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

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Low-frequency versus high-frequency stimulation of the pedunculopontine nucleus area in Parkinson's disease: a randomised controlled trial.

Identifieur interne : 000343 ( PubMed/Corpus ); précédent : 000342; suivant : 000344

Low-frequency versus high-frequency stimulation of the pedunculopontine nucleus area in Parkinson's disease: a randomised controlled trial.

Auteurs : D. Nosko ; M U Ferraye ; V. Fraix ; L. Goetz ; S. Chabardès ; P. Pollak ; B. Debû

Source :

RBID : pubmed:25185212

English descriptors

Abstract

To compare the influence of low-frequency (10-25 Hz) versus higher (60-80 Hz) frequency stimulation of the pedunculopontine nucleus area (PPNa) on akinaesia, freezing of gait and daytime sleepiness.

DOI: 10.1136/jnnp-2013-307511
PubMed: 25185212

Links to Exploration step

pubmed:25185212

Le document en format XML

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<name sortKey="Ferraye, M U" sort="Ferraye, M U" uniqKey="Ferraye M" first="M U" last="Ferraye">M U Ferraye</name>
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<nlm:affiliation>University of Grenoble, Grenoble, France INSERM, U836, Grenoble Institute of Neuroscience, Grenoble, France Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands.</nlm:affiliation>
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<name sortKey="Fraix, V" sort="Fraix, V" uniqKey="Fraix V" first="V" last="Fraix">V. Fraix</name>
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<name sortKey="Goetz, L" sort="Goetz, L" uniqKey="Goetz L" first="L" last="Goetz">L. Goetz</name>
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<nlm:affiliation>University of Grenoble, Grenoble, France INSERM, U836, Grenoble Institute of Neuroscience, Grenoble, France University Hospital of Grenoble, Grenoble, France.</nlm:affiliation>
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<name sortKey="Chabardes, S" sort="Chabardes, S" uniqKey="Chabardes S" first="S" last="Chabardès">S. Chabardès</name>
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<term>Deep Brain Stimulation (methods)</term>
<term>Double-Blind Method</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Gait Disorders, Neurologic (therapy)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement Disorders (therapy)</term>
<term>Parkinson Disease (therapy)</term>
<term>Pedunculopontine Tegmental Nucleus</term>
<term>Sleep Wake Disorders (therapy)</term>
<term>Subthalamic Nucleus</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">To compare the influence of low-frequency (10-25 Hz) versus higher (60-80 Hz) frequency stimulation of the pedunculopontine nucleus area (PPNa) on akinaesia, freezing of gait and daytime sleepiness.</div>
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<Year>2015</Year>
<Month>05</Month>
<Day>15</Day>
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<Year>2015</Year>
<Month>07</Month>
<Day>20</Day>
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<Month>11</Month>
<Day>19</Day>
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<Title>Journal of neurology, neurosurgery, and psychiatry</Title>
<ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation>
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<ArticleTitle>Low-frequency versus high-frequency stimulation of the pedunculopontine nucleus area in Parkinson's disease: a randomised controlled trial.</ArticleTitle>
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<MedlinePgn>674-9</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the influence of low-frequency (10-25 Hz) versus higher (60-80 Hz) frequency stimulation of the pedunculopontine nucleus area (PPNa) on akinaesia, freezing of gait and daytime sleepiness.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">We included nine patients with Parkinson's disease (PD) and severe gait disorders. In this double-blind randomised cross-over study, patients were assessed after 24 h of PPNa stimulation. Assessments included the motor part of the Unified Parkinson's Disease Rating Scale, the Epworth Sleepiness Scale and a behavioural gait assessment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared with 60-80 Hz, 10-25 Hz PPNa stimulation led to decreased akinaesia, gait difficulties and daytime sleepiness in 7/9 patients. In one patient, these symptoms were aggravated under 10-25 Hz stimulation compared with 60-80 Hz.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results are in keeping with the benefits of chronic PPNa stimulation for gait and postural difficulties in patients with PD, and with regard to the influence of patients' clinical characteristics, differential neuronal loss in the PPNa and electrode location. We conclude that in patients with PPNa stimulation, low frequency provides a better outcome than high-frequency stimulation.</AbstractText>
<CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</CopyrightInformation>
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