Alleviation of off-period dystonia in Parkinson disease by a microlesion following subthalamic implantation.
Identifieur interne : 000A81 ( PubMed/Corpus ); précédent : 000A80; suivant : 000A82Alleviation of off-period dystonia in Parkinson disease by a microlesion following subthalamic implantation.
Auteurs : Stéphane Derrey ; Romain Lefaucheur ; Nathalie Chastan ; Emmanuel Gérardin ; Didier Hannequin ; Marie Desbordes ; David MaltêteSource :
- Journal of neurosurgery [ 1933-0693 ] ; 2010.
English descriptors
- KwdEn :
- Adult, Aged, Deep Brain Stimulation (methods), Dystonia (physiopathology), Dystonia (therapy), Electrodes, Implanted, Female, Follow-Up Studies, Globus Pallidus (physiopathology), Globus Pallidus (surgery), Humans, Male, Microsurgery, Middle Aged, Neurologic Examination, Parkinson Disease (physiopathology), Parkinson Disease (therapy), Subthalamic Nucleus (physiopathology), Subthalamic Nucleus (surgery), Treatment Outcome.
- MESH :
- methods : Deep Brain Stimulation.
- physiopathology : Dystonia, Globus Pallidus, Parkinson Disease, Subthalamic Nucleus.
- surgery : Globus Pallidus, Subthalamic Nucleus.
- therapy : Dystonia, Parkinson Disease.
- Adult, Aged, Electrodes, Implanted, Female, Follow-Up Studies, Humans, Male, Microsurgery, Middle Aged, Neurologic Examination, Treatment Outcome.
Abstract
A collision/implantation or microlesion effect is commonly described after subthalamic nucleus (STN) implantation for high-frequency stimulation, and this is presumed to reflect disruption of cells and/or fibers. Off-period dystonia, a frequent cause of disability in patients with advanced Parkinson disease, can lead to the need for surgical treatment. The authors assessed the early effect of this microlesion on off-period dystonia.
DOI: 10.3171/2009.10.JNS091032
PubMed: 19877801
Links to Exploration step
pubmed:19877801Le document en format XML
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<author><name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Rouen University Hospital and University of Rouen, France. david.maltete@chu-rouen.fr</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lefaucheur, Romain" sort="Lefaucheur, Romain" uniqKey="Lefaucheur R" first="Romain" last="Lefaucheur">Romain Lefaucheur</name>
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<author><name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<author><name sortKey="Gerardin, Emmanuel" sort="Gerardin, Emmanuel" uniqKey="Gerardin E" first="Emmanuel" last="Gérardin">Emmanuel Gérardin</name>
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<author><name sortKey="Hannequin, Didier" sort="Hannequin, Didier" uniqKey="Hannequin D" first="Didier" last="Hannequin">Didier Hannequin</name>
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<author><name sortKey="Desbordes, Marie" sort="Desbordes, Marie" uniqKey="Desbordes M" first="Marie" last="Desbordes">Marie Desbordes</name>
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<author><name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Alleviation of off-period dystonia in Parkinson disease by a microlesion following subthalamic implantation.</title>
<author><name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Rouen University Hospital and University of Rouen, France. david.maltete@chu-rouen.fr</nlm:affiliation>
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<author><name sortKey="Lefaucheur, Romain" sort="Lefaucheur, Romain" uniqKey="Lefaucheur R" first="Romain" last="Lefaucheur">Romain Lefaucheur</name>
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<author><name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<author><name sortKey="Gerardin, Emmanuel" sort="Gerardin, Emmanuel" uniqKey="Gerardin E" first="Emmanuel" last="Gérardin">Emmanuel Gérardin</name>
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<author><name sortKey="Hannequin, Didier" sort="Hannequin, Didier" uniqKey="Hannequin D" first="Didier" last="Hannequin">Didier Hannequin</name>
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<author><name sortKey="Desbordes, Marie" sort="Desbordes, Marie" uniqKey="Desbordes M" first="Marie" last="Desbordes">Marie Desbordes</name>
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<series><title level="j">Journal of neurosurgery</title>
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<term>Aged</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Dystonia (physiopathology)</term>
<term>Dystonia (therapy)</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Globus Pallidus (physiopathology)</term>
<term>Globus Pallidus (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (physiopathology)</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term>
