Premature responding following bilateral stimulation of the rat subthalamic nucleus is amplitude and frequency dependent

2004 ◽  
Vol 1008 (2) ◽  
pp. 198-204 ◽  
Author(s):  
Lieve Desbonnet ◽  
Yasin Temel ◽  
Veerle Visser-Vandewalle ◽  
Arjan Blokland ◽  
Veronique Hornikx ◽  
...  
2002 ◽  
Vol 96 (4) ◽  
pp. 666-672 ◽  
Author(s):  
Tanya Simuni ◽  
Jurg L. Jaggi ◽  
Heather Mulholland ◽  
Howard I. Hurtig ◽  
Amy Colcher ◽  
...  

Object. Palliative neurosurgery has reemerged as a valid therapy for patients with advanced Parkinson disease (PD) that is complicated by severe motor fluctuations. Despite great enthusiasm for long-term deep brain stimulation (DBS) of the subthalamic nucleus (STN), existing reports on this treatment are limited. The present study was designed to investigate the safety and efficacy of bilateral stimulation of the STN for the treatment of PD. Methods. In 12 patients with severe PD, electrodes were stereotactically implanted into the STN with the assistance of electrophysiological conformation of the target location. All patients were evaluated preoperatively during both medication-off and -on conditions, as well as postoperatively at 3, 6, and 12 months during medication-on and -off states and stimulation-on and -off conditions. Tests included assessments based on the Unified Parkinson's Disease Rating Scale (UPDRS) and timed motor tests. The stimulation effect was significant in patients who were in the medication-off state, resulting in a 47% improvement in the UPDRS Part III (Motor Examination) score at 12 months, compared with preoperative status. The benefit was stable for the duration of the follow-up period. Stimulation produced no additional benefit during the medication-on state, however, when compared with patient preoperative status. Significant improvements were made in reducing dyskinesias, fluctuations, and duration of off periods. Conclusions. This study demonstrates that DBS of the STN is an effective treatment for patients with advanced, medication-refractory PD. Deep brain stimulation of the STN produced robust improvements in motor performance in these severely disabled patients while they were in the medication-off state. Serious adverse events were common in this cohort; however, only two patients suffered permanent sequelae.


2012 ◽  
Vol 25 (2) ◽  
pp. 104-120 ◽  
Author(s):  
Danielle Duez ◽  
Ludovic Jankowski ◽  
Alain Purson ◽  
François Viallet

2014 ◽  
Vol 18 (2) ◽  
pp. 113-117 ◽  
Author(s):  
Masa-aki Higuchi ◽  
Yoshio Tsuboi ◽  
Tooru Inoue ◽  
Kouzou Fukuyama ◽  
Hiroshi Abe ◽  
...  

2003 ◽  
Vol 349 (20) ◽  
pp. 1925-1934 ◽  
Author(s):  
Paul Krack ◽  
Alina Batir ◽  
Nadège Van Blercom ◽  
Stephan Chabardes ◽  
Valérie Fraix ◽  
...  

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