Early verbal fluency decline after STN implantation: is it a cognitive microlesion effect?
Identifieur interne : 000F46 ( Ncbi/Merge ); précédent : 000F45; suivant : 000F47Early verbal fluency decline after STN implantation: is it a cognitive microlesion effect?
Auteurs : Romain Lefaucheur [France] ; Stéphane Derrey ; Olivier Martinaud ; David Wallon ; Nathalie Chastan ; Emmanuel Gérardin ; Didier Hannequin ; David MaltêteSource :
- Journal of the neurological sciences [ 1878-5883 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Cognition Disorders (etiology), Deep Brain Stimulation (methods), Female, Follow-Up Studies, Humans, Linguistics, Male, Middle Aged, Motor Activity (physiology), Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (therapy), Subthalamic Nucleus (physiology), Verbal Behavior (physiology).
- MESH :
- complications : Parkinson Disease.
- etiology : Cognition Disorders.
- methods : Deep Brain Stimulation.
- physiology : Motor Activity, Subthalamic Nucleus, Verbal Behavior.
- therapy : Parkinson Disease.
- Adult, Aged, Analysis of Variance, Female, Follow-Up Studies, Humans, Linguistics, Male, Middle Aged, Neuropsychological Tests.
Abstract
Worsening of verbal fluency is reported after subthalamic nucleus deep brain stimulation in Parkinson's disease. It is postulated that these changes could reflect microlesion consecutive to the surgical procedure itself.
DOI: 10.1016/j.jns.2012.07.033
PubMed: 22846795
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pubmed:22846795Le document en format XML
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<term>Deep Brain Stimulation (methods)</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Linguistics</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Activity (physiology)</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Verbal Behavior (physiology)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Worsening of verbal fluency is reported after subthalamic nucleus deep brain stimulation in Parkinson's disease. It is postulated that these changes could reflect microlesion consecutive to the surgical procedure itself.</div>
</front>
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<ArticleTitle>Early verbal fluency decline after STN implantation: is it a cognitive microlesion effect?</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUNDS" NlmCategory="BACKGROUND">Worsening of verbal fluency is reported after subthalamic nucleus deep brain stimulation in Parkinson's disease. It is postulated that these changes could reflect microlesion consecutive to the surgical procedure itself.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We evaluated verbal fluency, in 26 patients (mean age, 57.9±8.5 years; mean disease duration, 11.4±3.5 years) both before surgery (baseline) and, after surgery respectively the third day (T3), the tenth day (T10) just after STN implantation before turning on the stimulation and at six months (T180).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Number of total words and switches was significantly reduced at T3 and T10, while average cluster size was unchanged. Repeated post-operative neuropsychological testing demonstrated reliable improvement from T3 to T180 on verbal fluency.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study provides evidence of transient verbal fluency decline consecutive to a microlesion effect. Further studies needed to determine a putative relationship between early and long-term verbal fluency impairment.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier B.V. All rights reserved.</CopyrightInformation>
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