Acute and chronic effects of anteromedial globus pallidus stimulation in Parkinson's disease.
Identifieur interne : 001304 ( PubMed/Checkpoint ); précédent : 001303; suivant : 001305Acute and chronic effects of anteromedial globus pallidus stimulation in Parkinson's disease.
Auteurs : F. Durif [France] ; J J Lemaire ; B. Debilly ; G. DordainSource :
- Journal of neurology, neurosurgery, and psychiatry [ 0022-3050 ] ; 1999.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Globus Pallidus, Parkinson Disease.
- surgery : Globus Pallidus, Parkinson Disease.
- Aged, Electric Stimulation, Female, Humans, Male, Middle Aged, Stereotaxic Techniques.
Abstract
To evaluate the effects of acute and chronic stimulation in the anteromedial part of the globus pallidus internus (GPi) on the symptoms of patients with Parkinson's disease.
PubMed: 10449552
Affiliations:
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pubmed:10449552Le document en format XML
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<author><name sortKey="Durif, F" sort="Durif, F" uniqKey="Durif F" first="F" last="Durif">F. Durif</name>
<affiliation wicri:level="3"><nlm:affiliation>Fédération de Neurologie, Hôpital Gabriel Montpied, Clermont-Ferrand, France. fdurif@chu-clermontferrand.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
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<author><name sortKey="Durif, F" sort="Durif, F" uniqKey="Durif F" first="F" last="Durif">F. Durif</name>
<affiliation wicri:level="3"><nlm:affiliation>Fédération de Neurologie, Hôpital Gabriel Montpied, Clermont-Ferrand, France. fdurif@chu-clermontferrand.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
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<author><name sortKey="Lemaire, J J" sort="Lemaire, J J" uniqKey="Lemaire J" first="J J" last="Lemaire">J J Lemaire</name>
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<author><name sortKey="Debilly, B" sort="Debilly, B" uniqKey="Debilly B" first="B" last="Debilly">B. Debilly</name>
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<series><title level="j">Journal of neurology, neurosurgery, and psychiatry</title>
<idno type="ISSN">0022-3050</idno>
<imprint><date when="1999" type="published">1999</date>
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<term>Electric Stimulation</term>
<term>Female</term>
<term>Globus Pallidus (physiopathology)</term>
<term>Globus Pallidus (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Stereotaxic Techniques</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Globus Pallidus</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Electric Stimulation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">To evaluate the effects of acute and chronic stimulation in the anteromedial part of the globus pallidus internus (GPi) on the symptoms of patients with Parkinson's disease.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10449552</PMID>
<DateCreated><Year>1999</Year>
<Month>11</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted><Year>1999</Year>
<Month>11</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>06</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3050</ISSN>
<JournalIssue CitedMedium="Print"><Volume>67</Volume>
<Issue>3</Issue>
<PubDate><Year>1999</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of neurology, neurosurgery, and psychiatry</Title>
<ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation>
</Journal>
<ArticleTitle>Acute and chronic effects of anteromedial globus pallidus stimulation in Parkinson's disease.</ArticleTitle>
<Pagination><MedlinePgn>315-22</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the effects of acute and chronic stimulation in the anteromedial part of the globus pallidus internus (GPi) on the symptoms of patients with Parkinson's disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Six patients with severe Parkinson's disease (Hoehn and Yahr stage 4-5 in "off" drug condition) with motor fluctuations and levodopa induced dyskinesia (LID) were operated on. Chronic electrodes were implanted in the anteromedial GPi bilaterally in five patients and unilaterally in one patient. The effect of stimulation via the four contacts for each electrode (n=11) was assessed postoperatively on the contralateral parkinsonian signs in the off condition and on the contralateral and ipsilateral LID in the "on" condition. The core assessement program for intracerebral transplantation protocol was performed before surgery and then 1, 3, and 6 months after surgery in on and off conditions and in on and off stimulation conditions.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Stimulation performed postoperatively showed a significant improvement (p<0.05) by 47% (contralateral rigidity) and 32% (contralateral bradykinesia) when stimulation was applied through the distal contact. Levodopa induced dyskinesias were improved by 95% (contralateral LID) and by 66% (ipsilateral LID) when stimulation was applied through the distal contact. Six months after the surgery, GPi stimulation in the off condition led to a mean improvement in the motor score of UPDRS by 36%. The mean daily duration in the off state decreased by 52% (p<0.05). The mean duration of LIDs decreased by 68% (p<0.05) and their severity by 53% (p<0.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Chronic stimulation in the anteromedial GPi shows that this is a safe and effective treatment for advanced Parkinson's disease with benefit sustained for at least 6 months.</AbstractText>
</Abstract>
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<AffiliationInfo><Affiliation>Fédération de Neurologie, Hôpital Gabriel Montpied, Clermont-Ferrand, France. fdurif@chu-clermontferrand.fr</Affiliation>
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<Author ValidYN="Y"><LastName>Lemaire</LastName>
<ForeName>J J</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Debilly</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
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<Author ValidYN="Y"><LastName>Dordain</LastName>
<ForeName>G</ForeName>
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<Language>eng</Language>
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<ISSNLinking>0022-3050</ISSNLinking>
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