ParkinsonFranceV1, PubMed, Curation, bibRecord, 001199

Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.

Identifieur interne : 001199 ( PubMed/Curation ); précédent : 001198; suivant : 001200

Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.

Auteurs : K. Dujardin [France] ; L. Defebvre ; P. Krystkowiak ; S. Blond ; A. Destée

Source :

Journal of neurology [ 0340-5354 ] ; 2001.

RBID : pubmed:11518003

English descriptors

KwdEn :
- Cognition Disorders (etiology), Cognition Disorders (therapy), Electric Stimulation Therapy (adverse effects), Electrodes, Female, Humans, Male, Mental Disorders (drug therapy), Middle Aged, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (psychology), Subthalamic Nucleus (physiology), Treatment Outcome.
MESH :
- adverse effects : Electric Stimulation Therapy.
- complications : Parkinson Disease.
- drug therapy : Mental Disorders.
- etiology : Cognition Disorders.
- physiology : Subthalamic Nucleus.
- psychology : Parkinson Disease.
- therapy : Cognition Disorders.
- Electrodes, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Treatment Outcome.

Abstract

The clinical efficacy of chronic deep brain stimulation in the treatment of parkinsonian patients with severe levodopa-related motor adverse effects has been repeatedly shown. Bilateral subthalamic nucleus (STN) stimulation has been shown to present an advantage over pallidal stimulation as it induces a higher antiakinetic effect and has positive effects on all parkinsonian symptoms. The morbidity of such surgery is usually considered to be very low. However, few studies have extensively examined the effects of chronic STN stimulation on cognitive function.

PubMed: 11518003

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Le document en format XML

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<author><name sortKey="Dujardin, K" sort="Dujardin, K" uniqKey="Dujardin K" first="K" last="Dujardin">K. Dujardin</name>
<affiliation wicri:level="1"><nlm:affiliation>Clinique Neurologique, Hôpital Salengro, CHU de Lille, France. kdujardin@nordnet.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Clinique Neurologique, Hôpital Salengro, CHU de Lille</wicri:regionArea>
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<author><name sortKey="Defebvre, L" sort="Defebvre, L" uniqKey="Defebvre L" first="L" last="Defebvre">L. Defebvre</name>
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<author><name sortKey="Krystkowiak, P" sort="Krystkowiak, P" uniqKey="Krystkowiak P" first="P" last="Krystkowiak">P. Krystkowiak</name>
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<author><name sortKey="Blond, S" sort="Blond, S" uniqKey="Blond S" first="S" last="Blond">S. Blond</name>
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<author><name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destée">A. Destée</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.</title>
<author><name sortKey="Dujardin, K" sort="Dujardin, K" uniqKey="Dujardin K" first="K" last="Dujardin">K. Dujardin</name>
<affiliation wicri:level="1"><nlm:affiliation>Clinique Neurologique, Hôpital Salengro, CHU de Lille, France. kdujardin@nordnet.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Clinique Neurologique, Hôpital Salengro, CHU de Lille</wicri:regionArea>
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<author><name sortKey="Defebvre, L" sort="Defebvre, L" uniqKey="Defebvre L" first="L" last="Defebvre">L. Defebvre</name>
</author>
<author><name sortKey="Krystkowiak, P" sort="Krystkowiak, P" uniqKey="Krystkowiak P" first="P" last="Krystkowiak">P. Krystkowiak</name>
</author>
<author><name sortKey="Blond, S" sort="Blond, S" uniqKey="Blond S" first="S" last="Blond">S. Blond</name>
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<author><name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destée">A. Destée</name>
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<series><title level="j">Journal of neurology</title>
<idno type="ISSN">0340-5354</idno>
<imprint><date when="2001" type="published">2001</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognition Disorders (etiology)</term>
<term>Cognition Disorders (therapy)</term>
<term>Electric Stimulation Therapy (adverse effects)</term>
<term>Electrodes</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Disorders (drug therapy)</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (psychology)</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Electric Stimulation Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Mental Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cognition Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electrodes</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Treatment Outcome</term>
</keywords>
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<front><div type="abstract" xml:lang="en">The clinical efficacy of chronic deep brain stimulation in the treatment of parkinsonian patients with severe levodopa-related motor adverse effects has been repeatedly shown. Bilateral subthalamic nucleus (STN) stimulation has been shown to present an advantage over pallidal stimulation as it induces a higher antiakinetic effect and has positive effects on all parkinsonian symptoms. The morbidity of such surgery is usually considered to be very low. However, few studies have extensively examined the effects of chronic STN stimulation on cognitive function.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11518003</PMID>
<DateCreated><Year>2001</Year>
<Month>08</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2002</Year>
<Month>01</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised><Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0340-5354</ISSN>
<JournalIssue CitedMedium="Print"><Volume>248</Volume>
<Issue>7</Issue>
<PubDate><Year>2001</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of neurology</Title>
<ISOAbbreviation>J. Neurol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.</ArticleTitle>
<Pagination><MedlinePgn>603-11</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The clinical efficacy of chronic deep brain stimulation in the treatment of parkinsonian patients with severe levodopa-related motor adverse effects has been repeatedly shown. Bilateral subthalamic nucleus (STN) stimulation has been shown to present an advantage over pallidal stimulation as it induces a higher antiakinetic effect and has positive effects on all parkinsonian symptoms. The morbidity of such surgery is usually considered to be very low. However, few studies have extensively examined the effects of chronic STN stimulation on cognitive function.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of the present study was to assess the effects of chronic bilateral STN stimulation on performance in an extensive battery of neuropsychological tests, three months and one year after surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Nine patients with Parkinson's disease were selected for STN electrodes implantation. They underwent a neuropsychological evaluation at one month before and at three months after surgery. Six of them were examined again at one year after surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before surgery, no patient showed cognitive decline. At three months after surgery, no modification was observed for most tasks. The information processing speed tended to improve. There was a significant reduction of the performance in a delayed free recall test and a trend toward a significant reduction of categorial word fluency. At one year after surgery, most task measures did not change. Slight impairment was observed for tasks evaluating executive function. Examination of individual results showed that some patients (30% at 3 months after surgery) showed an overall cognitive decline. Behavioural changes were also observed in 4 patients with overall cognitive decline in one of them.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In general, STN deep brain stimulation can be considered as a significant contribution to the treatment of severe Parkinson's disease However, in some patients it can induce overall cognitive decline or behavioural changes.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dujardin</LastName>
<ForeName>K</ForeName>
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<AffiliationInfo><Affiliation>Clinique Neurologique, Hôpital Salengro, CHU de Lille, France. kdujardin@nordnet.fr</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Defebvre</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Krystkowiak</LastName>
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</Author>
<Author ValidYN="Y"><LastName>Blond</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Destée</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>J Neurol</MedlineTA>
<NlmUniqueID>0423161</NlmUniqueID>
<ISSNLinking>0340-5354</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004599" MajorTopicYN="Y">Electric Stimulation Therapy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004566" MajorTopicYN="N">Electrodes</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009483" MajorTopicYN="N">Neuropsychological Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020531" MajorTopicYN="N">Subthalamic Nucleus</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<Month>8</Month>
<Day>24</Day>
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Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.

Influence of chronic bilateral stimulation of the subthalamic nucleus on cognitive function in Parkinson's disease.

Source :

English descriptors

Abstract

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