Motor, cognitive, and behavioral performance following unilateral ventroposterior pallidotomy for Parkinson disease.
Identifieur interne : 001419 ( Main/Curation ); précédent : 001418; suivant : 001420Motor, cognitive, and behavioral performance following unilateral ventroposterior pallidotomy for Parkinson disease.
Auteurs : D. Masterman [États-Unis] ; A. Desalles ; R W Baloh ; R. Frysinger ; D. Foti ; E. Behnke ; C. Cabatan-Awang ; A. Hoetzel ; P M Intemann ; L. Fairbanks ; J M BronsteinSource :
- Archives of neurology [ 0003-9942 ] ; 1998.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Cognition (MeSH), Femelle (MeSH), Globus pallidus (chirurgie), Humains (MeSH), Maladie de Parkinson (chirurgie), Maladie de Parkinson (physiopathologie), Maladie de Parkinson (psychologie), Mâle (MeSH), Performance psychomotrice (MeSH), Posture (MeSH), Sujet âgé (MeSH), Tests neuropsychologiques (MeSH), Études cas-témoins (MeSH).
- MESH :
- chirurgie : Globus pallidus, Maladie de Parkinson.
- physiopathologie : Maladie de Parkinson.
- psychologie : Maladie de Parkinson.
- Adulte, Adulte d'âge moyen, Cognition, Femelle, Humains, Mâle, Performance psychomotrice, Posture, Sujet âgé, Tests neuropsychologiques, Études cas-témoins.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Case-Control Studies (MeSH), Cognition (MeSH), Female (MeSH), Globus Pallidus (surgery), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Neuropsychological Tests (MeSH), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson Disease (surgery), Posture (MeSH), Psychomotor Performance (MeSH).
- MESH :
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- surgery : Globus Pallidus, Parkinson Disease.
- Adult, Aged, Case-Control Studies, Cognition, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Posture, Psychomotor Performance.
Abstract
OBJECTIVE
To evaluate the effects of ventroposterior pallidotomy on motor disability and on behavior and cognition in patients with medically intractable idiopathic Parkinson disease.
DESIGN
Detailed motor testing both while receiving and discontinuing levodopa medication, posturography, and neurocognitive and behavioral assessments were performed before and 3 to 6 months after unilateral ventroposterior pallidotomy.
SETTING
University-based movement disorder program.
PATIENTS
Thirty-two patients without dementia with medically refractory idiopathic Parkinson disease were studied.
MAIN OUTCOME MEASURES
Motor function and disability were measured using the Unified Parkinson's Disease Rating Scale, Hoehn and Yahr stage, and the Schwab and England Activities of Daily Living Scale. Dynamic balance was measured by sway (amplitude and velocity) using the Chattecx Balance System. Detailed cognitive and behavioral assessments were also performed both before and after surgery.
RESULTS
Eighty-three percent of patients experienced improvement of their total Unified Parkinson's Disease Rating Scale score at 3 to 6 months after surgery. Significant improvements were also seen in the contralateral Unified Parkinson's Disease Rating Scale motor subscore (78%) as well as in the contralateral Unified Parkinson's Disease Rating Scale total score both during the on and off period (78% and 79%, respectively). The Hoehn and Yahr stage, Schwab and England Activities of Daily Living Scale score, and dynamic balance when standing on foam also improved following unilateral pallidotomy in many patients. Cognitive performance remained relatively unchanged following surgery with the exception of category fluency, which exhibited a modest decline (P < .04). A significant improvement in depression was found on the Beck Depression Inventory.
CONCLUSIONS
Ventroposterior pallidotomy significantly improves motor performance and daily level of function in Parkinson disease. Cognition and behavior are not adversely affected in patients without dementia, and a cognitive screening battery is proposed.
