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

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Subthalamic nucleus stimulation affects limbic and associative circuits: a PET study.

Identifieur interne : 000A67 ( PubMed/Corpus ); précédent : 000A66; suivant : 000A68

Subthalamic nucleus stimulation affects limbic and associative circuits: a PET study.

Auteurs : Florence Le Jeune ; Julie Péron ; Didier Grandjean ; Sophie Drapier ; Claire Haegelen ; Etienne Garin ; Bruno Millet ; Marc Vérin

Source :

RBID : pubmed:20349231

English descriptors

Abstract

Although high-frequency deep brain stimulation of the subthalamic nucleus (STN DBS) improves motor symptoms in advanced Parkinson's disease (PD), clinical studies have reported cognitive, motivational and emotional changes. These results suggest that the STN forms part of a broadly distributed neural network encompassing the associative and limbic circuits. We sought to pinpoint the cortical and subcortical brain areas modulated by STN DBS, in order to assess the STN's functional role and explain neuropsychological modifications following STN DBS in PD.

DOI: 10.1007/s00259-010-1436-y
PubMed: 20349231

Links to Exploration step

pubmed:20349231

Le document en format XML

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<name sortKey="Le Jeune, Florence" sort="Le Jeune, Florence" uniqKey="Le Jeune F" first="Florence" last="Le Jeune">Florence Le Jeune</name>
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<nlm:affiliation>Service de Médecine Nucléaire, Centre Eugène Marquis, rue de la Bataille Flandres Dunkerque, 35042 Rennes, France. f.lejeune@rennes.fnclcc.fr</nlm:affiliation>
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<name sortKey="Peron, Julie" sort="Peron, Julie" uniqKey="Peron J" first="Julie" last="Péron">Julie Péron</name>
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<name sortKey="Grandjean, Didier" sort="Grandjean, Didier" uniqKey="Grandjean D" first="Didier" last="Grandjean">Didier Grandjean</name>
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<name sortKey="Drapier, Sophie" sort="Drapier, Sophie" uniqKey="Drapier S" first="Sophie" last="Drapier">Sophie Drapier</name>
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<name sortKey="Haegelen, Claire" sort="Haegelen, Claire" uniqKey="Haegelen C" first="Claire" last="Haegelen">Claire Haegelen</name>
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<name sortKey="Garin, Etienne" sort="Garin, Etienne" uniqKey="Garin E" first="Etienne" last="Garin">Etienne Garin</name>
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<name sortKey="Millet, Bruno" sort="Millet, Bruno" uniqKey="Millet B" first="Bruno" last="Millet">Bruno Millet</name>
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<term>Fluorodeoxyglucose F18</term>
<term>Glucose (metabolism)</term>
<term>Humans</term>
<term>Limbic System (metabolism)</term>
<term>Limbic System (physiology)</term>
<term>Limbic System (physiopathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Nerve Net (metabolism)</term>
<term>Nerve Net (physiology)</term>
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<term>Neuropsychological Tests</term>
<term>Parkinson Disease (diagnostic imaging)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Positron-Emission Tomography</term>
<term>Prefrontal Cortex (metabolism)</term>
<term>Subthalamic Nucleus (surgery)</term>
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<term>Glucose</term>
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<term>Fluorodeoxyglucose F18</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Limbic System</term>
<term>Nerve Net</term>
<term>Parkinson Disease</term>
<term>Prefrontal Cortex</term>
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<term>Limbic System</term>
<term>Nerve Net</term>
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<term>Limbic System</term>
<term>Nerve Net</term>
<term>Parkinson Disease</term>
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<term>Subthalamic Nucleus</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">Although high-frequency deep brain stimulation of the subthalamic nucleus (STN DBS) improves motor symptoms in advanced Parkinson's disease (PD), clinical studies have reported cognitive, motivational and emotional changes. These results suggest that the STN forms part of a broadly distributed neural network encompassing the associative and limbic circuits. We sought to pinpoint the cortical and subcortical brain areas modulated by STN DBS, in order to assess the STN's functional role and explain neuropsychological modifications following STN DBS in PD.</div>
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<Title>European journal of nuclear medicine and molecular imaging</Title>
<ISOAbbreviation>Eur. J. Nucl. Med. Mol. Imaging</ISOAbbreviation>
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<ArticleTitle>Subthalamic nucleus stimulation affects limbic and associative circuits: a PET study.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Although high-frequency deep brain stimulation of the subthalamic nucleus (STN DBS) improves motor symptoms in advanced Parkinson's disease (PD), clinical studies have reported cognitive, motivational and emotional changes. These results suggest that the STN forms part of a broadly distributed neural network encompassing the associative and limbic circuits. We sought to pinpoint the cortical and subcortical brain areas modulated by STN DBS, in order to assess the STN's functional role and explain neuropsychological modifications following STN DBS in PD.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We studied resting state glucose metabolism in 20 PD patients before and after STN DBS and 13 age-matched healthy controls using (18)F-FDG PET. We used statistical analysis (SPM2) first to compare pre-stimulation metabolism in PD patients with metabolism in healthy controls, then to study metabolic modifications in PD patients following STN DBS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The first analysis revealed no pre-stimulation metabolic abnormalities in associative or limbic circuitry. After STN DBS, metabolic modifications were found in several regions known for their involvement in the limbic and associative circuits.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These metabolic results confirm the STN's central role in associative and limbic basal ganglia circuits. They will provide information for working hypotheses for future studies investigating neuropsychological changes and metabolic modifications related to STN DBS, with a view to improving our knowledge of this structure's functional role.</AbstractText>
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