Effect on parkinsonian signs and symptoms of bilateral subthalamic nucleus stimulation
Identifieur interne : 001730 ( PascalFrancis/Checkpoint ); précédent : 001729; suivant : 001731Effect on parkinsonian signs and symptoms of bilateral subthalamic nucleus stimulation
Auteurs : P. Limousin [États-Unis] ; P. Pollak [États-Unis] ; A. Benazzouz [États-Unis] ; D. Hoffmann [États-Unis] ; J.-F. Le Bas [États-Unis] ; E. Broussolle [France] ; J. E. Perret [États-Unis] ; A.-L. Benabid [États-Unis]Source :
- Lancet : (British edition) [ 0140-6736 ] ; 1995.
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Abstract
In monkeys rendered parkinsonian, lesions and electrical stimulation of the subthalamic nucleus reduce all major motor disturbances. The effect of electrical stimulation of the subthalamic nucleus was assessed in three patients with disabling akinetic-rigid Parkinson's disease and severe motor fluctuations. Quadripolar electrodes connected to a pulse generator were implanted in the subthalamic nuclei on both sides. Patients were evaluated with the unified Parkinson's disease rating scale and timed motor tests. 3 months after surgery, activities of daily living scores had improved by 58-88% and motor scores by 42-84%. This improvement was maintained for up to 8 months in the first patient operated upon. One patient was confused for 2 weeks after surgery, and another developed neuropsychological impairment related to a thalamic infarction which improved over 3 months. In one patient, stimulation could induce ballism that was stopped by reduction of stimulation. This is the first demonstration in human beings of the part played by the subthalamic nuclei in the pathophysiology of Parkinson's disease
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<front><div type="abstract" xml:lang="en">In monkeys rendered parkinsonian, lesions and electrical stimulation of the subthalamic nucleus reduce all major motor disturbances. The effect of electrical stimulation of the subthalamic nucleus was assessed in three patients with disabling akinetic-rigid Parkinson's disease and severe motor fluctuations. Quadripolar electrodes connected to a pulse generator were implanted in the subthalamic nuclei on both sides. Patients were evaluated with the unified Parkinson's disease rating scale and timed motor tests. 3 months after surgery, activities of daily living scores had improved by 58-88% and motor scores by 42-84%. This improvement was maintained for up to 8 months in the first patient operated upon. One patient was confused for 2 weeks after surgery, and another developed neuropsychological impairment related to a thalamic infarction which improved over 3 months. In one patient, stimulation could induce ballism that was stopped by reduction of stimulation. This is the first demonstration in human beings of the part played by the subthalamic nuclei in the pathophysiology of Parkinson's disease</div>
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<fC03 i1="04" i2="X" l="SPA"><s0>Núcleo subtalámico</s0>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Chirurgie</s0>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Surgery</s0>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Cirugía</s0>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Microchirurgie</s0>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Microsurgery</s0>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Microcirugía</s0>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Traitement</s0>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Treatment</s0>
</fC03>
<fC03 i1="07" i2="X" l="GER"><s0>Aufbereiten</s0>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Tratamiento</s0>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Pathogénie</s0>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Pathogenesis</s0>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Patogenia</s0>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
</fC07>
<fN21><s1>088</s1>
</fN21>
</pA>
</standard>
</inist>
<affiliations><list><country><li>France</li>
<li>États-Unis</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement><li>Grenoble</li>
<li>Lyon</li>
</settlement>
</list>
<tree><country name="États-Unis"><region name="Auvergne-Rhône-Alpes"><name sortKey="Limousin, P" sort="Limousin, P" uniqKey="Limousin P" first="P." last="Limousin">P. Limousin</name>
</region>
<name sortKey="Benabid, A L" sort="Benabid, A L" uniqKey="Benabid A" first="A.-L." last="Benabid">A.-L. Benabid</name>
<name sortKey="Benazzouz, A" sort="Benazzouz, A" uniqKey="Benazzouz A" first="A." last="Benazzouz">A. Benazzouz</name>
<name sortKey="Hoffmann, D" sort="Hoffmann, D" uniqKey="Hoffmann D" first="D." last="Hoffmann">D. Hoffmann</name>
<name sortKey="Le Bas, J F" sort="Le Bas, J F" uniqKey="Le Bas J" first="J.-F." last="Le Bas">J.-F. Le Bas</name>
<name sortKey="Perret, J E" sort="Perret, J E" uniqKey="Perret J" first="J. E." last="Perret">J. E. Perret</name>
<name sortKey="Pollak, P" sort="Pollak, P" uniqKey="Pollak P" first="P." last="Pollak">P. Pollak</name>
</country>
<country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Broussolle, E" sort="Broussolle, E" uniqKey="Broussolle E" first="E." last="Broussolle">E. Broussolle</name>
</region>
</country>
</tree>
</affiliations>
</record>
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