La maladie de Parkinson en France (serveur d'exploration)

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Older Candidates for Subthalamic Deep Brain Stimulation in Parkinson's Disease Have a Higher Incidence of Psychiatric Serious Adverse Events

Identifieur interne : 001A63 ( Ncbi/Merge ); précédent : 001A62; suivant : 001A64

Older Candidates for Subthalamic Deep Brain Stimulation in Parkinson's Disease Have a Higher Incidence of Psychiatric Serious Adverse Events

Auteurs : Vitalii V. Cozac [Suisse] ; Michael M. Ehrensperger [Suisse] ; Ute Gschwandtner [Suisse] ; Florian Hatz [Suisse] ; Antonia Meyer [Suisse] ; Andreas U. Monsch [Suisse] ; Michael Schuepbach [Suisse, France] ; Ethan Taub [Suisse] ; Peter Fuhr [Suisse]

Source :

RBID : PMC:4896943

Abstract

Objective: To investigate the incidence of serious adverse events (SAE) of subthalamic deep brain stimulation (STN-DBS) in elderly patients with Parkinson's disease (PD).

Methods: We investigated a group of 26 patients with PD who underwent STN-DBS at mean age 63.2 ± 3.3 years. The operated patients from the EARLYSTIM study (mean age 52.9 ± 6.6) were used as a comparison group. Incidences of SAE were compared between these groups.

Results: A higher incidence of psychosis and hallucinations was found in these elderly patients compared to the younger patients in the EARLYSTIM study (p < 0.01).

Conclusions: The higher incidence of STN-DBS-related psychiatric complications underscores the need for comprehensive psychiatric pre- and postoperative assessment in older DBS candidates. However, these psychiatric SAE were transient, and the benefits of DBS clearly outweighed its adverse effects.


