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

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Subthalamic stimulation improves orienting gaze movements in Parkinson's disease.

Identifieur interne : 000C27 ( PubMed/Curation ); précédent : 000C26; suivant : 000C28

Subthalamic stimulation improves orienting gaze movements in Parkinson's disease.

Auteurs : Paul Sauleau [France] ; Pierre Pollak ; Paul Krack ; Jean-Hubert Courjon ; Alain Vighetto ; Alim-Louis Benabid ; Denis Pélisson ; Caroline Tilikete

Source :

RBID : pubmed:18567536

English descriptors

Abstract

To determine the effect of subthalamic stimulation on visually triggered eye and head movements in patients with Parkinson's disease (PD).

DOI: 10.1016/j.clinph.2008.04.013
PubMed: 18567536

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pubmed:18567536

Le document en format XML

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<title xml:lang="en">Subthalamic stimulation improves orienting gaze movements in Parkinson's disease.</title>
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<name sortKey="Sauleau, Paul" sort="Sauleau, Paul" uniqKey="Sauleau P" first="Paul" last="Sauleau">Paul Sauleau</name>
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<nlm:affiliation>Department of Neurophysiology, University Hospital of Rennes, University of Rennes 1, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurophysiology, University Hospital of Rennes, University of Rennes 1</wicri:regionArea>
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<name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<name sortKey="Courjon, Jean Hubert" sort="Courjon, Jean Hubert" uniqKey="Courjon J" first="Jean-Hubert" last="Courjon">Jean-Hubert Courjon</name>
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<name sortKey="Vighetto, Alain" sort="Vighetto, Alain" uniqKey="Vighetto A" first="Alain" last="Vighetto">Alain Vighetto</name>
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<name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<name sortKey="Pelisson, Denis" sort="Pelisson, Denis" uniqKey="Pelisson D" first="Denis" last="Pélisson">Denis Pélisson</name>
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<name sortKey="Tilikete, Caroline" sort="Tilikete, Caroline" uniqKey="Tilikete C" first="Caroline" last="Tilikete">Caroline Tilikete</name>
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<name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<name sortKey="Vighetto, Alain" sort="Vighetto, Alain" uniqKey="Vighetto A" first="Alain" last="Vighetto">Alain Vighetto</name>
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<name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<title level="j">Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</title>
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<term>Adult</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Case-Control Studies</term>
<term>Electric Stimulation Therapy (methods)</term>
<term>Female</term>
<term>Fixation, Ocular</term>
<term>Head Movements (physiology)</term>
<term>Head Movements (radiation effects)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement (physiology)</term>
<term>Movement (radiation effects)</term>
<term>Orientation (physiology)</term>
<term>Orientation (radiation effects)</term>
<term>Parkinson Disease (therapy)</term>
<term>Photic Stimulation</term>
<term>Psychophysics</term>
<term>Subthalamus (physiology)</term>
<term>Subthalamus (radiation effects)</term>
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<term>Electric Stimulation Therapy</term>
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<term>Head Movements</term>
<term>Movement</term>
<term>Orientation</term>
<term>Subthalamus</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en">
<term>Head Movements</term>
<term>Movement</term>
<term>Orientation</term>
<term>Subthalamus</term>
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<term>Parkinson Disease</term>
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<term>Adult</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Fixation, Ocular</term>
<term>Humans</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">To determine the effect of subthalamic stimulation on visually triggered eye and head movements in patients with Parkinson's disease (PD).</div>
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<Month>07</Month>
<Day>08</Day>
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<DateCompleted>
<Year>2008</Year>
<Month>09</Month>
<Day>24</Day>
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<Year>2008</Year>
<Month>07</Month>
<Day>08</Day>
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<Volume>119</Volume>
<Issue>8</Issue>
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<Year>2008</Year>
<Month>Aug</Month>
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<Title>Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</Title>
<ISOAbbreviation>Clin Neurophysiol</ISOAbbreviation>
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<ArticleTitle>Subthalamic stimulation improves orienting gaze movements in Parkinson's disease.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the effect of subthalamic stimulation on visually triggered eye and head movements in patients with Parkinson's disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We compared the gain and latency of visually triggered eye and head movements in 12 patients bilaterally implanted into the subthalamic nucleus (STN) for severe PD and six age-matched control subjects. Visually triggered movements of eye (head restrained), and of eye and head (head unrestrained) were recorded in the absence of dopaminergic medication. Bilateral stimulation was turned OFF and then turned ON with voltage and contact used in chronic setting. The latency was determined from the beginning of initial horizontal eye movements relative to the target onset, and the gain was defined as the ratio of the amplitude of the initial movement to the amplitude of the target movement.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Without stimulation, the initiation of the head movement was significantly delayed in patients and the gain of head movement was reduced. Our patients also presented significantly prolonged latencies and hypometry of visually triggered saccades in the head-fixed condition and of gaze in head-free condition. Bilateral STN stimulation with therapeutic parameters improved performance of orienting gaze, eye and head movements towards the controls' level</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results demonstrate that visually triggered saccades and orienting eye-head movements are impaired in the advanced stage of PD. In addition, subthalamic stimulation enhances amplitude and shortens latency of these movements.</AbstractText>
<AbstractText Label="SIGNIFICANCE" NlmCategory="CONCLUSIONS">These results are likely explained by alteration of the information processed by the superior colliculus (SC), a pivotal visuomotor structure involved in both voluntary and reflexive saccades. Improvement of movements with stimulation of the STN may be related to its positive input either on the STN-Substantia Nigra-SC pathway or on the parietal cortex-SC pathway.</AbstractText>
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<LastName>Sauleau</LastName>
<ForeName>Paul</ForeName>
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<Affiliation>Department of Neurophysiology, University Hospital of Rennes, University of Rennes 1, France.</Affiliation>
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<LastName>Pollak</LastName>
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