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A group of 37 patients diagnosed with Parkinson's disease (PD) were treated with subthalamic deep brain stimulation (STN DBS). The mean age at implantation was 59 - 11 years and PD has been present from 6 to 17 years (mean 9). The STN was identified by direct and indirect methods: macro stimulation and microrecording in all cases. At a three month follow-up, the authors observed a mean reduction of 49% in UPDRS II score and a mean reduction of 65% in UPDRS III score. Mean reduction of 1-dopa consumption was 62%. The authors concluded that STN DBS safely reduces disabling symptoms of PD.
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  • Departament of Neurosurgery, Maria Curie-Skłodowska Oncology Center, ul. Rentgena 5, 02-781 Warsaw, Poland, tomaszmandat@yahoo.com
Bibliografia
  • 1. Benabid A. L., Deuschl G., Lang A. E., Lyons K. E., Rezai A. R.: Deep brain stimulation for Parkinson's disease. Mov. Disord. 2006, Vol. 21( Suppl. 14), S168-S170.
  • 2. Burchiel K. J., Anderson V. C., Favre J., Hammerstad J. P.: Comparison of pallidal and subthalamic nucleus deep brain stimulation for advanced Parkinson's disease: Results of a randomized, blinded pilot study. Neurosurgery 1999, 45, 1375-1382.
  • 3. Fields J.A., Troster A.: Cognitive outcomes after deep brain stimulation for Parkinson's disease: A review of initial studies and recommendations for future research. Brain Cogn. 2000, 42, 268-293.
  • 4. Fraix V., Pollak P., Van Blercom N., Xie J., Krack P., Koudsie A., Benabid A. L.: Effect of subthalamic nucleus stimulation on levodopa-induced dyskinesia in Parkinson's disease. Neurology 2000, 55, 1921-1923.
  • 5. Kumar R., Lozano A. M., Kim Y. J., Hutchison W. D., Sime E., Halket E., Lang A. E.: Double-blind evaluation of subthalamic nucleus deep brain stimulation in advanced Parkinson's disease. Neurology 1998, 51, 850-855.
  • 6. Lang A. E., Widner H.: Deep brain stimulation for Parkinson's disease: Patient selection and evaluation. Mov. Disord. 2002, Vol. 17, (Suppl. 3), S94-S101.
  • 7. Pinter M. M., Murg M., Alesch F., Freundl B., Helscher R. J., Binder H.: Does deep brain stimulation of the nucleus ventralis intermedius affect postural control and locomotion in Parkinson's disease? Mov. Disord. 1999, 14, 958-963.
  • 8. The Deep-Brain Stimulation for Parkinson's Disease Study Group: Deep-brain stimulation of the subthalamic nucleus or the pars interna of the globus pallidus in Parkinson's disease. N. Engl. J. Med. 2001, 345, 956-963.
  • 9. Walter B. L., Vitek J. L.: Stereotactic surgery and deep brain brain stimulation for Parkinson's disease and movement disorders. In: Movement Disorders: Neurologic Principles and Practice. Watts R.L. and Koller W. C. (Eds), 2nd ed., McGraw-Hill, New York, 2004, 289-318.
  • 10. Vitek J. L.: Deep brain stimulation for Parkinson's disease: A critical re-evaluation of STN versus GPi DBS. Stereotact. Funct. Neurosurg. 2002, 78,119-131.
  • 11. Volkmann J., Sturm V., Weiss P., Kappler J., Voges J., Koulousakis A., Lehrke R., Hefter H., Freund H. J.: Bilateral high-frequency stimulation of the internal globus pallidus in advanced Parkinson's disease. Ann. Neurol. 1998, 44, 953-961.
  • 12. Defer G. L., Widner H., Marie R. M., Remy P., Levivier M., and the Conference Participants.: Core Assessment Program for Surgical Interventional Therapies in Parkinson's Disease (CAPSIT-PD). Mov. Disord. 1999, Vol. 14 (4), 572-584.
  • 13. Fahn S., Elton R. L., members of the UPDRS Development Committee.: Unified Parkinson's disease rating scale. In: Recent developments in Parkinson's Disease. Fahn S., Marsden C.D., Calne C.B., Goldstein M., (Eds), Vol. 2, MacMillan Healthcare Information, Florham Park, NJ; 1987, 153-163.
  • 14. Lang A. E., Houeto J. L., Krack P., Kubu C., Lyons K. E., Moro E., Ondo W., Pahwa R., Poewe W., Troster A.,Uitti R., Voon V.: Deep Brain Stimulation: Preoperative Issues. Mov. Disord. 2006, Vol. 21(Suppl. 14), S171-S196.
  • 15. Machado A., Rezai A. R., Kopell B. H., Gross R. E., Sharan A. D., Benabid A. L.: Deep brain stimulation for Parkinson's disease: Surgical technique and perioperative management. Mov. Disord. 2006, Vol. 21(Suppl. 14), 2006, S247-S258.
