Pallidal stimulation in Parkinson's patients with contraindications to subthalamic target: A 3 years follow-up.
Identifieur interne : 000037 ( PubMed/Corpus ); précédent : 000036; suivant : 000038Pallidal stimulation in Parkinson's patients with contraindications to subthalamic target: A 3 years follow-up.
Auteurs : Julien Bonenfant ; Sophie Drapier ; Jean François Houvenaghel ; Florian Naudet ; Claire Haegelen ; Paul Sauleau ; Marc VérinSource :
- Parkinsonism & related disorders [ 1873-5126 ] ; 2017.
Abstract
Over a 3-year period, we monitored the efficacy and safety of deep-brain stimulation of the globus pallidus pars interna in patients with advanced Parkinson's disease whose cognitive, psychiatric impairment and/or dopa-resistant axial motor signs made them ineligible for surgery targeting the subthalamic nucleus.
DOI: 10.1016/j.parkreldis.2016.10.007
PubMed: 27751649
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pallidal stimulation in Parkinson's patients with contraindications to subthalamic target: A 3 years follow-up.</title><author><name sortKey="Bonenfant, Julien" sort="Bonenfant, Julien" uniqKey="Bonenfant J" first="Julien" last="Bonenfant">Julien Bonenfant</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France. Electronic address: julien.bonenfant@chu-rennes.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Drapier, Sophie" sort="Drapier, Sophie" uniqKey="Drapier S" first="Sophie" last="Drapier">Sophie Drapier</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Houvenaghel, Jean Francois" sort="Houvenaghel, Jean Francois" uniqKey="Houvenaghel J" first="Jean François" last="Houvenaghel">Jean François Houvenaghel</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Naudet, Florian" sort="Naudet, Florian" uniqKey="Naudet F" first="Florian" last="Naudet">Florian Naudet</name><affiliation><nlm:affiliation>Clinical Investigation Center (INSERM 0203), Department of Pharmacology, Rennes University Hospital, 35033 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Haegelen, Claire" sort="Haegelen, Claire" uniqKey="Haegelen C" first="Claire" last="Haegelen">Claire Haegelen</name><affiliation><nlm:affiliation>Department of Neurosurgery, Rennes University Hospital, 35033 Rennes, France; "MediCIS" Laboratory (UMR 1099 LTSI), INSERM/University of Rennes 1, Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name><affiliation><nlm:affiliation>"Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France; Department of Neurophysiology, Rennes University Hospital, F-35033 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Verin, Marc" sort="Verin, Marc" uniqKey="Verin M" first="Marc" last="Vérin">Marc Vérin</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France. Electronic address: marc.verin@chu-rennes.fr.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27751649</idno><idno type="pmid">27751649</idno><idno type="doi">10.1016/j.parkreldis.2016.10.007</idno><idno type="wicri:Area/PubMed/Corpus">000037</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000037</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pallidal stimulation in Parkinson's patients with contraindications to subthalamic target: A 3 years follow-up.</title><author><name sortKey="Bonenfant, Julien" sort="Bonenfant, Julien" uniqKey="Bonenfant J" first="Julien" last="Bonenfant">Julien Bonenfant</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France. Electronic address: julien.bonenfant@chu-rennes.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Drapier, Sophie" sort="Drapier, Sophie" uniqKey="Drapier S" first="Sophie" last="Drapier">Sophie Drapier</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Houvenaghel, Jean Francois" sort="Houvenaghel, Jean Francois" uniqKey="Houvenaghel J" first="Jean François" last="Houvenaghel">Jean François Houvenaghel</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Naudet, Florian" sort="Naudet, Florian" uniqKey="Naudet F" first="Florian" last="Naudet">Florian Naudet</name><affiliation><nlm:affiliation>Clinical Investigation Center (INSERM 0203), Department of Pharmacology, Rennes University Hospital, 35033 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Haegelen, Claire" sort="Haegelen, Claire" uniqKey="Haegelen C" first="Claire" last="Haegelen">Claire Haegelen</name><affiliation><nlm:affiliation>Department of Neurosurgery, Rennes University Hospital, 35033 Rennes, France; "MediCIS" Laboratory (UMR 1099 LTSI), INSERM/University of Rennes 1, Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name><affiliation><nlm:affiliation>"Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France; Department of Neurophysiology, Rennes University Hospital, F-35033 Rennes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Verin, Marc" sort="Verin, Marc" uniqKey="Verin M" first="Marc" last="Vérin">Marc Vérin</name><affiliation><nlm:affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France. Electronic address: marc.verin@chu-rennes.fr.