Effects of stereotactic neurosurgery on postural instability and gait in Parkinson's disease
Identifieur interne : 000B03 ( Main/Corpus ); précédent : 000B02; suivant : 000B04Effects of stereotactic neurosurgery on postural instability and gait in Parkinson's disease
Auteurs : Maaike Bakker ; Rianne A. J. Esselink ; Marten Munneke ; Patricia Limousin-Dowsey ; Hans D. Speelman ; Bastiaan R. BloemSource :
- Movement Disorders [ 0885-3185 ] ; 2004-09.
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- KwdEn :
Abstract
Postural instability and gait disability (PIGD) are disabling signs of Parkinson's disease. Stereotactic surgery aimed at the internal globus pallidus (GPi) or subthalamic nucleus (STN) might improve PIGD, but the precise effects remain unclear. We performed a systematic review of studies that examined the effects of GPi or STN surgery on PIGD. Most studies examined the effects of bilateral GPi stimulation, bilateral STN stimulation, and unilateral pallidotomy; we, therefore, only performed a meta‐analysis on these studies. Bilateral GPi stimulation, bilateral STN stimulation, and to a lesser extent, unilateral pallidotomy significantly improved PIGD, and more so during the ON phase than during the OFF phase. © 2004 Movement Disorder Society
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DOI: 10.1002/mds.20116
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ISTEX:776702D0CB703C11D06ADDFFD5225C9997D08A4BLe document en format XML
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Stereotactic surgery aimed at the internal globus pallidus (GPi) or subthalamic nucleus (STN) might improve PIGD, but the precise effects remain unclear. We performed a systematic review of studies that examined the effects of GPi or STN surgery on PIGD. Most studies examined the effects of bilateral GPi stimulation, bilateral STN stimulation, and unilateral pallidotomy; we, therefore, only performed a meta‐analysis on these studies. Bilateral GPi stimulation, bilateral STN stimulation, and to a lesser extent, unilateral pallidotomy significantly improved PIGD, and more so during the ON phase than during the OFF phase. © 2004 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Maaike Bakker MSc</name><affiliations><json:string>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Rianne A.J. Esselink MD</name><affiliations><json:string>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</json:string><json:string>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>Marten Munneke MSc</name><affiliations><json:string>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</json:string></affiliations></json:item><json:item><name>Patricia Limousin‐Dowsey MD, PhD</name><affiliations><json:string>Sobell Department for Motor Neurosciences and Movement Disorders, Queen Square, London, United Kingdom</json:string></affiliations></json:item><json:item><name>Hans D. Speelman MD, PhD</name><affiliations><json:string>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>Bastiaan R. 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Stereotactic surgery aimed at the internal globus pallidus (GPi) or subthalamic nucleus (STN) might improve PIGD, but the precise effects remain unclear. We performed a systematic review of studies that examined the effects of GPi or STN surgery on PIGD. Most studies examined the effects of bilateral GPi stimulation, bilateral STN stimulation, and unilateral pallidotomy; we, therefore, only performed a meta‐analysis on these studies. Bilateral GPi stimulation, bilateral STN stimulation, and to a lesser extent, unilateral pallidotomy significantly improved PIGD, and more so during the ON phase than during the OFF phase. © 2004 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Effects of stereotactic neurosurgery on postural instability and gait in Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>A Meta‐Analysis</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Effects of stereotactic neurosurgery on postural instability and gait in Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Maaike</namePart><namePart type="family">Bakker</namePart><namePart type="termsOfAddress">MSc</namePart><affiliation>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rianne A.J.</namePart><namePart type="family">Esselink</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</affiliation><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marten</namePart><namePart type="family">Munneke</namePart><namePart type="termsOfAddress">MSc</namePart><affiliation>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Patricia</namePart><namePart type="family">Limousin‐Dowsey</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Sobell Department for Motor Neurosciences and Movement Disorders, Queen Square, London, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hans D.</namePart><namePart type="family">Speelman</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bastiaan R.</namePart><namePart type="family">Bloem</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, University Medical Centre St Radboud, Nijmegen, The Netherlands</affiliation><description>Correspondence: Department of Neurology, 326, University Medical Centre St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2004-09</dateIssued><dateCaptured encoding="w3cdtf">2003-07-15</dateCaptured><dateValid encoding="w3cdtf">2004-02-02</dateValid><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">2</extent><extent unit="references">73</extent><extent unit="words">5058</extent></physicalDescription><abstract lang="en">Postural instability and gait disability (PIGD) are disabling signs of Parkinson's disease. Stereotactic surgery aimed at the internal globus pallidus (GPi) or subthalamic nucleus (STN) might improve PIGD, but the precise effects remain unclear. We performed a systematic review of studies that examined the effects of GPi or STN surgery on PIGD. Most studies examined the effects of bilateral GPi stimulation, bilateral STN stimulation, and unilateral pallidotomy; we, therefore, only performed a meta‐analysis on these studies. Bilateral GPi stimulation, bilateral STN stimulation, and to a lesser extent, unilateral pallidotomy significantly improved PIGD, and more so during the ON phase than during the OFF phase. © 2004 Movement Disorder Society</abstract><note type="funding">Prinses Beatrix Fonds</note><note type="funding">International Parkinson Foundation</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>surgery</topic><topic>posture</topic><topic>gait</topic><topic>globus pallidus</topic><topic>subthalamic nucleus</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Brief Report</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2004</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1092</start><end>1099</end><total>8</total></extent></part></relatedItem><identifier type="istex">776702D0CB703C11D06ADDFFD5225C9997D08A4B</identifier><identifier type="DOI">10.1002/mds.20116</identifier><identifier type="ArticleID">MDS20116</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2004 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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