<term>Globus Pallidus</term>
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term>
<term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term>
<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Electrodes, Implanted</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Microsurgery</term>
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<front><div type="abstract" xml:lang="en">A collision/implantation or microlesion effect is commonly described after subthalamic nucleus (STN) implantation for high-frequency stimulation, and this is presumed to reflect disruption of cells and/or fibers. Off-period dystonia, a frequent cause of disability in patients with advanced Parkinson disease, can lead to the need for surgical treatment. The authors assessed the early effect of this microlesion on off-period dystonia.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19877801</PMID>
<DateCreated><Year>2010</Year>
<Month>06</Month>
<Day>02</Day>
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<DateCompleted><Year>2010</Year>
<Month>06</Month>
<Day>22</Day>
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<Month>06</Month>
<Day>02</Day>
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<Issue>6</Issue>
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<Month>Jun</Month>
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<Title>Journal of neurosurgery</Title>
<ISOAbbreviation>J. Neurosurg.</ISOAbbreviation>
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<ArticleTitle>Alleviation of off-period dystonia in Parkinson disease by a microlesion following subthalamic implantation.</ArticleTitle>
<Pagination><MedlinePgn>1263-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3171/2009.10.JNS091032</ELocationID>
<Abstract><AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">A collision/implantation or microlesion effect is commonly described after subthalamic nucleus (STN) implantation for high-frequency stimulation, and this is presumed to reflect disruption of cells and/or fibers. Off-period dystonia, a frequent cause of disability in patients with advanced Parkinson disease, can lead to the need for surgical treatment. The authors assessed the early effect of this microlesion on off-period dystonia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors assessed 30 consecutive patients with the advanced levodopa-responsive form of Parkinson disease. The patients' symptoms were Hoehn and Yahr Scale score > or = 3, the mean duration of their disease was 11.4 +/- 3.5 years, and they had undergone bilateral implantation of electrodes within the STN for high-frequency stimulation between February 2004 and December 2006. The microlesion effect was defined by the clinical improvement (Unified Parkinson's Disease Rating Scale [UPDRS] Part III score, UPDRS Part IV, item 35) assessed the morning of the 3rd day following STN implantation, after at least a 12-hour withdrawal of dopaminergic treatment and before the programmable pulse generator was switched on (off-drug/off-stimulation mode).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared with baseline (off state), the microlesion effect improved the motor score (UPDRS Part III) by 27%. Subscores for tremor, rigidity, and bradykinesia respectively improved by 42, 37, and 25%. Nineteen patients (63%) suffered from off-period dystonia before surgery. Twelve (41%) reported complete relief of their symptoms in the immediate postoperative period and remained free of painful off-period dystonia throughout the 6-month follow-up period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The author postulated that off-period dystonia alleviation may reflect both a microsubthalamotomy and micropallidotomy effect. They hypothesize, moreover, that the microlesion could play a role in the 6-month postoperative outcome.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Derrey</LastName>
<ForeName>Stéphane</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery, Rouen University Hospital and University of Rouen, France. david.maltete@chu-rouen.fr</Affiliation>
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<Author ValidYN="Y"><LastName>Lefaucheur</LastName>
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<Author ValidYN="Y"><LastName>Chastan</LastName>
<ForeName>Nathalie</ForeName>
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<Author ValidYN="Y"><LastName>Gérardin</LastName>
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<Author ValidYN="Y"><LastName>Hannequin</LastName>
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<Author ValidYN="Y"><LastName>Desbordes</LastName>
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