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Parkinsonism & related disorders</title><idno type="eISSN">1873-5126</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over a 3-year period, we monitored the efficacy and safety of deep-brain stimulation of the globus pallidus pars interna in patients with advanced Parkinson's disease whose cognitive, psychiatric impairment and/or dopa-resistant axial motor signs made them ineligible for surgery targeting the subthalamic nucleus.</div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">27751649</PMID><DateCreated><Year>2016</Year><Month>10</Month><Day>18</Day></DateCreated><DateRevised><Year>2017</Year><Month>01</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5126</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Parkinsonism & related disorders</Title><ISOAbbreviation>Parkinsonism Relat. Disord.</ISOAbbreviation></Journal><ArticleTitle>Pallidal stimulation in Parkinson's patients with contraindications to subthalamic target: A 3 years follow-up.</ArticleTitle><Pagination><MedlinePgn>20-25</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1353-8020(16)30394-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.parkreldis.2016.10.007</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Over a 3-year period, we monitored the efficacy and safety of deep-brain stimulation of the globus pallidus pars interna in patients with advanced Parkinson's disease whose cognitive, psychiatric impairment and/or dopa-resistant axial motor signs made them ineligible for surgery targeting the subthalamic nucleus.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 25 patients were assessed before surgery, 1 year and 3 years after surgery, on the UPDRS and a neuropsychological battery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We noted a significant improvement of 65.9% in the Clinical global self-perceived Improvement by Visual Analog Scale and an improvement of 20.6% in the total UPDRS-III motor score at 3 years in the off-dopa condition compared to before surgery. There was an improvement in the treatment's motor complications, as measured by the UPDRS-IV, with a particularly marked reduction of 50% in the Dyskinesia subscore. Cognitive performances remained stable at 1 year but had fallen by the third year. We interpreted this deterioration as due to disease progression.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Bilateral pallidal stimulation in patients with contraindications to subthalamic surgery therefore seems to be effective over the long term in treating motor symptoms, especially dyskinesias, with good neuropsychological safety.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bonenfant</LastName><ForeName>Julien</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France. Electronic address: julien.bonenfant@chu-rennes.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Drapier</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Houvenaghel</LastName><ForeName>Jean François</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naudet</LastName><ForeName>Florian</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Clinical Investigation Center (INSERM 0203), Department of Pharmacology, Rennes University Hospital, 35033 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haegelen</LastName><ForeName>Claire</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Rennes University Hospital, 35033 Rennes, France; "MediCIS" Laboratory (UMR 1099 LTSI), INSERM/University of Rennes 1, Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauleau</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>"Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France; Department of Neurophysiology, Rennes University Hospital, F-35033 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vérin</LastName><ForeName>Marc</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Neurology, University Hospital of Rennes, 35043 Rennes, France; "Behavior and Basal Ganglia" Research Unit (EA 4712), University of Rennes 1, 35043 Rennes, France. Electronic address: marc.verin@chu-rennes.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>10</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Parkinsonism Relat Disord</MedlineTA><NlmUniqueID>9513583</NlmUniqueID><ISSNLinking>1353-8020</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Axial motor symptoms</Keyword><Keyword MajorTopicYN="N">Deep brain stimulation</Keyword><Keyword MajorTopicYN="N">Neuropsychological outcome</Keyword><Keyword MajorTopicYN="N">Pallidal stimulation</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>10</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>10</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27751649</ArticleId><ArticleId IdType="pii">S1353-8020(16)30394-7</ArticleId><ArticleId IdType="doi">10.1016/j.parkreldis.2016.10.007</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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