Subthalamic stimulation in Parkinson disease: intraoperative predictive factors.
Identifieur interne : 001062 ( PubMed/Curation ); précédent : 001061; suivant : 001063Subthalamic stimulation in Parkinson disease: intraoperative predictive factors.
Auteurs : Jean-Luc Houeto [France] ; Marie-Laure Welter ; Paul-Boulos Bejjani ; Sophie Tezenas Du Montcel ; Anne-Marie Bonnet ; Valerie Mesnage ; Soledad Navarro ; Bernard Pidoux ; Didier Dormont ; Philippe Cornu ; Yves AgidSource :
- Archives of neurology [ 0003-9942 ] ; 2003.
English descriptors
- KwdEn :
- Disability Evaluation, Dyskinesias (diagnosis), Dyskinesias (surgery), Dyskinesias (therapy), Electric Stimulation Therapy, Female, Humans, Male, Middle Aged, Monitoring, Intraoperative, Parkinson Disease (diagnosis), Parkinson Disease (surgery), Parkinson Disease (therapy), Predictive Value of Tests, Prognosis, Retrospective Studies, Subthalamic Nucleus (surgery), Treatment Outcome.
- MESH :
- diagnosis : Dyskinesias, Parkinson Disease.
- surgery : Dyskinesias, Parkinson Disease, Subthalamic Nucleus.
- therapy : Dyskinesias, Parkinson Disease.
- Disability Evaluation, Electric Stimulation Therapy, Female, Humans, Male, Middle Aged, Monitoring, Intraoperative, Predictive Value of Tests, Prognosis, Retrospective Studies, Treatment Outcome.
Abstract
High-frequency stimulation of the subthalamic nucleus (STN) is an effective treatment for advanced forms of Parkinson disease. Postoperative improvement of motor parkinsonian disability is known to depend on patient selection and surgical targeting.
DOI: 10.1001/archneur.60.5.690
PubMed: 12756132
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pubmed:12756132Le document en format XML
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<term>Dyskinesias (therapy)</term>
<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Monitoring, Intraoperative</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson Disease (therapy)</term>
<term>Predictive Value of Tests</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Treatment Outcome</term>
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<term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dyskinesias</term>
<term>Parkinson Disease</term>
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<term>Electric Stimulation Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Monitoring, Intraoperative</term>
<term>Predictive Value of Tests</term>
<term>Prognosis</term>
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<front><div type="abstract" xml:lang="en">High-frequency stimulation of the subthalamic nucleus (STN) is an effective treatment for advanced forms of Parkinson disease. Postoperative improvement of motor parkinsonian disability is known to depend on patient selection and surgical targeting.</div>
</front>
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<DateCreated><Year>2003</Year>
<Month>05</Month>
<Day>20</Day>
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<Month>06</Month>
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<Title>Archives of neurology</Title>
<ISOAbbreviation>Arch. Neurol.</ISOAbbreviation>
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<ArticleTitle>Subthalamic stimulation in Parkinson disease: intraoperative predictive factors.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">High-frequency stimulation of the subthalamic nucleus (STN) is an effective treatment for advanced forms of Parkinson disease. Postoperative improvement of motor parkinsonian disability is known to depend on patient selection and surgical targeting.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine which clinical and electrophysiological variables evaluated during the operation predict the postoperative clinical outcome of patients with Parkinson disease treated by bilateral high-frequency stimulation of the STN.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Intraoperative clinical and electrophysiological data obtained in 41 patients with Parkinson disease who underwent bilateral implantation of electrodes for STN stimulation were correlated with the improvement in parkinsonian disability assessed 6 months after the operation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The extent of STN neuronal activity recorded along the trajectory of the therapeutic electrode had no effect on the postoperative clinical outcome. The intraoperative improvement in segmental akinesia, but not rigidity, was predictive of the postoperative improvement in parkinsonian motor disability and reduction in daily levodopa-equivalent dosage. Parkinsonian motor disability scores assessed after surgery were lower in patients with intraoperative stimulation-induced dyskinesias than in those without stimulation-induced dyskinesias.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The improvement of segmental akinesia and the observation of dyskinesias provoked by stimulation during the operation predict the best postoperative effects of bilateral STN stimulation on parkinsonian motor disability.</AbstractText>
</Abstract>
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