ParkinsonFranceV1, PascalFrancis, Curation, bibRecord, 001975

High-frequency stimulation of the globus pallidus internalis in Parkinson's disease : a study of seven cases

Identifieur interne : 001975 ( PascalFrancis/Curation ); précédent : 001974; suivant : 001976

High-frequency stimulation of the globus pallidus internalis in Parkinson's disease : a study of seven cases

Auteurs : C. Gross [France] ; A. Rougier ; D. Guehl ; T. Boraud ; J. Julien ; B. Bioulac

Source :

Journal of neurosurgery [ 0022-3085 ] ; 1997.

RBID : Pascal:97-0506440

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Dyskinésie, Hypokinésie, Rigidité, Stimulation instrumentale, Haute fréquence, Pallidum, Electrode, Implanté, Traitement instrumental, Etude longitudinale, Etude cas, Adulte jeune.

English descriptors

KwdEn :
- Case study, Dyskinesia, Electrodes, Follow up study, High frequency, Hypokinesia, Implanted, Instrumental stimulation, Instrumentation therapy, Pallidum, Parkinson disease, Stiffness, Young adult.

Abstract

The effectiveness of ventroposterolateral pallidotomy in the treatment of akinesia and rigidity is not a new discovery and agrees with recent investigations into the pathogenesis of Parkinson's disease, which highlight the role played by the unbridled activity of the subthalamic nucleus (STN) and the consequent overactivity of the globus pallidus internalis (GPi). Because high-frequency stimulation can reversibly incapacitate a nerve structure, we applied stimulation to the same target. Seven patients suffering from severe Parkinson's disease (Stages III-V on the Hoehn and Yahr scale) and. particularly, bradykinesia, rigidity, and levodopa-induced dyskinesias underwent unilateral electrode implantation in the posteroventral GPi. Follow-up evaluation using the regular Unified Parkinson's Disease Rating Scale has been conducted for I year in all seven patients, 2 years in five of them, and 3 years in one. In all cases high-frequency stimulation has alleviated akinesia and rigidity and has generally improved gait and speech disturbances. In some cases tremor was attenuated. In a similar manner, the authors observed a marked diminution in levodopa-induced dyskinesias. This could be an excellent primary therapy for younger patients exhibiting severe bradykinesia. rigidity, and levodopa-induced dyskinesias, which would allow therapists to keep ventroposterolateral pallidotomy in reserve as a second weapon.

