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

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Pain due to osteoarthritis may impair the early outcome of deep brain stimulation in Parkinson's disease.

Identifieur interne : 000882 ( PubMed/Curation ); précédent : 000881; suivant : 000883

Pain due to osteoarthritis may impair the early outcome of deep brain stimulation in Parkinson's disease.

Auteurs : Solène Genty [France] ; Stéphane Derrey ; Sophie Pouplin ; Romain Lefaucheur ; Nathalie Chastan ; Emmanuel Gérardin ; David Maltête

Source :

RBID : pubmed:21775052

English descriptors

Abstract

To analyse postoperative pain due to osteoarthritis in patients with Parkinson's disease submitted to bilateral subthalamic nucleus stimulation.

DOI: 10.1016/j.clineuro.2011.06.006
PubMed: 21775052

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pubmed:21775052

Le document en format XML

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<title xml:lang="en">Pain due to osteoarthritis may impair the early outcome of deep brain stimulation in Parkinson's disease.</title>
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<name sortKey="Genty, Solene" sort="Genty, Solene" uniqKey="Genty S" first="Solène" last="Genty">Solène Genty</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurology, Rouen University Hospital and University of Rouen, 76031 Rouen Cedex, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurology, Rouen University Hospital and University of Rouen, 76031 Rouen Cedex</wicri:regionArea>
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<name sortKey="Derrey, Stephane" sort="Derrey, Stephane" uniqKey="Derrey S" first="Stéphane" last="Derrey">Stéphane Derrey</name>
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<author>
<name sortKey="Pouplin, Sophie" sort="Pouplin, Sophie" uniqKey="Pouplin S" first="Sophie" last="Pouplin">Sophie Pouplin</name>
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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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<name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<name sortKey="Gerardin, Emmanuel" sort="Gerardin, Emmanuel" uniqKey="Gerardin E" first="Emmanuel" last="Gérardin">Emmanuel Gérardin</name>
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<name sortKey="Maltete, David" sort="Maltete, David" uniqKey="Maltete D" first="David" last="Maltête">David Maltête</name>
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<name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name>
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<title level="j">Clinical neurology and neurosurgery</title>
<idno type="eISSN">1872-6968</idno>
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<term>Aged</term>
<term>Deep Brain Stimulation (adverse effects)</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osteoarthritis (complications)</term>
<term>Pain (etiology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson Disease (therapy)</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Regression Analysis</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Treatment Outcome</term>
<term>Weight Gain (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Osteoarthritis</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Subthalamic Nucleus</term>
<term>Weight Gain</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Regression Analysis</term>
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<div type="abstract" xml:lang="en">To analyse postoperative pain due to osteoarthritis in patients with Parkinson's disease submitted to bilateral subthalamic nucleus stimulation.</div>
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<DateCreated>
<Year>2011</Year>
<Month>11</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>03</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>14</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1872-6968</ISSN>
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<Volume>113</Volume>
<Issue>10</Issue>
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<Year>2011</Year>
<Month>Dec</Month>
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<Title>Clinical neurology and neurosurgery</Title>
<ISOAbbreviation>Clin Neurol Neurosurg</ISOAbbreviation>
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<ArticleTitle>Pain due to osteoarthritis may impair the early outcome of deep brain stimulation in Parkinson's disease.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clineuro.2011.06.006</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyse postoperative pain due to osteoarthritis in patients with Parkinson's disease submitted to bilateral subthalamic nucleus stimulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Fifty-three parkinsonian patients (mean age, 59.9 ± 8.3 years; mean disease duration, 11.5 ± 4.2 years) referred for subthalamic nucleus stimulation were enrolled. Patients were prospectively asked to refer and describe any pain due to osteoarthritis they experienced at any time during the preoperative period and within the 6 postoperative months. Pre-existing pain due to osteoarthritis, therapeutic changes, parkinsonian motor disability and weight gain were assessed as explanatory factors for occurrence pain due to osteoarthritis after surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After surgery, thirty patients (57%) complained of pain due to osteoarthritis whereas all demonstrated great functional improvement. Twenty (67%) among the 30 experienced similar pain sensation before surgery. Symptoms occurred rapidly, between 4 and 26 postoperative weeks. Multiple stepwise regression analysis showed that pre-existing pain due to osteoarthritis, 6-month postoperative UPDRS III motor score and axial sub-score improvements in the off-drug/on-stimulation condition were accurate independent predictors of pain due to osteoarthritis after surgery (F(8,41)=2.20, p<0.047).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results highlight the high prevalence of pain due to osteoarthritis arising shortly after subthalamic implantation. An accurate pain and osteo-articular assessment should be performed preoperatively in parkinsonian candidates for subthalamic nucleus stimulation in order to limit occurrence of complications in the early postoperative period.</AbstractText>
<CopyrightInformation>Copyright © 2011 Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Genty</LastName>
<ForeName>Solène</ForeName>
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<Affiliation>Department of Neurology, Rouen University Hospital and University of Rouen, 76031 Rouen Cedex, France.</Affiliation>
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