DOI: 10.1001/archneur.55.9.1201
PubMed: 9740114
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Desalles</name></author><author><name sortKey="Baloh, R W" sort="Baloh, R W" uniqKey="Baloh R" first="R W" last="Baloh">R W Baloh</name></author><author><name sortKey="Frysinger, R" sort="Frysinger, R" uniqKey="Frysinger R" first="R" last="Frysinger">R. Frysinger</name></author><author><name sortKey="Foti, D" sort="Foti, D" uniqKey="Foti D" first="D" last="Foti">D. Foti</name></author><author><name sortKey="Behnke, E" sort="Behnke, E" uniqKey="Behnke E" first="E" last="Behnke">E. Behnke</name></author><author><name sortKey="Cabatan Awang, C" sort="Cabatan Awang, C" uniqKey="Cabatan Awang C" first="C" last="Cabatan-Awang">C. Cabatan-Awang</name></author><author><name sortKey="Hoetzel, A" sort="Hoetzel, A" uniqKey="Hoetzel A" first="A" last="Hoetzel">A. 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Masterman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of California, Los Angeles School of Medicine, USA. dmasterm@ucla.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of California, Los Angeles School of Medicine</wicri:regionArea></affiliation></author><author><name sortKey="Desalles, A" sort="Desalles, A" uniqKey="Desalles A" first="A" last="Desalles">A. Desalles</name></author><author><name sortKey="Baloh, R W" sort="Baloh, R W" uniqKey="Baloh R" first="R W" last="Baloh">R W Baloh</name></author><author><name sortKey="Frysinger, R" sort="Frysinger, R" uniqKey="Frysinger R" first="R" last="Frysinger">R. Frysinger</name></author><author><name sortKey="Foti, D" sort="Foti, D" uniqKey="Foti D" first="D" last="Foti">D. Foti</name></author><author><name sortKey="Behnke, E" sort="Behnke, E" uniqKey="Behnke E" first="E" last="Behnke">E. Behnke</name></author><author><name sortKey="Cabatan Awang, C" sort="Cabatan Awang, C" uniqKey="Cabatan Awang C" first="C" last="Cabatan-Awang">C. Cabatan-Awang</name></author><author><name sortKey="Hoetzel, A" sort="Hoetzel, A" uniqKey="Hoetzel A" first="A" last="Hoetzel">A. Hoetzel</name></author><author><name sortKey="Intemann, P M" sort="Intemann, P M" uniqKey="Intemann P" first="P M" last="Intemann">P M Intemann</name></author><author><name sortKey="Fairbanks, L" sort="Fairbanks, L" uniqKey="Fairbanks L" first="L" last="Fairbanks">L. Fairbanks</name></author><author><name sortKey="Bronstein, J M" sort="Bronstein, J M" uniqKey="Bronstein J" first="J M" last="Bronstein">J M Bronstein</name></author></analytic><series><title level="j">Archives of neurology</title><idno type="ISSN">0003-9942</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Cognition (MeSH)</term><term>Female (MeSH)</term><term>Globus Pallidus (surgery)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Neuropsychological Tests (MeSH)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Parkinson Disease (surgery)</term><term>Posture (MeSH)</term><term>Psychomotor Performance (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Cognition (MeSH)</term><term>Femelle (MeSH)</term><term>Globus pallidus (chirurgie)</term><term>Humains (MeSH)</term><term>Maladie de Parkinson (chirurgie)</term><term>Maladie de Parkinson (physiopathologie)</term><term>Maladie de Parkinson (psychologie)</term><term>Mâle (MeSH)</term><term>Performance psychomotrice (MeSH)</term><term>Posture (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Tests neuropsychologiques (MeSH)</term><term>Études cas-témoins (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Globus pallidus</term><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Cognition</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Posture</term><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cognition</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Performance psychomotrice</term><term>Posture</term><term>Sujet âgé</term><term>Tests neuropsychologiques</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the effects of ventroposterior pallidotomy on motor disability and on behavior and cognition in patients with medically intractable idiopathic Parkinson disease.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Detailed motor testing both while receiving and discontinuing levodopa medication, posturography, and neurocognitive and behavioral assessments were performed before and 3 to 6 months after unilateral ventroposterior pallidotomy.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>University-based movement disorder program.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>Thirty-two patients without dementia with medically refractory idiopathic Parkinson disease were studied.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Motor function and disability were measured using the Unified Parkinson's Disease Rating Scale, Hoehn and Yahr stage, and the Schwab and England Activities of Daily Living Scale. Dynamic balance was measured by sway (amplitude and velocity) using the Chattecx Balance System. Detailed cognitive and behavioral assessments were also performed both before and after surgery.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Eighty-three percent of patients experienced improvement of their total Unified Parkinson's Disease Rating Scale score at 3 to 6 months after surgery. Significant improvements were also seen in the contralateral Unified Parkinson's Disease Rating Scale motor subscore (78%) as well as in the contralateral Unified Parkinson's Disease Rating Scale total score both during the on and off period (78% and 79%, respectively). The Hoehn and Yahr stage, Schwab and England Activities of Daily Living Scale score, and dynamic balance when standing on foam also improved following unilateral pallidotomy in many patients. Cognitive performance remained relatively unchanged following surgery with the exception of category fluency, which exhibited a modest decline (P < .04). A significant improvement in depression was found on the Beck Depression Inventory.