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A03		`1`		`@0 J. neurosurg.`
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A08	`01`	`1`	`ENG`	`@1 High-frequency stimulation of the globus pallidus internalis in Parkinson's disease : a study of seven cases`
A11	`01`	`1`		`@1 GROSS (C.)`
A11	`02`	`1`		`@1 ROUGIER (A.)`
A11	`03`	`1`		`@1 GUEHL (D.)`
A11	`04`	`1`		`@1 BORAUD (T.)`
A11	`05`	`1`		`@1 JULIEN (J.)`
A11	`06`	`1`		`@1 BIOULAC (B.)`
A14	`01`			`@1 Laboratoire de Neurophysiologie, Université Victor Segalen Bordeaux II @2 Bordeaux @3 FRA`
A14	`02`			`@1 Service de Neurochirurgie, Hôpital Pellegrin @2 Bordeaux @3 FRA`
A14	`03`			`@1 Service de Neurologie, Hôpital du Haut Lévèque @2 Pessac @3 FRA`
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A21				`@1 1997`
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A44				`@0 0000 @1 © 1997 INIST-CNRS. All rights reserved.`
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C01	`01`		`ENG`	@0 The effectiveness of ventroposterolateral pallidotomy in the treatment of akinesia and rigidity is not a new discovery and agrees with recent investigations into the pathogenesis of Parkinson's disease, which highlight the role played by the unbridled activity of the subthalamic nucleus (STN) and the consequent overactivity of the globus pallidus internalis (GPi). Because high-frequency stimulation can reversibly incapacitate a nerve structure, we applied stimulation to the same target. Seven patients suffering from severe Parkinson's disease (Stages III-V on the Hoehn and Yahr scale) and. particularly, bradykinesia, rigidity, and levodopa-induced dyskinesias underwent unilateral electrode implantation in the posteroventral GPi. Follow-up evaluation using the regular Unified Parkinson's Disease Rating Scale has been conducted for I year in all seven patients, 2 years in five of them, and 3 years in one. In all cases high-frequency stimulation has alleviated akinesia and rigidity and has generally improved gait and speech disturbances. In some cases tremor was attenuated. In a similar manner, the authors observed a marked diminution in levodopa-induced dyskinesias. This could be an excellent primary therapy for younger patients exhibiting severe bradykinesia. rigidity, and levodopa-induced dyskinesias, which would allow therapists to keep ventroposterolateral pallidotomy in reserve as a second weapon.
C02	`01`	`X`		`@0 002B26I`
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C03	`01`	`X`	`SPA`	`@0 Parkinson enfermedad @5 01`
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C03	`02`	`X`	`ENG`	`@0 Dyskinesia @5 04`
C03	`02`	`X`	`SPA`	`@0 Disquinesia @5 04`
C03	`03`	`X`	`FRE`	`@0 Hypokinésie @5 05`
C03	`03`	`X`	`ENG`	`@0 Hypokinesia @5 05`
C03	`03`	`X`	`SPA`	`@0 Hipoquinesia @5 05`
C03	`04`	`X`	`FRE`	`@0 Rigidité @5 06`
C03	`04`	`X`	`ENG`	`@0 Stiffness @5 06`
C03	`04`	`X`	`GER`	`@0 Steifigkeit @5 06`
C03	`04`	`X`	`SPA`	`@0 Rigidez @5 06`
C03	`05`	`X`	`FRE`	`@0 Stimulation instrumentale @5 07`
C03	`05`	`X`	`ENG`	`@0 Instrumental stimulation @5 07`
C03	`05`	`X`	`SPA`	`@0 Estimulación instrumental @5 07`
C03	`06`	`X`	`FRE`	`@0 Haute fréquence @5 08`
C03	`06`	`X`	`ENG`	`@0 High frequency @5 08`
C03	`06`	`X`	`GER`	`@0 Hochfrequenz @5 08`
C03	`06`	`X`	`SPA`	`@0 Alta frecuencia @5 08`
C03	`07`	`X`	`FRE`	`@0 Pallidum @5 09`
C03	`07`	`X`	`ENG`	`@0 Pallidum @5 09`
C03	`07`	`X`	`SPA`	`@0 Pallidum @5 09`
C03	`08`	`X`	`FRE`	`@0 Electrode @5 10`
C03	`08`	`X`	`ENG`	`@0 Electrodes @5 10`
C03	`08`	`X`	`GER`	`@0 Elektrode @5 10`
C03	`08`	`X`	`SPA`	`@0 Electrodo @5 10`
C03	`09`	`X`	`FRE`	`@0 Implanté @5 11`
C03	`09`	`X`	`ENG`	`@0 Implanted @5 11`
C03	`09`	`X`	`SPA`	`@0 Implantado @5 11`
C03	`10`	`X`	`FRE`	`@0 Traitement instrumental @5 17`
C03	`10`	`X`	`ENG`	`@0 Instrumentation therapy @5 17`
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C03	`13`	`X`	`FRE`	`@0 Adulte jeune @5 20`
C03	`13`	`X`	`ENG`	`@0 Young adult @5 20`
C03	`13`	`X`	`SPA`	`@0 Adulto joven @5 20`
C07	`01`	`X`	`FRE`	`@0 Homme`
C07	`01`	`X`	`ENG`	`@0 Human`
C07	`01`	`X`	`SPA`	`@0 Hombre`
C07	`02`	`X`	`FRE`	`@0 Système nerveux pathologie @5 37`
C07	`02`	`X`	`ENG`	`@0 Nervous system diseases @5 37`
C07	`02`	`X`	`SPA`	`@0 Sistema nervioso patología @5 37`
C07	`03`	`X`	`FRE`	`@0 Système nerveux central pathologie @5 38`
C07	`03`	`X`	`ENG`	`@0 Central nervous system disease @5 38`
C07	`03`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 38`
C07	`04`	`X`	`FRE`	`@0 Encéphale pathologie @5 39`
C07	`04`	`X`	`ENG`	`@0 Cerebral disorder @5 39`
C07	`04`	`X`	`SPA`	`@0 Encéfalo patología @5 39`
C07	`05`	`X`	`FRE`	`@0 Extrapyramidal syndrome @5 40`
C07	`05`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
C07	`05`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 40`
C07	`06`	`X`	`FRE`	`@0 Maladie dégénérative @5 41`
C07	`06`	`X`	`ENG`	`@0 Degenerative disease @5 41`
C07	`06`	`X`	`SPA`	`@0 Enfermedad degenerativa @5 41`
C07	`07`	`X`	`FRE`	`@0 Trouble neurologique @5 46`
C07	`07`	`X`	`ENG`	`@0 Neurological disorder @5 46`
C07	`07`	`X`	`SPA`	`@0 Trastorno neurológico @5 46`
C07	`08`	`X`	`FRE`	`@0 Mouvement involontaire @5 47`
C07	`08`	`X`	`ENG`	`@0 Involuntary movement @5 47`
C07	`08`	`X`	`SPA`	`@0 Movimiento involuntario @5 47`
N21				`@1 307`

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Le document en format XML

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</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Alta frecuencia</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Pallidum</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Pallidum</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Pallidum</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Electrode</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Electrodes</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="GER"><s0>Elektrode</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Electrodo</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Implanté</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Implanted</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Implantado</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Traitement instrumental</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Instrumentation therapy</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Tratamiento instrumental</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Etude longitudinale</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Follow up study</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Estudio longitudinal</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Case study</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Adulte jeune</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Young adult</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Adulto joven</s0>
<s5>20</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>41</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>46</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>46</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>46</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>47</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>47</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>47</s5>
</fC07>
<fN21><s1>307</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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

High-frequency stimulation of the globus pallidus internalis in Parkinson's disease : a study of seven cases

High-frequency stimulation of the globus pallidus internalis in Parkinson's disease : a study of seven cases

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