Url:
DOI: 10.3389/fnagi.2016.00132
PubMed: 27375478
PubMed Central: 4896943

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PMC:4896943

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<name sortKey="Monsch, Andreas U" sort="Monsch, Andreas U" uniqKey="Monsch A" first="Andreas U." last="Monsch">Andreas U. Monsch</name>
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<p>
<bold>Objective:</bold>
To investigate the incidence of serious adverse events (SAE) of subthalamic deep brain stimulation (STN-DBS) in elderly patients with Parkinson's disease (PD).</p>
<p>
<bold>Methods:</bold>
We investigated a group of 26 patients with PD who underwent STN-DBS at mean age 63.2 ± 3.3 years. The operated patients from the EARLYSTIM study (mean age 52.9 ± 6.6) were used as a comparison group. Incidences of SAE were compared between these groups.</p>
<p>
<bold>Results:</bold>
A higher incidence of psychosis and hallucinations was found in these elderly patients compared to the younger patients in the EARLYSTIM study (
<italic>p</italic>
< 0.01).</p>
<p>
<bold>Conclusions:</bold>
The higher incidence of STN-DBS-related psychiatric complications underscores the need for comprehensive psychiatric pre- and postoperative assessment in older DBS candidates. However, these psychiatric SAE were transient, and the benefits of DBS clearly outweighed its adverse effects.</p>
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<name sortKey="Cozac, Vitalii V" sort="Cozac, Vitalii V" uniqKey="Cozac V" first="Vitalii V." last="Cozac">Vitalii V. Cozac</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
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<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
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<name sortKey="Ehrensperger, Michael M" sort="Ehrensperger, Michael M" uniqKey="Ehrensperger M" first="Michael M." last="Ehrensperger">Michael M. Ehrensperger</name>
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<institution>Memory Clinic, Felix Platter Hospital, University Center for Medicine of Aging</institution>
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<country xml:lang="fr">Suisse</country>
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<name sortKey="Gschwandtner, Ute" sort="Gschwandtner, Ute" uniqKey="Gschwandtner U" first="Ute" last="Gschwandtner">Ute Gschwandtner</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
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<author>
<name sortKey="Hatz, Florian" sort="Hatz, Florian" uniqKey="Hatz F" first="Florian" last="Hatz">Florian Hatz</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
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<author>
<name sortKey="Meyer, Antonia" sort="Meyer, Antonia" uniqKey="Meyer A" first="Antonia" last="Meyer">Antonia Meyer</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
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<name sortKey="Monsch, Andreas U" sort="Monsch, Andreas U" uniqKey="Monsch A" first="Andreas U." last="Monsch">Andreas U. Monsch</name>
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<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
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<name sortKey="Schuepbach, Michael" sort="Schuepbach, Michael" uniqKey="Schuepbach M" first="Michael" last="Schuepbach">Michael Schuepbach</name>
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<institution>Department of Neurology, University Hospital Bern and University of Bern</institution>
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<wicri:regionArea></wicri:regionArea>
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<name sortKey="Taub, Ethan" sort="Taub, Ethan" uniqKey="Taub E" first="Ethan" last="Taub">Ethan Taub</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
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<wicri:regionArea></wicri:regionArea>
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<name sortKey="Fuhr, Peter" sort="Fuhr, Peter" uniqKey="Fuhr P" first="Peter" last="Fuhr">Peter Fuhr</name>
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<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
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<idno type="doi">10.3389/fnagi.2016.00132</idno>
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<title xml:lang="en" level="a" type="main">Older Candidates for Subthalamic Deep Brain Stimulation in Parkinson's Disease Have a Higher Incidence of Psychiatric Serious Adverse Events</title>
<author>
<name sortKey="Cozac, Vitalii V" sort="Cozac, Vitalii V" uniqKey="Cozac V" first="Vitalii V." last="Cozac">Vitalii V. Cozac</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ehrensperger, Michael M" sort="Ehrensperger, Michael M" uniqKey="Ehrensperger M" first="Michael M." last="Ehrensperger">Michael M. Ehrensperger</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>Memory Clinic, Felix Platter Hospital, University Center for Medicine of Aging</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gschwandtner, Ute" sort="Gschwandtner, Ute" uniqKey="Gschwandtner U" first="Ute" last="Gschwandtner">Ute Gschwandtner</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hatz, Florian" sort="Hatz, Florian" uniqKey="Hatz F" first="Florian" last="Hatz">Florian Hatz</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer, Antonia" sort="Meyer, Antonia" uniqKey="Meyer A" first="Antonia" last="Meyer">Antonia Meyer</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Monsch, Andreas U" sort="Monsch, Andreas U" uniqKey="Monsch A" first="Andreas U." last="Monsch">Andreas U. Monsch</name>
<affiliation wicri:level="1">
<nlm:aff id="aff2">
<institution>Memory Clinic, Felix Platter Hospital, University Center for Medicine of Aging</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Schuepbach, Michael" sort="Schuepbach, Michael" uniqKey="Schuepbach M" first="Michael" last="Schuepbach">Michael Schuepbach</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">
<institution>Department of Neurology, University Hospital Bern and University of Bern</institution>
<country>Bern, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff4">
<institution>Département de Neurologie, Assistance-Publique Hôpitaux de Paris, Centre d'Investigation Clinique 9503, Institut du Cerveau et de la Moelle épinière, Université Pierre et Marie Curie, Paris 6 et Institut National de la Santé et de la Recherche Médicale, Centre Hospitalier Universitaire (CHU) Pitié-Salpêtrière</institution>
<country>Paris, France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Taub, Ethan" sort="Taub, Ethan" uniqKey="Taub E" first="Ethan" last="Taub">Ethan Taub</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fuhr, Peter" sort="Fuhr, Peter" uniqKey="Fuhr P" first="Peter" last="Fuhr">Peter Fuhr</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Department of Neurology, Hospital of the University of Basel</institution>
<country>Basel, Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea></wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Frontiers in Aging Neuroscience</title>
<idno type="eISSN">1663-4365</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
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</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<bold>Objective:</bold>
To investigate the incidence of serious adverse events (SAE) of subthalamic deep brain stimulation (STN-DBS) in elderly patients with Parkinson's disease (PD).</p>
<p>
<bold>Methods:</bold>
We investigated a group of 26 patients with PD who underwent STN-DBS at mean age 63.2 ± 3.3 years. The operated patients from the EARLYSTIM study (mean age 52.9 ± 6.6) were used as a comparison group. Incidences of SAE were compared between these groups.</p>
<p>
<bold>Results:</bold>
A higher incidence of psychosis and hallucinations was found in these elderly patients compared to the younger patients in the EARLYSTIM study (
<italic>p</italic>
< 0.01).</p>
<p>
<bold>Conclusions:</bold>
The higher incidence of STN-DBS-related psychiatric complications underscores the need for comprehensive psychiatric pre- and postoperative assessment in older DBS candidates. However, these psychiatric SAE were transient, and the benefits of DBS clearly outweighed its adverse effects.</p>
</div>
</front>
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<nlm:affiliation>Department of Neurology, University Hospital Bern and University of BernBern, Switzerland; Département de Neurologie, Assistance-Publique Hôpitaux de Paris, Centre d'Investigation Clinique 9503, Institut du Cerveau et de la Moelle épinière, Université Pierre et Marie Curie, Paris 6 et Institut National de la Santé et de la Recherche Médicale, Centre Hospitalier Universitaire (CHU) Pitié-SalpêtrièreParis, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurology, University Hospital Bern and University of BernBern, Switzerland; Département de Neurologie, Assistance-Publique Hôpitaux de Paris, Centre d'Investigation Clinique 9503, Institut du Cerveau et de la Moelle épinière, Université Pierre et Marie Curie, Paris 6 et Institut National de la Santé et de la Recherche Médicale, Centre Hospitalier Universitaire (CHU) Pitié-SalpêtrièreParis</wicri:regionArea>
<wicri:noRegion>Centre Hospitalier Universitaire (CHU) Pitié-SalpêtrièreParis</wicri:noRegion>
<wicri:noRegion>Centre Hospitalier Universitaire (CHU) Pitié-SalpêtrièreParis</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Taub, Ethan" sort="Taub, Ethan" uniqKey="Taub E" first="Ethan" last="Taub">Ethan Taub</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurology, Hospital of the University of Basel Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Neurology, Hospital of the University of Basel Basel</wicri:regionArea>
<wicri:noRegion>Hospital of the University of Basel Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fuhr, Peter" sort="Fuhr, Peter" uniqKey="Fuhr P" first="Peter" last="Fuhr">Peter Fuhr</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurology, Hospital of the University of Basel Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Neurology, Hospital of the University of Basel Basel</wicri:regionArea>
<wicri:noRegion>Hospital of the University of Basel Basel</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Frontiers in aging neuroscience</title>
<imprint>
<date when="2016" type="published">2016</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
</profileDesc>
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<front>
<div type="abstract" xml:lang="en">To investigate the incidence of serious adverse events (SAE) of subthalamic deep brain stimulation (STN-DBS) in elderly patients with Parkinson's disease (PD).</div>
</front>
</TEI>
</pubmed>
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