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

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Effects of subthalamic nucleus stimulation and levodopa on freezing of gait in Parkinson disease.

Identifieur interne : 000D02 ( PubMed/Corpus ); précédent : 000D01; suivant : 000D03

Effects of subthalamic nucleus stimulation and levodopa on freezing of gait in Parkinson disease.

Auteurs : M U Ferraye ; B. Debû ; V. Fraix ; J. Xie-Brustolin ; S. Chabardès ; P. Krack ; A-L Benabid ; P. Pollak

Source :

RBID : pubmed:18413568

English descriptors

Abstract

We studied the effects of subthalamic nucleus (STN) stimulation vs levodopa on freezing of gait (FOG) and gait impairments in a large consecutive series of patients with Parkinson disease with bilateral STN stimulation.

DOI: 10.1212/01.wnl.0000310416.90757.85
PubMed: 18413568

Links to Exploration step

pubmed:18413568

Le document en format XML

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<title xml:lang="en">Effects of subthalamic nucleus stimulation and levodopa on freezing of gait in Parkinson disease.</title>
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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>Université de Grenoble, INSERM U836, CHU de Grenoble, Pavillon de neurologie, BP 217, 38043 Grenoble Cedex 9, France. Murielle.Ferraye@e.ujf-grenoble.fr</nlm:affiliation>
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<name sortKey="Debu, B" sort="Debu, B" uniqKey="Debu B" first="B" last="Debû">B. Debû</name>
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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="Xie Brustolin, J" sort="Xie Brustolin, J" uniqKey="Xie Brustolin J" first="J" last="Xie-Brustolin">J. Xie-Brustolin</name>
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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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<name sortKey="Krack, P" sort="Krack, P" uniqKey="Krack P" first="P" last="Krack">P. Krack</name>
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<name sortKey="Pollak, P" sort="Pollak, P" uniqKey="Pollak P" first="P" last="Pollak">P. Pollak</name>
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<term>Adult</term>
<term>Aged</term>
<term>Deep Brain Stimulation (trends)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gait Disorders, Neurologic (complications)</term>
<term>Gait Disorders, Neurologic (physiopathology)</term>
<term>Gait Disorders, Neurologic (therapy)</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Subthalamic Nucleus (physiology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Gait Disorders, Neurologic</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Gait Disorders, Neurologic</term>
<term>Parkinson Disease</term>
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<term>Gait Disorders, Neurologic</term>
<term>Parkinson Disease</term>
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<term>Aged</term>
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<div type="abstract" xml:lang="en">We studied the effects of subthalamic nucleus (STN) stimulation vs levodopa on freezing of gait (FOG) and gait impairments in a large consecutive series of patients with Parkinson disease with bilateral STN stimulation.</div>
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<Year>2008</Year>
<Month>04</Month>
<Day>16</Day>
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<Year>2008</Year>
<Month>05</Month>
<Day>07</Day>
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<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1526-632X</ISSN>
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<Volume>70</Volume>
<Issue>16 Pt 2</Issue>
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<Month>Apr</Month>
<Day>15</Day>
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<ArticleTitle>Effects of subthalamic nucleus stimulation and levodopa on freezing of gait in Parkinson disease.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We studied the effects of subthalamic nucleus (STN) stimulation vs levodopa on freezing of gait (FOG) and gait impairments in a large consecutive series of patients with Parkinson disease with bilateral STN stimulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred twenty-three patients performed the Stand Walk Sit Test before and 1 year after surgery both off and on levodopa and off and on stimulation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before surgery, 25 patients displayed FOG episodes and 48 were unable to complete the Stand Walk Sit Test when off levodopa. Both symptoms were alleviated by levodopa. After surgery, STN stimulation reproduced the improvement induced by levodopa before surgery in all but two patients with FOG and five others unable to walk. In 11 patients, FOG or inability to perform the test first occurred after surgery. In all patients but those experiencing FOG during the Stand Walk Sit Test before surgery, the benefit of STN stimulation did not reach that of levodopa before surgery. In patients with FOG before surgery, the effect of STN stimulation did not differ from that of levodopa either before or after surgery.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Overall, subthalamic nucleus stimulation improved levodopa-responsive freezing of gait in most patients, although it was not always as effective as levodopa to improve gait impairments. In addition, surgery can induce gait problems in some patients.</AbstractText>
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