  • 16. Saint-Cyr J. A., Trépanier L. L.: Neuropsychological assessment of patients for movement disorder surgery. Mov. Disord. 2000, 15, 771-783.
  • 17. Pillon B.: Neuropsychological assessment for management of patients with deep brain stimulation. Mov. Disord. 2002. Vol. 17,(Suppl. 3), 2002, S116-S122.
  • 18. Welter M.-L., Houeto J.-L., Montcel S.T., Mesnage V., Bonnet A.-M., Pidoux B., et al.: Preoperative clinical factors predict the effects of subthalamic stimulation in Parkinson's disease (PD). Neurology 2001, 56, A146.
  • 19. Rezai A. R., Kopell B. H., Gross R. E., Vitek J. L., Sharan A. D., Limousin P., Benabid A. L.: Deep brain stimulation for Parkinson's disease. Surgical Issues. Movement Disorders 2006, Vol. 21,(Suppl. 14), S197-S218.
  • 20. Starr P. A.: Placement of deep brain stimulators into the subthalamic nucleus or globus pallidus internus: Technical approach. Stereotact. Funct. Neurosurg. 2002, 79, 118-145.
  • 21. Deuschl G., Herzog J., Kleiner-Fisman G., Kubu C., Lozano A. M., Lyons K. E, Rodriguez-Oroz M. C., Tamma F., Troster A. I., Vitek J. L., Volkmann J., Voon V.: Deep brain stimulation: Postoperative issues. Mov. Disord. 2006, Vol. 21(Suppl. 14), S219-S237.
  • 22. Bejjani B. P., Damier P., Arnulf I., Thivard L., Bonnet A. M., Dormont D., Cornu P., Pidoux B., Samson Y., Agid Y.: Transient acute depression induced by high-frequency deep-brain stimulation. N. Engl. J. Med. 1999, 340, 1476-1480.
  • 23. Mandat T. S., Hurwitz T., Honey C. R.: Hypomania as an adverse effect of subthalamic nucleus stimulation: Report of two cases. Acta Neurochirurgica (Wien) 2006, 148(8), 895-897.
  • 24. Moro E., Scerrati M., Romito L. M., Roselli R., Tonali P., Albanese A.: Chronic subthalamic nucleus stimulation reduces medication requirements in Parkinson's disease. Neurology 1999, 53, 85-90.
  • 25. Pollak P., Fraix V., Krack P., Moro E., Mendes A., Chabardes S., Koudsie S., Benabid A. L.: Treatment Results: Parkinson's Disease. Mov. Disord. 2002, Vol. 17(Suppl. 3), S75-S83.
  • 26. Bennazzous A., Hallett M.: Mechanism of action of deep brain stimulation. Neurology 2000, 55(Suppl. 6), S13-S16.
  • 27. Hashimoto T., Elder C. M., Okun M. S., et al.: Stimulation of the subthalamic nucleus changes the firing pattern of pallidal neurons. J. Neurosci. 2003, 23, 1916-1923.
  • 28. Kopell B. H., Rezai A. R., Chang J. W., Vitek J. L.: Anatomy and physiology of the basal ganglia: Implications for deep brain stimulation for Parkinson's disease. Mov. Disord. 2006, Vol. 21(Suppl. 14), S238-S246.
  • 29. Montgomery E. B. Jr., Baker K. B.: Mechanisms of deep brain stimulation and future technical developments. Neurol. Res. 2000, 22, 259-266.
  • 30. Houeto J. L., Damier P., Bejjani P. B., Staedler C., Bonnet A. M., Arnulf I., Pidoux B., Dormont D., Cornu P., Agid Y.: Subthalamic stimulation in Parkinson disease: A multidisciplinary approach. Arch. Neurol. 2000, 57, 461-465.
  • 31. Hariz M. I., Johansson F.: Hardware failure in parkinsonian patients with chronic subthalamic nucleus stimulation is a medical emergency. Mov. Disord. 2001, 16, 166-168.
  • 32. Houeto J. L., Bejjani P. B., Damier P., Staedler C., Bonnet A. M., Pidoux B., Dormont D., Cornu P., Agid Y.: Failure of long-term pallidal stimulation corrected by subthalamic stimulation in P.D. Neurology, 2000, 55, 728-730.
  • 33. Krack P., Dowsey P. L., Benabid A. L., Acarin N., Benazzouz A., Kunig G., Leenders K. L., Obeso J. A., Pollak P.: Ineffective subthalamic nucleus stimulation in levodopa-resistant postischemic parkinsonism. Neurology 2000, 54, 2182-2184.
  • 34. Saint-Cyr J. A., Trépanier L. L., Kumar R., Lozano A M., Lang A. E.: Neuropsychological consequences of chronic bilateral stimulation of the subthalamic nucleus in Parkinson's disease. Brain 2000, 123, 2091-2108.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ1-0069-0018
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