France]Source :
- Neurology [ 1526-632X ] ; 2006.
Descripteurs français
- Wicri :
- geographic : Suisse.
English descriptors
- KwdEn :
- Cognition Disorders (diagnosis), Cognition Disorders (epidemiology), Cognition Disorders (psychology), Deep Brain Stimulation (statistics & numerical data), Female, Humans, Incidence, Male, Middle Aged, Neurosurgery (statistics & numerical data), Neurosurgical Procedures (statistics & numerical data), Outcome Assessment (Health Care), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease (psychology), Parkinson Disease (therapy), Prognosis, Quality of Life, Risk Assessment (methods), Risk Factors, Social Adjustment, Subthalamic Nucleus, Switzerland (epidemiology), Treatment Outcome.
- MESH :
- geographic , epidemiology : Switzerland.
- diagnosis : Cognition Disorders, Parkinson Disease.
- epidemiology : Cognition Disorders, Parkinson Disease.
- methods : Risk Assessment.
- psychology : Cognition Disorders, Parkinson Disease.
- statistics & numerical data : Deep Brain Stimulation, Neurosurgery, Neurosurgical Procedures.
- therapy : Parkinson Disease.
- Female, Humans, Incidence, Male, Middle Aged, Outcome Assessment (Health Care), Prognosis, Quality of Life, Risk Factors, Social Adjustment, Subthalamic Nucleus, Treatment Outcome.
Abstract
To prospectively evaluate the impact of subthalamic nucleus (STN) stimulation on social adjustment in patients with Parkinson disease (PD).
DOI: 10.1212/01.wnl.0000234880.51322.16
PubMed: 16801642
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000E61
- to stream PubMed, to step Curation: 000E21
- to stream PubMed, to step Checkpoint: 000E21
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pubmed:16801642Le document en format XML
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<term>Cognition Disorders (epidemiology)</term>
<term>Cognition Disorders (psychology)</term>
<term>Deep Brain Stimulation (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurosurgery (statistics & numerical data)</term>
<term>Neurosurgical Procedures (statistics & numerical data)</term>
<term>Outcome Assessment (Health Care)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prognosis</term>
<term>Quality of Life</term>
<term>Risk Assessment (methods)</term>
<term>Risk Factors</term>
<term>Social Adjustment</term>
<term>Subthalamic Nucleus</term>
<term>Switzerland (epidemiology)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Switzerland</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cognition Disorders</term>
<term>Parkinson Disease</term>
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</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term>
<term>Parkinson Disease</term>
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<term>Neurosurgery</term>
<term>Neurosurgical Procedures</term>
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<term>Incidence</term>
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<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Prognosis</term>
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<term>Risk Factors</term>
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<term>Subthalamic Nucleus</term>
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<front><div type="abstract" xml:lang="en">To prospectively evaluate the impact of subthalamic nucleus (STN) stimulation on social adjustment in patients with Parkinson disease (PD).</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16801642</PMID>
<DateCreated><Year>2006</Year>
<Month>06</Month>
<Day>27</Day>
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<DateCompleted><Year>2006</Year>
<Month>07</Month>
<Day>19</Day>
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<DateRevised><Year>2007</Year>
<Month>05</Month>
<Day>02</Day>
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<ArticleTitle>Neurosurgery in Parkinson disease: a distressed mind in a repaired body?</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To prospectively evaluate the impact of subthalamic nucleus (STN) stimulation on social adjustment in patients with Parkinson disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Before and 18 to 24 months after bilateral STN stimulation, the authors assessed 29 patients with PD for motor disability, cognition (Mattis dementia rating scale, frontal score), psychiatric morbidity (Mini-5.0.0, MADRS, BAS), quality of life (PDQ-39), social adjustment (Social Adjustment Scale), and psychological status using unstructured in-depth interviews.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Despite marked improvement in parkinsonian motor disability, the absence of significant changes in cognitive status, and improvement of activities of daily living and quality of life by the end of the study, social adjustment did not improve. Several kinds of problems with social adjustment were observed, affecting the patients' perception of themselves and their body, marital situation, and professional life. Marital conflicts occurred in 17/24 couples. Only 9 out of 16 patients who had a professional activity before the operation went back to work after surgery.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">After STN stimulation, patients experienced difficulties in their relations with themselves, their spouses, their families, and their socio-professional environment. The authors suggest a multidisciplinary psychosocial preparation and follow-up to help patients and their entourage cope with the sudden changes in their existence following successful neurosurgery.</AbstractText>
</Abstract>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Neurology. 2007 Apr 3;68(14):1164; author reply 1164-5</RefSource>
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<MeshHeading><DescriptorName UI="D020531" MajorTopicYN="N">Subthalamic Nucleus</DescriptorName>
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