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

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Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.

Identifieur interne : 000A98 ( PubMed/Curation ); précédent : 000A97; suivant : 000A99

Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.

Auteurs : Igor Lima Maldonado [France] ; Thomas Roujeau ; Laura Cif ; Victoria Gonzalez ; Hassan El-Fertit ; Xavier Vasques ; Alain Bonafe ; Phillippe Coubes

Source :

RBID : pubmed:19934995

English descriptors

Abstract

The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.

DOI: 10.1227/01.NEU.0000342404.14347.FB
PubMed: 19934995

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pubmed:19934995

Le document en format XML

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<nlm:affiliation>Department of Neurosurgery, Research Unit on Movement Disorders, University Hospital of Montpellier, Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Gonzalez, Victoria" sort="Gonzalez, Victoria" uniqKey="Gonzalez V" first="Victoria" last="Gonzalez">Victoria Gonzalez</name>
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<term>Brain (physiopathology)</term>
<term>Brain (surgery)</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.</div>
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<Volume>65</Volume>
<Issue>6 Suppl</Issue>
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<Year>2009</Year>
<Month>Dec</Month>
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<Title>Neurosurgery</Title>
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<ArticleTitle>Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred ninety-four patients treated with deep brain stimulation between 1996 and 2007 were assessed via a computerized database for intra- and perioperative events. Most patients were young; only 62 of them were older than 40 years (mean age, 31.1 years). General anesthesia was induced in all cases before placement of a magnetic resonance imaging-compatible stereotactic frame. Electrode implantation was done under radioscopic control via a rigid immobile cannula using a single cerebral perforation. No perioperative microelectrode recording or neurostimulation testing was used. Systematic postoperative magnetic resonance imaging was performed before frame removal.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 478 electrodes were implanted in 220 procedures: 426 for dystonic-dyskinetic syndromes and 52 for Parkinson disease. The mean number of parenchymal penetrations per patient was 2.5 for the dystonic-dyskinetic syndrome group and 2.08 for the Parkinson disease group. Postimplantation magnetic resonance imaging detected no perioperative intraparenchymal hemorrhages.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We consider that the risk of hemorrhagic complication is multifactorial but closely related to the chosen technique.</AbstractText>
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