Subthalamic stimulation improves orienting gaze movements in Parkinson's disease.
Identifieur interne : 000C27 ( PubMed/Curation ); précédent : 000C26; suivant : 000C28Subthalamic 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 TiliketeSource :
- Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [ 1388-2457 ] ; 2008.
English descriptors
- KwdEn :
- Adult, Aged, Analysis of Variance, Case-Control Studies, Electric Stimulation Therapy (methods), Female, Fixation, Ocular, Head Movements (physiology), Head Movements (radiation effects), Humans, Male, Middle Aged, Movement (physiology), Movement (radiation effects), Orientation (physiology), Orientation (radiation effects), Parkinson Disease (therapy), Photic Stimulation, Psychophysics, Subthalamus (physiology), Subthalamus (radiation effects).
- MESH :
- methods : Electric Stimulation Therapy.
- physiology : Head Movements, Movement, Orientation, Subthalamus.
- radiation effects : Head Movements, Movement, Orientation, Subthalamus.
- therapy : Parkinson Disease.
- Adult, Aged, Analysis of Variance, Case-Control Studies, Female, Fixation, Ocular, Humans, Male, Middle Aged, Photic Stimulation, Psychophysics.
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:18567536Le document en format XML
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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
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<series><title level="j">Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</title>
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<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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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation Therapy</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Head Movements</term>
<term>Movement</term>
<term>Orientation</term>
<term>Subthalamus</term>
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<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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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<term>Aged</term>
<term>Analysis of Variance</term>
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<term>Fixation, Ocular</term>
<term>Humans</term>
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<front><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>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18567536</PMID>
<DateCreated><Year>2008</Year>
<Month>07</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2008</Year>
<Month>09</Month>
<Day>24</Day>
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<DateRevised><Year>2008</Year>
<Month>07</Month>
<Day>08</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1388-2457</ISSN>
<JournalIssue CitedMedium="Print"><Volume>119</Volume>
<Issue>8</Issue>
<PubDate><Year>2008</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<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>
<Pagination><MedlinePgn>1857-63</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clinph.2008.04.013</ELocationID>
<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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sauleau</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Neurophysiology, University Hospital of Rennes, University of Rennes 1, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Krack</LastName>
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<Author ValidYN="Y"><LastName>Courjon</LastName>
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<Author ValidYN="Y"><LastName>Vighetto</LastName>
<ForeName>Alain</ForeName>
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<Author ValidYN="Y"><LastName>Benabid</LastName>
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