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Ventroposterior pallidotomy significantly improves motor performance and daily level of function in Parkinson disease. Cognition and behavior are not adversely affected in patients without dementia, and a cognitive screening battery is proposed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9740114</PMID><DateCompleted><Year>1998</Year><Month>09</Month><Day>25</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9942</ISSN><JournalIssue CitedMedium="Print"><Volume>55</Volume><Issue>9</Issue><PubDate><Year>1998</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Archives of neurology</Title><ISOAbbreviation>Arch Neurol</ISOAbbreviation></Journal><ArticleTitle>Motor, cognitive, and behavioral performance following unilateral ventroposterior pallidotomy for Parkinson disease.</ArticleTitle><Pagination><MedlinePgn>1201-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the effects of ventroposterior pallidotomy on motor disability and on behavior and cognition in patients with medically intractable idiopathic Parkinson disease.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Detailed motor testing both while receiving and discontinuing levodopa medication, posturography, and neurocognitive and behavioral assessments were performed before and 3 to 6 months after unilateral ventroposterior pallidotomy.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">University-based movement disorder program.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">Thirty-two patients without dementia with medically refractory idiopathic Parkinson disease were studied.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Motor function and disability were measured using the Unified Parkinson's Disease Rating Scale, Hoehn and Yahr stage, and the Schwab and England Activities of Daily Living Scale. Dynamic balance was measured by sway (amplitude and velocity) using the Chattecx Balance System. Detailed cognitive and behavioral assessments were also performed both before and after surgery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty-three percent of patients experienced improvement of their total Unified Parkinson's Disease Rating Scale score at 3 to 6 months after surgery. Significant improvements were also seen in the contralateral Unified Parkinson's Disease Rating Scale motor subscore (78%) as well as in the contralateral Unified Parkinson's Disease Rating Scale total score both during the on and off period (78% and 79%, respectively). The Hoehn and Yahr stage, Schwab and England Activities of Daily Living Scale score, and dynamic balance when standing on foam also improved following unilateral pallidotomy in many patients. Cognitive performance remained relatively unchanged following surgery with the exception of category fluency, which exhibited a modest decline (P < .04). A significant improvement in depression was found on the Beck Depression Inventory.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Ventroposterior pallidotomy significantly improves motor performance and daily level of function in Parkinson disease. Cognition and behavior are not adversely affected in patients without dementia, and a cognitive screening battery is proposed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Masterman</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Neurology, University of California, Los Angeles School of Medicine, USA. dmasterm@ucla.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DeSalles</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Baloh</LastName><ForeName>R W</ForeName><Initials>RW</Initials></Author><Author ValidYN="Y"><LastName>Frysinger</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Foti</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Behnke</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Cabatan-Awang</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Hoetzel</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Intemann</LastName><ForeName>P M</ForeName><Initials>PM</Initials></Author><Author ValidYN="Y"><LastName>Fairbanks</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Bronstein</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>AG9063</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Neurol</MedlineTA><NlmUniqueID>0372436</NlmUniqueID><ISSNLinking>0003-9942</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="Y">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005917" MajorTopicYN="N">Globus Pallidus</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></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="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011597" MajorTopicYN="Y">Psychomotor Performance</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>9</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>9</Month><Day>18</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>9</Month><Day>18</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9740114</ArticleId><ArticleId IdType="doi">10.1001/archneur.55.9.1201</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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